my timesThe Korea Times

Hospitals under fire for insurance fraud

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Hospitals are increasingly getting worried since the prosecutors’ office raid in three hospitals in North Jeolla Province discovered the unlawful insurance claiming practice prevalent in the industry.

The prosecutors’ office in Jeonju said April 3 that it confiscated 50 boxes filled with documents.

Disparity between the forged documents and the original incidents are to be sorted out, they added.

They are basing their investigations on the possibility that the hospitals pretended to have some patients they didn’t have in the hospital, and that they claimed the money from the insurance company.

One prosecutor said, “The investigation has been ongoing since last year. Hospitals with unlawful practices will be held responsible.”

Whether they will broaden the scope of investigation is to be decided, he added.

The hospitals were being complacent for too long, said an official from the hospital in Jeonju.

“Everyone who works in this industry knows this has been a long held practice. And the raided hospitals were not treating the patients at once. They prolonged the period for treatment to claim more money.”

He added, “Many hospitals are under pressure since they know that they did something wrong.”