2014 Archive

KZN health professionals to pay millions following fraudulent claims >

Yet another group of health care professionals from the KwaZulu-Natal Health Department are to repay millions of rands after they were found to have fraudulently made over R151 million in claims from medical aid schemes.
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Couple face jail after fraud >

A deaf couple fuelled a lavish lifestyle by using their disability to pocket nearly £1million in a sophisticated benefits fraud.
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Charges against medical aid 'fraud' doctor withdrawn >

"The documents said there might be possible areas of investigation which might have a bearing on the decision not to continue with the prosecution, especially in view of allegations made by Dr Anil."
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Medical aids for ride >

Crooked doctors and hospital admission clerks are at the centre of syndicates illegally benefiting from hospital cash plans, according to Discovery Health CEO Dr Jonathan Broomberg.
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Fraud a growing problem for hospital cash-back plans >

Seven months after Health Minister Aaron Motsoaledi claimed that insurance companies were "selling ill-health" and promoting collusion between policyholders and hospitals, concerns are growing about the increasing number of fraudulent claims.
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Ethics in health care: healthcare fraud >

Healthcare fraud is a type of white-collar crime involving the filing of dishonest healthcare claims in order to achieve a profit.
Healthcare fraud is a worldwide problem and is on the increase in South Africa.
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Hospital cash scams rife in KZN >

An "organised scam" involving at least one hospital group, a number of doctors and unscrupulous patients has resulted in insurance companies being milked through bogus or excessive claims.
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Husband and wife arrested for operating clinic to defraud Medicare >

TAMPA-United States Attorney A. Lee Bentley, III announces the unsealing of an indictment charging Miami residents Gladys Fuertes (40) and her husband Mario Fuertes (38) with conspiracy, health care fraud, aggravated identity theft, and obstructing a healthcare investigation.
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Matter of "fugitive" Dr Anirudhra still awaiting deciscion of NDDP >

The matter of "fugitive" Dr Ganesh Anil Anirudhra who is facing 319 charges for allegedly defrauding private medical aid schemes and the Department of Labour was this week postponed by the Brits Magistrates Court to June 9.
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Concerns growing about increasing number of fraudulent insurance claims >

Hospital cash-back schemes are designed to pay off bills not covered by a medical aid scheme, or to make up for income lost or childcare expenses incurred as a result of hospitalisation. However, they have become rich pickings for scammers.
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