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Health insurance fraud: health centers pinned

2021-04-20T20:06:01.388Z

DECRYPTION -Ophthalmology centers are particularly implicated by the National Health Insurance Fund (Cnam).



Regularly in the crosshairs for their practices, health centers are again singled out.

Fraud at the Health Insurance would have reached at least 22 million euros last year, according to an internal report from the National Health Insurance Fund (Cnam).

Ophthalmology centers are particularly called into question, particularly in the context of the deployment of the 100% Health reform.

The Cnam thus points to abusive invoicing.

In 2020, the number of orthoptic check-ups would have more than doubled compared to 2019 in health centers, while the volume of these check-ups fell by 10% in ophthalmology and liberal orthoptic practices due to the pandemic. and periods of confinement.

It would be the same for the billing of the color vision examination multiplied by 170 in one year in health centers while it remains stable in practices.

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These criticisms come against the backdrop of a pitched battle between these “new generation” health centers.

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Source: lefigaro

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