INVOICING / REIMBURSEMENT

MECHANISM
Obi Bertrand Obi
SAF-SWRFHP
 PLAN
• Invoicing procedure
• Verification procedure
• Data management and payment at the RFHP
• Monitoring/evaluation and adjustment of
system
 INVOICING PROCEDURE
• The HF shall record the services provided to the
patient in registers and other monitoring and
evaluation tools used as part of national HIV/AIDS
operational policies and manuals
• At the end of each month, the HF shall count the
services provided and fill out the Declaration
form(Invoice).
• The form shall be deposited at the Health District or,
if necessary, it shall remain at the HF level pending
the verification and review by CDVA verificators
INVOICE
 Verification/Control procedure
• Verification of the Declaration form(Invoice), by the PBF
verificator during monthly visits around the 5th of each
month
• Review by the verificators of the data provided; by checking
the registers, other documents, stocks of the HF, in order to
verify the information provided on each HIV User Fees
indicator
• Signing of reviewed and validated verification forms by the
Head of HF and the verificator.
• Update of the PBF portal by the verificators
• Preparation of consolidated HIV User Fees invoice by the PBF
data validation committees which shall meet at the
beginning of each month
 CONSOLIDATED INVOICE
• Health district:
• Month:
• Date of Registration:
 DATA MANAGEMENT AND PAYMENT AT
REGIONAL LEVEL
• The payer(SWRFHP) checks the compliance of the
HD consolidated invoice with the data verified on
each HF declaration form, and if necessary, on the
data entered in the PBF portal for consistency.
• If Ok. The invoices are approved and amounts are
then transferred to the bank accounts of each
health units
• Attestation of bank accounts of each health unit
should be attached to the consolidated invoice
before forwarding to the SWRFP
 MONITORING, EVALUATION AND
ADJUSTMENT OF SYSTEM
Increased demand for free HIV services necessitates regular evaluation of the
system, results obtained, challenges to formulate adequate recommendations
for adjustment of the system
 CONTROL MEASURES
• Ensure that the package of free HIV services
must be displayed on the walls and entrance to
each HF and services units.
• Avoid cancellations/correcting fluids on
declaration forms and HF invoices
• Counter controls will be conducted by the MOH,
MINFI, NACC, RDPH, RTG, RFHP. Abuses will be
sanctioned.
THANK YOU FOR YOUR KIND ATTENTION

QUESTIONS ARE WELCOMED