Nursing Care Billing Fraud in Berlin

According to information from the state of Berlin, fraud committed by outpatient nursing services causes annual damages of at least €50 million. Particularly with the numerous Russian nursing services operating in the city area, serious problems have arisen. “Of around 100 Russian nursing services, we have solid evidence of unprofessional practices in about 80 percent of them,” says Stephan von Dassel, Social Affairs Councillor of Berlin-Mitte.

Fake Patients

Many of the suspected or already exposed nursing services in Berlin simply create their own “patients.” They declare friends, relatives, and acquaintances as people in need of care, bill alleged care services for them to the health insurance funds, and then share the fraudulently obtained payments with these accomplices. When the social welfare office conducts inspections in the form of home visits, the supposed patients stage a charade by pretending to be immobile or mentally impaired. Once the authorities leave the apartment, however, normal life resumes for these insurance fraudsters—they go to work, to the cinema, or even on vacation as usual.

At this point the detectives of Kurtz Detective Agency Berlin step in by conducting surveillance on the suspicious “patients” and proving in court-admissible form that they are not actually in need of care.

Services Not Provided or Provided Inadequately

Besides the fabrication of patients, nursing scandals repeatedly shake the healthcare system when it becomes known how certain providers treat vulnerable individuals. Nursing services bill for visits that never took place, patients are left alone for days, and the treatment can be catastrophic: vulnerable elderly people are harassed or insulted.

Unfortunately, such extreme cases continue to appear again and again. These situations involve not only billing fraud but also patient abuse. Individuals who act so irresponsibly despite their great responsibilities in the healthcare system must be identified and brought before the courts. The private detectives of Kurtz Detective Agency Berlin can help: +49 30 5557 8641-0.