Fraud in healthcare facilities: A Narrative Review
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...
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| Format: | Article |
| Language: | English |
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YCAB Publisher
2021-12-01
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| Series: | Public Health of Indonesia |
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| Online Access: | https://stikbar.org/ycabpublisher/index.php/PHI/article/view/465 |
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| _version_ | 1849336582666977280 |
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| author | Sarah Mauren Michaela Mieke Nurmalasari Hosizah Hosizah |
| author_facet | Sarah Mauren Michaela Mieke Nurmalasari Hosizah Hosizah |
| author_sort | Sarah Mauren Michaela |
| collection | DOAJ |
| description | 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%. |
| format | Article |
| id | doaj-art-ba45b676980c4d46aae6d292a1a9aaf2 |
| institution | Kabale University |
| issn | 2528-1542 2477-1570 |
| language | English |
| publishDate | 2021-12-01 |
| publisher | YCAB Publisher |
| record_format | Article |
| series | Public Health of Indonesia |
| spelling | doaj-art-ba45b676980c4d46aae6d292a1a9aaf22025-08-20T03:44:55ZengYCAB PublisherPublic Health of Indonesia2528-15422477-15702021-12-017410.36685/phi.v7i4.465336Fraud in healthcare facilities: A Narrative ReviewSarah Mauren Michaela0Mieke Nurmalasari1Hosizah Hosizah2Department of Health Information Management, Faculty of Health and Sciences, Universitas Esa Unggul, Jakarta,IndonesiaDepartment of Health Information Management, Faculty of Health and Sciences, Universitas Esa Unggul, Jakarta, IndonesiaDepartment of Health Information Management, Faculty of Health and Sciences, Universitas Esa Unggul, Jakarta, IndonesiaEvery 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%.https://stikbar.org/ycabpublisher/index.php/PHI/article/view/465fraudhealthcareuniversal health insurancedelivery of health carehealth facilities |
| spellingShingle | Sarah Mauren Michaela Mieke Nurmalasari Hosizah Hosizah Fraud in healthcare facilities: A Narrative Review Public Health of Indonesia fraud healthcare universal health insurance delivery of health care health facilities |
| title | Fraud in healthcare facilities: A Narrative Review |
| title_full | Fraud in healthcare facilities: A Narrative Review |
| title_fullStr | Fraud in healthcare facilities: A Narrative Review |
| title_full_unstemmed | Fraud in healthcare facilities: A Narrative Review |
| title_short | Fraud in healthcare facilities: A Narrative Review |
| title_sort | fraud in healthcare facilities a narrative review |
| topic | fraud healthcare universal health insurance delivery of health care health facilities |
| url | https://stikbar.org/ycabpublisher/index.php/PHI/article/view/465 |
| work_keys_str_mv | AT sarahmaurenmichaela fraudinhealthcarefacilitiesanarrativereview AT miekenurmalasari fraudinhealthcarefacilitiesanarrativereview AT hosizahhosizah fraudinhealthcarefacilitiesanarrativereview |