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PMI industry steps up anti-fraud drive
07 October 2008 Breaking News
An industry body set up by private medical insurance (PMI) providers is to meet next month as it steps up its efforts to address the issue of healthcare fraud.
The Health Insurance Counter Fraud Group plans to meet formally for the first time in November to discuss the issue, which insurers claim costs them millions of pounds each year.
As revealed by Health Insurance in May http://www.hi-mag.com/healthinsurance/article.do?articleid=20001675162&adname=his_search&term=fraud, the group has developed a new web-based intelligence system which will include a database of dubious practices carried out by doctors and hospitals but also of fraudulent customers, fraudulent insurance brokers and fraudulent employees.
A website has also been developed containing information about the group and its work as well as telephone number for reporting the public to report suspected frauds and an anonymous and confidential basis if they wish.
Acting as spokesman for the group, Dr Simon Peck, head of provider information and audit at
In addition to PMI providers, the Health Insurance Counter Fraud Group also includes non-member attendees from the City of London Police, the Association of British Insurers and the NHS Counter-Fraud Service.
The initiative is also being "strongly supported" by the Association of British Insurers. Next year, healthcare fraud experts from partner organisations in the US, Canada, South Africa, Australia and Europe will be invited to an international symposium with the aim of taking the best practices from around the world and implementing them in the UK.
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