The Akim Oda Government Hospital in the Eastern Region has been directed to refund GH¢312,413.51 to the National Health Insurance Authority (NHIA) after a clinical and compliance audit uncovered widespread irregularities in its claims submissions.The audit, commissioned by NHIA Chief Executive Dr Victor Asare Bampoe, followed a whistleblower report alleging fraudulent practices at the facility between February and May 2025. A multidisciplinary team—comprising NHIA’s Quality Assurance and Internal Audit units, the Claims Processing Centre in Accra, and an external clinician—conducted the investigation from July 14 to 18, 2025.The review revealed several malpractices, including:Recommended For YouFilla2025-08-16T13:59:58+00:00Drama at state funeral as prophet claims he can resurrect helicopter crash victims Filla2025-07-27T08:53:25+00:00Man arrested for pretending to be the ambassador of a non-existent countryFilla2025-08-18T17:06:11+00:00Study reveals 1 in 4 Nigerian fathers may not be biological parents of their kidsMUS READ: Court dismisses K.T. Hammond’s election petition, slaps him with GH¢60K fineADVERTISEMENTAs a result, the NHIA directed the facility to refund the overpaid amount and warned against further breaches.The report stated.ADVERTISEMENTREAD ALSO: Mohamed Salah makes history as first-ever 3-time PFA Player of the Year winnerThe Authority will not tolerate practices that undermine public confidence in the National Health Insurance Scheme (NHIS)Between January 2024 and April 2025, the 162-bed facility submitted 120,589 claims worth GH¢47.6 million. However, the audit identified inflated claims, inappropriate billing practices, and non-compliance with NHIA regulations.The report further instructed that all claims from May 2025 onwards be subjected to stricter validation before reimbursement.The NHIA emphasised that this audit is part of broader reforms to strengthen financial accountability, prevent fraud, and safeguard the sustainability of the scheme. Dr Bampoe reiterated his administration’s commitment to transparency, financial discipline, and eliminating illegal co-payments.ADVERTISEMENTHe noted that the government’s timely release of funds and the uncapping of the National Health Insurance Levy (NHIL) have positioned the NHIA in a debt-free status on claims, stressing that such funds must always be used responsibly.READ ALSO: 10 Most Dangerous Animals in the WorldThe Authority pledged to continue conducting compliance audits nationwide to protect NHIS members from exploitation and ensure quality healthcare delivery.Full ReportADVERTISEMENT