In the first eight months of 2024 alone, at least 100 suspected cases of fraud against EOPYY were detected – What the Director, Theano Karpodini, says
Controls for fraud with fake prescriptions will go back ten years, while they will also be extended to diagnostic tests.
At IDIKA, new control systems are in operation, which now makes it easier to detect illegal behavior. According to the results of checks using the new systems, at least 100 suspected cases of overprescription at the expense of EOPYY.
Only in the first eight months of 2024 did these doctors prescribe from 250 to 422 different pharmaceutical preparations per patientwith total quantities ranging from 250 to 1,630 pieces and millions of euros in damage for EOPYY.
“Accounts will be made so that the Greek public can get back the lost money, while pharmacists involved in over-prescriptions were prohibited from filling prescriptions for 6-12 months. Recently, the prescriptions of five doctors were stopped, due to violations of correct prescribing, while sanctions of more than 2,500,000 euros have been imposed and new cases are being processed, the Director of the EOPYY Theano Karpodini reports to APE-MPE.
In addition, the Organization has requested the assistance of the Financial Police to investigate cases with strong indications of fraud against EOPYY.
Controls are being intensified in diagnostic tests as well
“What is done today in terms of diagnostic tests is the false execution”, says Mrs. Karpodini.
In particular, “EOPYY retroactively takes the so-called “pacs” from the machines of the diagnostic centers. This is a digital system that the diagnostic centers and laboratories are obliged to maintain by archiving images which essentially prove whether an examination has been carried out.
At the same time, the referrals prescribed by the doctors can be compared with the result of an examination. Regarding the prescription of diagnostic tests, informative notes are sent every month to 34,000 doctors”, says the Director of the EOPYY.
Clearing the patient’s file
The file of the insured person in EOPYY is updated and the information is sent to HIDIKA so that it can be removed from his register.
There is a provision for clearing the patient’s file so that he does not have a problem with the prescription and there is no wrong medical diagnosis in the future.
Source: Skai
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