MOH has asked the police to look into more
questionable subsidy claims under Chas
More
clinics are under probe for possibly cheating the Ministry of Health (MOH) when
claiming subsidies for patients under the Community Health Assist Scheme
(Chas).
Two
dental clinics have already been suspended from the scheme. The suspension will
start on Friday.
MOH told
The Straits Times that it has asked the police to look into more questionable
claims, made by an unspecified number of other clinics, under Chas.
The
scheme lets private clinics treat patients who are eligible for a government
subsidy, and claim the subsidy from the ministry.
Last week,
MOH announced the suspension of the two dental clinics - Phoenix Dental Surgery
clinics in Ang Mo Kio and Marine Parade - from Chas. It had filed a police
report against them for possible fraud on April 22.
Under
Chas, MOH has to give a clinic 15 days' notice of termination, so the clinics
facing suspension are on Chas until this Friday.
The
ministry told The Straits Times it has "also referred other clinics to the
police for further investigation". But it would not say if they are dental
or general practice (GP) establishments. About 1,500 clinics are on the Chas
scheme.
The
possible cheating cases surfaced via regular audits by MOH and a patient's
complaints.
In the
case of the two dental clinics, the MOH spokesman said: "While we were
auditing the clinics, we also received a patient complaint that Phoenix Dental
had submitted claims for procedures which had not been done for the said
patient."
Associate
Professor Patrick Tseng, Singapore's chief dental officer, said: "MOH
takes a serious view of fraudulent claims and unlawful practice behaviour, and
we will take necessary action if we suspect any such activity."
The
audits have turned up cases of non-compliance, but many are unintentional or
administrative errors, such as putting down the wrong date for a procedure.
They have also turned up more questionable "errors", such as:
Doing a
simple procedure but making a claim for a more complex, and hence more expensive,
treatment.
Making
claims for procedures that are not eligible for subsidy, by classifying it as a
different procedure that is subsidised.
Making a
full claim although the treatment has not been completed.
Claiming
for a procedure that was never done.
The MOH
spokesman said the ministry will recover any subsidies paid out through
incorrect claims. Last year, Chas paid out $167 million in subsidies to GPs and
dental clinics for treating 650,000 Singaporean patients.
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