Bonitas Member Magazine B-Living - Issue 2 | Page 28

Making sense of medical aid fraud, waste & abuse Fraud, waste and abuse in the healthcare industry is one of the main drivers of healthcare inflation and increases in claims costs. But what is medical aid fraud and how can it be stopped? Claims that are submitted to medical schemes for services that are not rendered or medically necessary is fraud. This has a direct and negative impact on the members. All payments made in relation to fraud result in higher contribution increases each year. These increases, together with the normal escalating costs associated with healthcare, result in our members Page 27 being made acutely aware of the impact of these increases as they are usually higher than inlation and aff ect us all. What is medical aid fraud? When a member, administrator or healthcare provider is dishonest in order to get money to which they are not entitled. Medical aid fraud is the most complex form of fi nancial fraud to detect, monitor and prevent. Who can commit fraud? Anyone who has access to medical aid information, from members to healthcare providers and receptionists in doctors’ rooms, can commit healthcare fraud. Unfortunately, unscrupulous healthcare practitioners are the main culprits. The Hippocratic Oath may not specify that medical aid fraud is a criminal off ence but it is understood to incorporate a standard of ethics to which all medical practitioners should adhere. The good news is most of them do. It is the few bad apples that are involved in corruption and are costing medical aid schemes billions of rands each year. Not to mention letting down the good reputation of the medical fraternity in the eyes of the public. That said, the culprits are all along the healthcare delivery chain including employees and medical scheme members. B-Living Issue 2, 2017