By Loubna Flah
By Loubna Flah
Morocco World News
Casablanca, Oct 30, 2012
The National Fund for Social Protection commonly labeled as the CNOPS opened an investigation in fraud cases committed by three private clinics.
According to the Moroccan weekly La Vie Economique, three privately owned clinics located in Rabat, Marakesh and Khouribga are accused by the CNOPS of having artificially inflated medical bills. The clinics had allegedly submitted a request to get a refund from the CNOPS based on inflated bills.
The CNOPS is an organization that raises funds from the memberships of its affiliates which are used to cover the costs of medical and social services to all its official members.
The trickery was brought by a CNOPS affiliate who realized that his account’s record included surgical operations he has never undergone, while he was checking his online account.
Astounded, the affiliate contacted the CNOPS for further information. The Fund’s officials realized that they are dealing with a flagrant fraud case that puts the credibility of privately operated clinics into question.
The CNOPS officials noticed in many bills submitted by two other private clinics the recurrence of irrelevant surgical operations often incongruent with the affiliates’ medical condition.
After a thorough investigation, the CNOPS realized that these three clinics submitted counterfeited documents to obtain improper compensation.
As a result, the CNOPS filed a lawsuit against the aforementioned clinics for fraud. Waiting for the judicial procedure to begin, the CNOPS has already issued an administrative sanction against these clinics.
The CNOPS eventually informed its affiliates that it will not refund any medical treatment provided by the accused clinics. This measure is aimed at ruining the clinics’ reputation among those who seek medical care. It is expected to give a fatal blow to the clinics’ business.
An official from the CNOPS made it clear that this “sanction is utterly legitimate. We cannot possibly collaborate with fraudulent institutions.”
The CNOPS addressed also the National Agency for Medical Insurance (ANAM) that is expected to declare the convention formerly signed by the accused clinics and the National Fund for Social Protection invalid.
The CNOPS formed a new vigilance committee to scrutinize meticulously any refund request submitted by privately owned clinics.