Particle.news
Download on the App Store
7 ARTICLES
·
2w ago

KKH Calls for Statewide Anti-Fraud Units After €5.4 Million Billing Loss

With a record €5.4 million loss confirmed for 2024, KKH has recovered over €0.5 million, pushing AI-driven data screening alongside calls for specialized fraud-investigation units in every federal state.

Image
Image
Die Krankenkasse KKH hat im vergangenen Jahr einen Rekordschaden durch Abrechnungsbetrug und Korruption verzeichnet. 2024 entstand ihr ein Schaden von 5,4 Millionen Euro, wie die Kasse mitteilte.

Overview

  • KKH recorded a record €5.4 million loss from billing fraud in 2024, up from €3.5 million the previous year.
  • Ambulatory-care providers accounted for over €4.1 million of the damage through fabricated services and unqualified personnel.
  • The insurer has recovered more than €0.5 million and received 479 new tips spanning ambulatory care, physiotherapy and medical practices.
  • Chief investigator Emil Penkov is advocating for dedicated prosecutorial units in each federal state to strengthen legal enforcement.
  • KKH plans to deploy AI-powered data analytics to detect irregular billing patterns and prevent future fraud.