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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: Therefore, there must be details on 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: It appears that it has not been billed. The figure has decreased from €74 million to €70 million to €61 million. Why is it there and why is it taking so long to collect taxpayers' money? Figures for individual hospitals range from as short as ten days to as long as 74 days. What is the longest period for an individual hospital? It is difficult to read these figures.

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 shortest?

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 would be a turnaround period of three days. Is there an incentive for hospitals to improve turnaround times? Why is there such disparity among them? Is it down to individual consultants or procedures in the 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: Can individual hospitals continue to run these long turnaround times? What is the penalty? It is all very well having rules but, in terms of getting money for the taxpayer, am I not correct to say that every extra euro in arrears has an impact on the cash budget?

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 has a major impact on front-line services and on how the health service operates. How can all these new rules be enforced? Are penalties being imposed on those who do not improve turnaround times?

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 believes there will be an additional €20 million in cash.

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: Of the €61 million outstanding at the end of December, if a project was managed around it so that the money was retrieved in quick fashion would the impact not be well above €20 million?

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: Louth went from 154?

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: I am looking for the figure of €61 million that is outstanding at the end of December. What is the breakdown of that in terms of the period of time over which it is owed?

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