Fake registration scheme involving 140,000 patients uncovered in medical facilities of Kazakhstan, damages exceed 3.5 billion tenge
AKIPRESS.COM – The Financial Monitoring Agency has uncovered schemes involving the fake registration of 140,000 Kazakhstani citizens and the submission of false information about medical services, which resulted in the illegal receipt of funding from the Social Health Insurance Fund (SHIF), informburo.kz reported, citing the Agency.
36 criminal cases are being investigated in connection with these incidents. The estimated damages exceed 3.5 billion tenge.
In Turkestan region, an investigation is underway against officials of the Jetysay Multidisciplinary District Hospital. According to investigators, funds allocated under the Mandatory Social Health Insurance were transferred to the accounts of more than 20 individual entrepreneurs without actually providing services or delivering goods.
“The entrepreneurs did not enter into contracts with the hospital, and their bank details were used to withdraw and then cash out funds. The damage to the state exceeded 501 million tenge. Two suspects have been remanded in custody,” the Agency reported.
The director of Astana-based private clinic Forte Clinic LLP was sentenced to five years in prison for organizing a scheme to illegally obtain funding from the fund. His accomplice, an employee of the National Scientific Center for Healthcare Development, was sentenced to three years in prison for illegally approving applications to register Kazakhstani citizens. As part of the scheme, more than 15,000 Kazakhstani citizens were illegally registered with the clinic, and 79 million tenge worth of fake medical services were issued through the Damu Med information system.
In Almaty region, the director of the clinics Mydental.kz LLP and Dr. Nurzhanova Dentistry LLP was sentenced to four years in prison with confiscation of property for fraud. The director entered into contracts with the Social Health Insurance Fund for emergency and scheduled care under the Mandatory Social Health Insurance package worth over 450 million tenge. However, the clinics did not provide these services to patients, using doctors’ usernames and the personal data of minors to register them. As a result, more than 4,500 fake medical services were identified, and the damage to the state amounted to 66 million tenge.
