The Special Investigating Unit says it is actively targeting fraudsters in the private healthcare sector. Fraud, waste and abuse is costing the private healthcare system more than R22-billion, and if you submit false claims, you could face more than just being terminated from your scheme, the Council for Medical Schemes warned at its summit on..
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Billions are lost due to Doctors, hospitals and medical aid members collude to commit fraud
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2 bogus doctors arrested operating an illegal surgery, Polokwane
In a concerted effort to demolish all the crime hot spots throughout this Province, the Tactical Joint Operation composed of the Provincial Detectives and Tracking Team was conducted in the City of Polokwane focusing on the illegal operations conducted by the bogus Medical Doctors and Traditional Healers. This operation was conducted on 4 January 2018,..
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Council pursues bogus health practitioners
A rise in bogus health practitioners has forced the Health Professions Council of SA (HPCSA) and medical schemes to strengthen their forensics units to curb fraud. A team at the HPCSA is conducting about 400 investigations into bogus practitioners. To date, just more than 40 arrests have been made, but prosecutions are slow. Data from..
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Health Professions Council of SA pursues bogus health practitioners
A rise in bogus health practitioners has forced the Health Professions Council of SA (HPCSA) and medical schemes to strengthen their forensics units to curb fraud. A team at the HPCSA is conducting about 400 investigations into bogus practitioners. To date, just more than 40 arrests have been made, but prosecutions are slow. Data from..
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Allegations of fraud at UKZN medical school – Sama Responds
The South African Medical Association (Sama) has called on the department of education to act swiftly to deal with allegations of fraud and corruption at the Nelson Mandela School of Medicine, at the University of KwaZulu-Natal (UKZN). This comes amid allegations that certain members of the community, and some staff members from the UKZN, fraudulently..
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Why healthcare is so expensive in SA
Some of the most significant contributors to soaring healthcare costs are fraud, waste and abuse. These are difficult to detect, monitor and prevent because the perpetrators are at every level of the delivery chain from healthcare providers at the top to policy holders at the bottom with many abusive acts playing out under the radar,..
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