Unmasking Healthcare Fraud: 13 French Health Centers Deconventioned from Monday

The French government has deconventioned 13 health centers across the country due to fraud in health insurance. The centers are accused of billing for services that were not rendered, overcharging for services, and falsifying patient records.

The deconvention is a serious measure that means that the centers will no longer be reimbursed by the French health insurance system. This could force the centers to close down or to find other ways to finance their operations.

The fraud investigation was carried out by the French health insurance agency, the Caisse Nationale d’Assurance Maladie (CNAM). The CNAM found that the 13 centers had billed for services that were not rendered in 712 cases. The centers had also overcharged for services in 98 cases and had falsified patient records in 13 cases.

The total amount of fraud is estimated to be €1.2 million. The CNAM has filed a complaint with the public prosecutor’s office.

The deconvention of the 13 health centers is a major blow to the French health care system. It is estimated that fraud in health insurance costs the system €10 billion per year. The government has vowed to crack down on fraud and to protect patients from unscrupulous providers.

Here are some of the details about the fraud:

The fraud was carried out by a variety of methods, including billing for services that were not rendered, overcharging for services, and falsifying patient records.
The fraud was widespread, affecting 13 health centers across the country.
The total amount of fraud is estimated to be €1.2 million.
The CNAM has filed a complaint with the public prosecutor’s office.
The deconvention of the 13 health centers is a major blow to the French health care system.
The government has vowed to crack down on fraud and to protect patients from unscrupulous providers.
The deconvention of the 13 health centers is a reminder that fraud is a serious problem in the French health care system. It is also a reminder that patients should be vigilant and should report any suspected fraud to the authorities.

The government’s crackdown on fraud is a positive step, but it is important to remember that fraud is a complex problem that will not be easy to solve. The government will need to continue to invest in prevention and detection efforts in order to protect patients and to ensure the integrity of the health care system.