People posing as doctors and doctors commit major fraud

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People posing as doctors and people who have set up fictitious health care institutions have been defrauding Dutch health care insurers out of millions of euros by submitting false invoices for services never rendered.

The fraud is apparently childishly easy to commit using the personal codes of practicing physicians that have been ‘lending out’ the right to use their code to crooks for a piece of the action. However, the whole practice was uncovered when a woman in Rotterdam defrauding the system got caught using the code of a doctor who just happened to be in jail at the time. Some crooks have gone so far as to use the codes of doctors who are retired and even deceased.

According to just one health insurer who claims to have hundreds of these cases, this could be the biggest form of fraud in the entire country. The company responsible for handing out the codes does not do any checking after it a code has been given, making it easy to defraud health care institutions who are in fact responsible for reporting any fraudulent use of the codes.

It’s one thing for crooks to piggyback on the personal codes of doctors, which makes us point fingers at the total lack of security related to these codes, but it makes me really uncomfortable to know that doctors are actually joining in to this fraud to make some quick cash.

(Link: www.rtlnieuws.nl)

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