However,
Medical fraud: three closed health:
Health insurance intensifies its fight against fraudsters, and not only individuals. Therefore, In his viewfinder for several months already, health centers. Nevertheless, Last April, she announced that she had Closed seven centers alreadyall from the same network, but distributed in different regions. For example, Ophthalmology, speech therapy … Meanwhile, they were suspected of having billed acts not performed for damage evaluated at more than 6.6 million euros. However, This time. Consequently, these are Seven centers who are again concerned, including Three in Ile-de-France belonging to the Dentylis group, indicates The Parisian.
The centers of Nanterre. Furthermore, Gennevilliersin the Hauts-de-Seine, as well as that of Sainte-Geneviève-des-Boisin Essonne, were disappointed by the primary health insurance funds (CPAM) for suspicion of fraud. According to our colleagues. they are criticized for a “Billing of unrealized acts, re -invoicing of the same act and mentions allowing to circumvent the medical fraud: three closed health regulations”. If the total amount of the damage of these seven centers would be around three million eurosthese three would. be at the origin of almost half of this sum (1.4 million euros).
1.2 million presumed fraud for two centers – Medical fraud: three closed health
Worse. the two located in the Hauts-de-Seine (Nanterre and Gennevilliers) would be at the origin of 1.2 million euros in fraud. The two were disappointed For a period of five years (Only a year for Sainte-Geneviève-des-Bois). had to lower the curtain on July 15. The CPAM survey is far from recent since it dates back to the beginning of 2022. brought over a period of two years and 50,000 acts. Invited to react. The Dentylis group assures that “These controls have no connection with the quality of care provided, nor to the medical expertise of practitioners”.
Above all. the group specializing in dental and medical care disputes the accusations medical fraud: three closed health of the CPAM and evokes “Manifest errors of assessment in the damaged calculations”. Also according to Dentylis. the centers in question have demonstrated, in particular with reports of bailiff “That the damage initially estimated at 1.5 million euros cannot exceed 200,000 euros”. He regrets that health insurance has applied the maximum sanction.
Harsh customer
It must be said that the stakes are high. because with such deconmenting, patients would only be reimbursed on an authority rate, much lower than the conventional tariff. Dentylis. who has Seized the CPAM amicable appeal committeewishes the restitution of the damage and uses the argument of its patient to justify itself: “These decisions create a real risk of rupture of access to care in certain territories, in particular for the most fragile.” Dentylis has 47 centers, including 26 in the Paris region.
Further reading: André Vingt-Trois, former archbishop of Paris and Cardinal, died at the age of 82 – New heat wave from this weekend: France is preparing for the furnace – Six departments in the center-east of France placed in orange alert this Saturday – France regains consistent competitiveness, but this remains insufficient for exports – Closed for 17 years, the coastline of customs officials is again accessible to the public in Toulon.
