Healthcare fraud

The municipality of Heerlen offers facilities under the Wmo and Youth Act. Sometimes care seekers, care providers and budget holders make dishonest use of money intended for Wmo and Youth Care. We call this care fraud. Do you think someone is committing fraud, or do you suspect fraud? Report this to the municipality. This can be done easily, quickly and even anonymously.

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Approach

This is how you report (suspected) healthcare fraud:

  • Fill out the digital form or
  • Contact the municipality.
  • You pass on:
    • who it is about,
    • Where this person lives,
    • What fraud is involved.
Description

Examples of (suspected) healthcare fraud include: 

  • Health not reimburse what you are entitled to.
  • Health declare that the patient has not received, but which the provider does declare (ghost care).
  • Putting patients at a disadvantage by unfairly charging co-payments.
  • Health supplying and declaring without medical necessity (overtreatment), or not supplying necessary Health (undertreatment).
  • Fraud with the Personal Budget (PGB). Using the budget for something other than Health .

If you suspect fraud with healthcare funds, the municipality will launch a fraud investigation.

Learn more

Learn more about the Healthcare Fraud Information Exchange (ICZ)

More information about healthcare fraud at rijksoverheid .nl

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