Overview

• At the Berlin Regional Court, a trial has begun over allegations that roughly €85 million was wrongly obtained through data alterations tied to the 2014 and 2015 billing years.
• Prosecutors say a former KV Berlin board member coordinated with two senior insurer employees to implement retroactive diagnosis changes using exchanged data carriers.
• The indictment states that more than 120,000 insured persons’ case data and diagnoses were altered, resulting in higher allocations from the Gesundheitsfonds.
• Charging documents note that neither KV organizations nor insurers are legally permitted to change doctor- or therapist-coded diagnoses, and the disputed funds would otherwise have been distributed to other insurers.
• Defense lawyers reject claims of bribery or corruption as mere corrections of erroneous data, with the court having dropped embezzlement counts and defendant testimony scheduled to begin on November 10.