After a year of investigation, these ophthalmology and dental care centers are accused of having declared fictitious acts or overbilling.
Three new health centers in Hauts-de-Seine will be deconventioned on May 22, for Health Insurance fraud, according to information from franceinfo. These ophthalmology and dental care centers are accused of having declared fictitious acts or overbilling. The Hauts-de-Seine CPAM has also filed a complaint against the three structures for illegal practice of medicine, two of which are already closed to date.
>> An open inquiry into the financial management of Cosem health centers
The Hauts-de-Seine CPAM conducted an investigation over more than a year, alerted by dozens of reports from individuals, but also from health professionals. After a search alongside the police and the Regional Health Agency (ARS), a series of hearings made it possible to estimate the extent of the damage: nearly one million seven hundred thousand euros. As of May 22, these three centers will therefore no longer be under agreement, which means that Health Insurance only pays for a tiny part of the care provided. For an ordinary consultation, 30 euros, this represents 61 cents reimbursed by Health Insurance.
In January, two other centers lost their agreement at the start of the year: a dental health center in Yvelines and an ophthalmological center in Seine-Saint-Denis, also suspected of having issued false invoices and of having carried out fictitious acts, for damage estimated at nearly 1.5 million. In the Hauts-de-Seine department, around twenty centers are monitored.
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