The Special Investigating Unit says it is actively targeting fraudsters in the private healthcare sector.
Fraud, waste and abuse is costing the private healthcare system more than R22-billion, and if you submit false claims, you could face more than just being terminated from your scheme, the Council for Medical Schemes warned at its summit on fraud this week.
The event comes after deputy president David Mabuza announced at the Presidential Health Summit that the Special Investigating Unit (SIU) would be honing in on the healthcare sector.
“We want independent investigations that are turned around quickly and submit and identify findings appropriately,” Mabuza said at the October gathering.
The CMS estimates that fraud, abuse or waste accounts for about 15% of the R160-billion in claims that medical aids pay out annually.
The head of the SIU, advocate Andy Mothibi, said the body is working with the National Prosecuting Authority to help ensure tha