A liberal nurse from Isère admitted to being the author of a scam of 400,000 euros against health insurance by being reimbursed for medical interventions never performed, said a police source on Wednesday (February 3rd).
Read also: Ardennes: dismantling of a network practicing partial unemployment fraud
Arrested on January 26 and placed in police custody, "
he fully recognized the facts,
" said Chief Brigadier Daniel Oliver, of the Voiron urban security, specifying that the investigation led by the Grenoble prosecutor's office was still In progress.
The primary health insurance fund (CPAM) of Isère lodged a complaint in August 2020 with the Grenoble prosecutor's office for fraud, leading to the opening of an investigation.
With the help of "
physical surveillance
" and hearings of doctors "
whose names were usurped to establish false prescriptions
", the police concluded that the liberal nurse had since 2017 embezzled money from the health system.
This married man, father of three children, established false prescriptions with prescriptions for nursing care which he did not carry out but for which he requested reimbursement from the CPAM via his real patients, whose vital card he used "
without their knowledge
".
On those prescriptions, "
he was putting (for example) medical care for a patient for six months every day
" without performing it, Oliver said, resulting in reimbursement amounts in his favor large enough to be detected by the Isère CPAM, which estimated the damage at 400,188.40 euros.
During his hearing, in which he acknowledged "
all that he was accused of
", he explained that he started in 2017 when he was starting his activity: "
he had difficulty paying taxes, expenses for his society
”.
“
When he got to a patient, he found prescriptions from a doctor and he took the opportunity to falsify them and make false ones, and he fell into a vicious circle: the more he declared, the more he paid. taxes, the more money he had to come in
, ”the police officer continued.
His fraud has enabled him to triple his turnover in three years, and the police suspect that his house with swimming pool in Montferrat, a town on the edge of a lake north of Voiron, was acquired with “
part of fraud
”.
The investigation will also determine whether the ownership of two apartments, one in Grenoble and the other in Paris, could also be linked to this affair.
No complicity was established, and the man was released free from his police custody, without judicial control or prohibition to practice.
