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ADRES: Auditoría Recobros paquete GT040617- Régimen Contributivo
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La Administradora de Recursos del Sistema General de Seguridad Social en Salud (ADRES) da a conocer de manera oficial los resultado de la auditoría de recobros realizada al paquete GT040617, elaborado por la Unión Temporal Fosyga 2014.
Este informe sustenta las glosas aplicadas en el proceso de revisión de auditoría integral. Lea También: ADRES auditoría, recursos y fechas de pagos no POS – informe especial
Recobros Régimen Contributivo:
Del Régimen Contributivo se radicaron 135.168 recobros por un valor de $ 92.513.431.724,14 Pesos. Por Medicamentos se radicaron 124.469 recobros por un valor de $ 76.327.228.867,81 de los cuales se aprobaron $ 55.299.834.014,70 y se glosaron $ 21.027.394.853,11. Por Tutelas, se radicaron 10.699 recobros por un valor de $ 16.186.202.856,33 de los cuales se aprobaron $ 8.840.114.741,64 y se glosaron $ 7.346.088.114,69.
Informe de Tipología de Glosas
De la tabla anterior se puede concluir lo siguiente:
a) El porcentaje más alto, con un 16.68%, corresponde a la Observación 89 “Aporta acta de CTC que no corresponde a la tecnología en salud No POS recobrada.”
b) Un 14,55%, corresponde a la Observación 111 “Que la tecnología y el servicio en salud no incluido en el POS recobrada no sea diferente, ni los valores presentados sean superiores a los inicialmente glosados.”
c) Un 12,11%, corresponde a la Observación 88 “No aporta acta de CTC y no se evidencia en el histórico.
d) Un 11,82% corresponde a la Observación 112 “El valor recobrado se encuentra
debidamente liquidado, soportado y conforme a la regulación vigente.”
Descargue:Informe de resultados Auditoría Recobros GT040617 y Resultado de la auditoría de recobros realizada al paquete MIPRES 0217
Este artículo tiene documentos adjuntos que podrá descargar para ampliar su información:
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