[Asia Economy Reporter Changhwan Lee] #. Hospital administrator Mr. A borrowed the names of five elderly doctors who were unable to provide medical care due to old age to open a nursing hospital. He attracted patients receiving cancer treatment at a nearby general hospital and, despite no actual admissions, issued false medical certificates and admission/discharge confirmations to fraudulently claim health insurance nursing benefits and private insurance payments, resulting in a crackdown.
#. Hospital B was caught in a crackdown for fraudulently claiming health insurance nursing benefits and indemnity insurance payments by inflating the number of outpatient visits or issuing false medical certificates and treatment receipts to patients who had never been treated at the hospital.
On the 6th, the Financial Supervisory Service announced that to eradicate insurance fraud by illegal medical institutions, it will sign a Memorandum of Understanding (MOU) with the National Health Insurance Service, the Life Insurance Association, the General Insurance Association, and the Gyeongsangnam-do Medical Association in Changwon, Gyeongsangnam-do on the 7th.
The organizations plan to leverage their expertise and work experience to jointly investigate and request investigations into medical institutions reported by the Gyeongsangnam-do Medical Association.
So far, the Gyeongsangnam-do Medical Association has actively contributed to creating a sound medical environment and eradicating insurance fraud through the launch of the 'Medical Institution Self-Cleaning Committee' and reporting illegal medical institutions.
The parties to the agreement emphasized that they plan to establish a permanent cooperative system that efficiently utilizes the medical expertise and suspicious medical institution information held by the Medical Association to strengthen investigations of illegal medical institutions and prevent leakage of public and private insurance finances.
They also intend to maintain close ties to achieve common goals through sharing resources and techniques for insurance fraud investigations held by each organization.
Furthermore, they explained plans to expand MOU participation across the medical community to strengthen the cooperative foundation for preventing public and private insurance financial leakage caused by insurance fraud and protecting honest medical professionals from damage.
© The Asia Business Daily(www.asiae.co.kr). All rights reserved.
