do you sell drugs just to note, services that were never provided, send Unskilled workers to the hospital bed, turn slight Sick-to-severe patients or Healthy in care cases. In order to get billions of dollars from the health insurance, the fraudsters are very inventive. And, you will always want more. This shows a report of the peak Association of sickness funds for the Federal Ministry of health.
About 40,000 cases investigators pursued by AOK, Barmer and co. in the past year, the highest level in five years. Almost a fifth of additional new offenses were added within a year, more than 3300 criminal charges, the investigator found that a good 50 million Euro came back for the coffers of the scammers, which makes an increase of seven million euros compared to the previous year.
The damage to. up to 14 billion Euro.
But this sum is only a fraction of the actual damage Corruption experts estimate a much higher sums of money. The Bavarian Ministry of the interior estimates the extent due to international experience of over 14 billion euros in the year. However, If there are more crooks in the White or only be unmasked, can’t exactly say. The controllers, such as the Medical service of the insurance funds (MDK), to discover more cases, because they may strict consider, for example, nursing homes, and outpatient services.
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In the case of medicinal products and in the care of will be cheated, according to the report, the most. Both together makes a third of the cases, and a good half of the damage total. It is popular, slip recipes issue, then Doctors and Casinovale pharmacists deceive together. Sometimes the Patient makes. The physician prescribes an expensive drug, but instead of the Agent, the Patient receives part of the money that the Fund pays for; the Rest of the doctor and the pharmacist.
In the report’s talk of “organised crime”
Cheating is also easy to care for. The many actors, like care insurance funds, pension insurers, pension offices, or social authorities often work side by side, without consulting one another. Such as nursing homes and outpatient services to deal with the patients, can be hardly reasonable control. The Landeskriminalamt in Düsseldorf recently stated in a report: “the care fraud is characterized by an enormous maximize profits at relatively low risk of Detection.”
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were Particularly striking last Russian-language care services, especially in North Rhine-Westphalia and Berlin, because there are large Russian-speaking communities. The offender to pay benefits only to the bill, patients need to simulate bribe Doctors or forge documents. Meanwhile, they establish front companies In Switzerland and abroad, and develop hierarchical structures, so that “even evidence on Organised crime”, – stated in the report of the funds. The offender is focused now on the non-clinical intensive care, where, for example, coma patients are cared for. The money attracts, per Patient, the funds will pay up to 22,000 euros a month.
perpetrators can become more Difficult to easily camouflage
the enlightenment is, for many reasons. Prosecutors and courts often lack accurate Knowledge of the social laws and the law of contract. Focus of prosecutors ‘ offices have only four out of 16 Federal States of Germany. The judge set a lot of procedures, because it is in the processes, often only by small amounts. The funds do not often learn what not to show from the criminal, because the prosecutors will inform you. The perpetrators can disguise at the same time easily. Who must be about to close a care service in Bavaria due to scams, it can try in Baden-Württemberg or Rhineland-Palatinate. A nationwide, Fund overarching database of fraudsters is missing. Finally, the controllers of the funds may not communicate often, all of the results of its audits to the competent corruption experts. The reason is that the complex social laws.
