The medical fraternity was caught off guard about two weeks ago when a whistle-blower came forward with explosive claims that one of the three big private hospital groups has been doctoring patient bills to save money.
The former employee of Mediclinic has fingered six hospitals in the group – Mediclinic Kloof, Mediclinic Morningside, Wits Donald Gordon Medical Centre, Mediclinic Cape Gate, Mediclinic Vergelegen and Mediclinic Panorama.
After apparently attempting to bring the alleged fraud to the attention of management – whether national or at hospital level is unclear – the whistle-blower found that their complaints were either not taken seriously or were possibly swept under the carpet.
While it is unclear whether they were then fired or resigned from the company voluntarily, there is no doubt (based on the detailed information in the emails) that this is not a disgruntled employee making wild allegations; this is someone who knows exactly what they are talking about.
Where there’s smoke, there’s usually fire, and the chimneys at Mediclinic are working overtime at the moment.
As at least two large medical schemes have clarified with Daily Maverick, the level of detail gives the whistle-blower enough credibility that at least three of the country’s largest medical scheme...
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