Some of the biggest scams that hit Discovery last year – including a nurse who earned R500,000 a month | BISouthAfrica
Discovery continues to battle medical scheme fraud - particularly for fake claims submitted for services not rendered, it said on Monday..
It employs 100 analysts and investigators, and has a proprietary forensic software system that uses algorithms to identify any unusual claim patterns. “ investigations reveal that a minority of healthcare professionals committed fraud against medical schemes, resulting in significant costs to schemes and their members,” explains Dr Broomberg.Discovery is paying R23 million a month to rent its shiny new head office, which has a roof-top running trackLimpopo continues to be the biggest problem region: 201 cases of fraud and waste per 100,000 Discovery medical scheme members have been confirmed.
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