The Government’s report on the utilization of the mandatory health insurance funds in 2017 offers a reliable, correct and complete picture, shows the financial audit of the Audit Office that was presented on May 25. However, the auditors identified particular drawbacks, IPN reports.
The audit samples were collected at the National Health Insurance Company (CNAM) and a number of public health facilities. The information received from third parties was compared with data from the information system, including the accounting system of the CNAM.
The auditor was limited in assessing the volumes of services provided for the population owing to the lack of correlation of the data about the contracted services and the payment by the Company for primary, pre-hospital and ambulatory medical assistance services. Also, the automated information system “Compensated Drugs” worked improperly. Erroneous data were introduced in the system and the method of storing the primary documents was inadequate.
The audit performed by the Court of Auditors showed the tariffs were applied inappropriately when paying for the provided hospital medical assistance services and revealed the non-adjustment and non- approval of the internal regulatory framework, including accounting policies, related to the accounting and reporting of the revenues of the mandatory health insurance funds in accordance with specific norms.
The Court of Auditors reiterated the necessity of working out and approving policies related to accounting and reporting based on the conferred status of financial autonomy and the specific activity of the CNAM.
CNAM director general Dumitru Parfentiev agreed with the audit findings and informed that they work to improve the automated information system “Compensated Drugs” and other databases so as to ensure interaction with the Government’s databases. By the next financial audit, the CNAM will remove the identified shortcomings.
The Court of Auditors’ financial audit report will be published in the Official Gazette.
