CIB uncovers fraud, forgery by private clinic in Kaohsiung

The China Post news staff

The China Post news staff–The Criminal Investigation Bureau (CIB, 刑事警察局) recently uncovered a fraud and document-forgery scandal committed by a private clinic in the southern port city of Kaohsiung, and arrested four people involved in the scandal, including the clinic chief, surnamed Yuan, and his wife, surnamed Chu, according to a press released issued yesterday by the CIB. CIB officials said that the Li Ming Clinic located in Jenwu District of Kaohsiung City used false medical treatment records to claim medical service payments from the Bureau of National Health Insurance (BNHI) for four years, raking in over NT$10 million in fraudulent medical payments from the BHNI during that period.

Besides Yuan and Chu, CIB agents also nabbed the clinic pharmacist, surnamed Lee, and nurse, surnamed Huang, and sent them to the Kaohsiung District Prosecutors’ Office for prosecution on charges of fraud and document forgery. They also confiscated fake medical treatment records and computers as evidence of their alleged crimes.

After being informed of the clinic’s alleged criminal practices, the Kaohsiung District Prosecutors’ Office set up an ad hoc investigation panel composed of agents of the No. 4 Division of the CIB, the Kaohsiung Criminal Investigation Unit, and the Kaohsiung and Pingtung branches of the BNHI to probe the case.

Initial investigations showed that the four suspects allegedly asked patients to collect more health insurance cards from their family members or friends in exchange of free special medical treatment or the waiving of registration fees. Then the suspects used the cards and false medical treatment records to claim medical payments from the BNHI.