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Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: Am I correct in saying that the hospitals provide for a period of 21 days to prepare the documentation for consultants?

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: What is the current position?

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: The aim is to reduce the period by half. What is the current average for consultants?

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: It is currently approximately 90 days before the invoice goes out to the insurance companies. How long are the insurance companies taking to pay?

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: It is approximately 200 days on average.

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: That equates to 150 days. When one adds the 90 days, it is taking roughly eight months from the time a patient is seen in the public health system for the hospital to receive payment. Am I correct to say that the invoice sent to the insurance company covers both the consultant and the cost of the bed?

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: If the hospital was billing for the beds separately to the consultant fee, what would be the turnaround time?

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: The invoice could be sent to the private insurance company within 21 days of the individual presenting to hospital.

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: Currently the period stands at 240 days.

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: Mr. O'Brien indicated that it still takes five months.

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: This is important.

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: Is that from the date the invoice issued?

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: So if one works back, there are another 50 days on top of that within the internal workings of the hospital. My point is that taxpayers' money is left unclaimed. The HSE works on a cash basis - a Vote basis. It strikes me that there is a fundamental, inherent problem in the billing system. With the consultant issue, some of the days are out of sync. The HSE is looking to reduce the days...

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: Correct. It is very ambitious. Will the HSE achieve it?

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: Does Mr. O'Brien believe the procedures in place in the hospitals, including the dealings with consultants, will ensure taxpayers' money is put in on time? This would have a positive impact. The HSE has €7 million above profile for the revenue side to date this year. If the €20 million was brought in, it could have a significant impact on the revenue budget for the HSE. The...

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: That is unacceptable.

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: Had the consultants come back with queries? Is there a stand-off between the HSE, the consultants and the individual hospitals?

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: It seems extraordinary that it takes 44 days from the time a patient is discharged from hospital for the documentation to be prepared for signing by the consultant. It is self-evident that there is an issue with the consultants, but clearly there is also an issue with the turnaround time within the hospital structures.

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: Is Mr. O'Brien saying they are operating manual systems?

Public Accounts Committee: 2011 Annual Report of the Comptroller and Auditor General and Appropriation Accounts
Vote 40 - Health Service Executive
Health Service Executive Financial Statements 2011
(25 Apr 2013)

Kieran O'Donnell: In this day and age?

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