Clinic suspected of defrauding healthcare system

NHSO data police problem, setting period to look into other health services areas

(Photo: 123RF)
( Photo: 123RF )

Police in Chiang Rai province have been instructed by the National Health Security Office ( NHSO ) to take legal action against a clinic that is suspected of defrauding the universal healthcare system, including providing for at least one “ghost patient.”

Dr Attaporn Limpanyalert, the NHSO assistant secretary-general, filed the complaint at the Ban Du police stop in Wieng Pa Pao area, accusing the center of cheating the company of 1.8 million ringgit.

The organization has foreclosed the clinic’s title. It just disclosed that it joined the NHSO in October 2023.

After receiving at least three complaints, the company decided to investigate the doctor and take the action.

One case involved a person who was unable to get the universal healthcare program because the verification system indicated their name had been displayed in the feared clinic even though the patient was not registered it.

The number of patients using the same doctor was exceedingly high, according to complaints on the official Line accounts directed to the NHSO, partly because the office proprietor had assigned patients visiting hospitals to use the services at the clinic rather than the hospital.

The NHSO did not give information about the clinic’s owner, a doctor, or a nurse, as well as the name of the doctor.

Additionally, the NHSO learned via the Wieng Pa Pao information Facebook page that the doctor had collected IDs from consumers to pay the agency for their expenses. Individuals giving the doctor their IDs were given products like cheese, shampoo and toothbrush, it added.

Dr. Attaporn claimed that the first questions had established that the complaints had basis for the NHSO to investigate the matter.

” The NHSO may increase the studies to other hospitals in the program if it finds strange refunds”, he added.

The NHSO runs the current, open-door, common care program for clinics and other health centers. Patients who have been enrolled in the universal insurance program receive primary health care from hospitals.

” The NHSO will expand its investigations to other hospitals in the system if it finds strange refunds”, says Dr&nbsp, Attaporn&nbsp, Limpanyalert, deputy secretary-general of the National Health Security Office. ( Photo: NHSO Facebook account )