The prosecutor's office has uncovered instances of illegal acquisition and expenditure of funds within the compulsory social health insurance (CSHI) system in the Turkestan Region. Inspections revealed that medical services were in some cases provided without licences or were entirely fictitious.
WHAT THE INSPECTION REVEALED
During the supervision, cases of poor-quality and improper provision of consultation and diagnostic services were identified, including those carried out without the appropriate licences.
In one private clinic, over 28,000 consultations across various medical fields were conducted without the necessary permits. The total amount came to 91 million tenge.
Regarding this incident, the materials have been registered in the Unified Register of Pre-trial Investigations under Article 214 of the Criminal Code of the Republic of Kazakhstan ("Illegal Entrepreneurship"). The investigation was carried out by the territorial department of economic investigations.
The case was subsequently closed on non-rehabilitating grounds due to full compensation for the damage.
FICTITIOUS DENTAL SERVICES
Furthermore, inflated entries for dental services totalling 203 million tenge were uncovered. According to the supervisory authority, two affiliated clinics formally registered three doctors and entered fictitious data into the electronic payment system regarding 40,000 dental services supposedly provided to pregnant women and children.
"The inspections established cases where the same dentist 'provided' services to several dozen patients simultaneously at different clinics on the same day," the supervisory authority noted.
In connection with these facts, special prosecutors conducted a pre-trial investigation under Article 190 of the Criminal Code of the Republic of Kazakhstan ("Fraud"). The materials have been sent to court.