Fraud in healthcare facilities: A Narrative Review | Zendy

Sarah Mauren Michaela | Zendy; Mieke Nurmalasari | Zendy; Hosizah Hosizah | Zendy

AI Assistant Blog Pricing

Home ZAIA Blog

Open Access

Fraud in healthcare facilities: A Narrative Review

Author(s) -

Sarah Mauren Michaela,

Mieke Nurmalasari,

Hosizah Hosizah

Publication year - 2021

Publication title -

public health of indonesia

Language(s) - English

Resource type - Journals

eISSN - 2528-1542

pISSN - 2477-1570

DOI - 10.36685/phi.v7i4.465

Subject(s) - commission , language change , health care , referral , narrative review , business , narrative , incidence (geometry) , medicine , medical emergency , finance , family medicine , political science , law , intensive care medicine , art , physics , literature , optics , linguistics , philosophy

Every country needs to develop Universal Health Coverage (UHC) to promote optimal levels of public health. But in realizing UHC, there must be some problems, one of which is fraud. Based on the Corruption Eradication Commission (KPK) data, potential fraud is detected from 175,774 claims of Advanced Referral Health Facilities (FKRTL) or worth Rp. 440 billion until June 2015. This review article describes the incidence of fraud in health care facilities. Out of a total of 12,736 cases of fraud, readmission occupies the most cases of fraud, which is 4,827 cases or 37.9%.

The content you want is available to Zendy users.

Already have an account? Click here to sign in.

Having issues? You can contact us here

Accelerating Research