Healthcare fraud

Do you doubt that the right quality of Health is being delivered? Or do you think someone is committing fraud? By people receiving Health , caregivers or PBM budget holders? 

Then report this to the municipality

Residents of Wassenaar can receive support through the Social Support Act (Wmo) or the Youth Act. There are certain agreements attached to this. It is important that care money intended for Health goes to people who really need it. If a person or a care provider does not comply with these agreements or if someone makes unjustified use of this support, we call this care fraud.

Examples of possible healthcare fraud

• Having Health paid for (declared) without Health being delivered.
• Delivering poor Health with incompetent staff.
• Requesting or charging (claiming) money for more or different Health than delivered.
• Requesting or providing more Health than needed.
• Requesting (declaring) money for Health that is already paid for in another way.
• Health continue to provide it when it is not needed (anymore).
• Delivering less (good) Health than needed.
• If the resident's safety is at stake.
• An administration that is not in order.
• Being dishonest about a situation so that money or Health can be claimed unfairly.
• Submission of falsified / fabricated information (misrepresentation / misuse of DigiD).
• The person who needs Health misuses facilities. For example, the person does not need domestic help or spends the budget on something other than Health.
• A caregiver or healthcare provider uses a client's DigiD or bank card.
• The pgb representative works for the caregiver or health care provider.

Reporting healthcare fraud

It is important that money from the Social Support and Youth Act reaches the people who really need it. And that care providers offer the right support. That is why it is important that the municipality is informed if there is care fraud. 

Name in your report:

• The person or health care provider your suspicion is about;
• The address of this person or health care provider;
• What kind of fraud is involved.

The more accurate you provide the information, the sooner and better it can be investigated. We handle this information confidentially. You can also make the report anonymously. 

What happens to your report?

A supervisor is investigating your report. This may include: 

• viewing data;
• research at an address;
• conversations with people affected by it.

If there is evidence of healthcare fraud, the municipality will take action. For example:

• Changing or stopping the Health;
• exclusion of a healthcare provider;
• reclaiming money;
• report.

Are you unsure if there is healthcare fraud? If so, contact the hotline. They will meet with you to explain what Health is expecting and what you can look out for.