Healthcare fraud refers to the intentional deception or misrepresentation made by individuals or entities in the healthcare system, resulting in unauthorized benefits or payments. This can involve healthcare providers, patients, or insurers, and may include actions such as billing for services not rendered, falsifying patient diagnoses to justify unnecessary tests or treatments, or misrepresenting the nature of services provided. The purpose of healthcare fraud is typically financial gain, with significant implications for the overall cost and integrity of healthcare systems. It can lead to increased healthcare costs, criminal charges for those involved, and a loss of trust in healthcare services. Addressing healthcare fraud is essential for maintaining the quality and affordability of medical care.
Sunwells, a major company in the elder care sector, is embroiled in a scandal involving false billing practices amounting to 28.47 billion yen. The fraud involved inflating visit durations and…