Navigating the Medisave Claims Audit Requirements by the Ministry of Health in Singapore

As healthcare costs continue to rise in Singapore, many individuals rely on Medisave, a national medical savings scheme, to cover their medical expenses. However, to ensure that Medisave claims are legitimate and accurate, the Ministry of Health (MOH) has implemented strict audit requirements for healthcare providers and their patients.

If you are a healthcare provider or a patient who has made a Medisave claim, it is essential to understand the audit requirements set by the MOH. Here are some key considerations to keep in mind:

  1. Proper documentation: Healthcare providers must ensure that all Medical Claim Forms submitted to CPFB via Mediclaim system are properly maintained.
  2. Compliance with Medisave guidelines and conditions: Healthcare providers must comply with MOH’s Medisave guidelines for eligibility and reimbursement rates.
  3. Retention of records: Healthcare providers must keep all records related to Medisave claims for at least six years.
  4. Audit readiness: Healthcare providers and patients may be subject to random audits by the MOH to ensure compliance with Medisave guidelines.

As a healthcare provider or a patient, navigating the Medisave claims audit requirements can be challenging. However, by working with an experienced and knowledgeable accounting firm like Athel, you can ensure that your Medisave claims are accurate, compliant, and audit-ready. Our team of accounting professionals can help you navigate the complex regulations and guidelines set by the MOH, providing you with peace of mind and allowing you to focus on your health and well-being. Contact us today to learn more about our Medisave claims audit services.