The government is operating a special reporting period to address fraudulent activities in the medical industry, where medical professionals forge diagnostic documents to claim insurance payouts for items not covered by actual expense insurance. This crackdown follows recent cases where hospitals selling obesity treatments like Mounjaro and Wegovy were caught forging medical records to fraudulently claim insurance payments.
The Financial Supervisory Service, National Police Agency, and the insurance industry announced on the 11th that they will run a special reporting period for fraudulent insurance claims from the 12th to March 31st. Targets include medical staff who manipulate diagnostic documents to enable false claims, brokers who facilitate such fraud, and patients who knowingly file claims despite being aware of the fraud.
Reporters can submit evidence, such as audio recordings, to the FSS call center or insurance fraud reporting centers operated by the FSS and insurance companies. If a report leads to a police investigation, a reward will be paid: 50 million Korean won for medical staff including doctors, 30 million Korean won for brokers, and 10 million Korean won for patients and others. If multiple individuals report the same suspect, the reward will be split. Rewards may be restricted for insurance industry workers or those who report indiscriminately for rewards.
While obesity treatments like Mounjaro and Wegovy have gained popularity recently, they are...
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