Two persons in the Western Region have been arrested for allegedly defrauding the National Health Insurance Authority (NHIA) to the tune of Four thousand Ghana Cedis.
According to reports by Graphiconline.com one of the persons identified as Dr N.K. Ametewee whom is the Medical Superintendent of the Essikado District Hospital, offered a bribe of GH¢5,000 to the director of a clinical audit team of the NHIA to cover up the deal, but the official refused it.
Dr Ametewee, who is a Dental surgeon, is alleged to have submitted claims of about 100 NHIS card users whom he claimed had patronised the services of his private clinic, West Anaji Dental Clinic, in the Western Region.
The doctor was arrested together with his younger brother, Francis Ametewee, by the Criminal Investigations Department (CID) of the Ghana Police Service on Tuesday
Commenting on the issue The Head of the Fraud Unit at the CID Headquarters, Chief Superintendent Mr Felix Koku Mawusi, said officials of the NHIA made a report to the CID about fraud perpetrated by a medical officer in the Western Region, which led to the doctor’s arrest.
He explained that the clinical audit team of the NHIA usually organised an audit after claims had been submitted by both private and public hospitals and clinics from all the 10 regions of the country.
During the period January to December 2013 that the audit team realised that Dr Ametewee had submitted the same names of NHIS card users for claims for the Essikado District Hospital and for his private clinic.