KPK Calls Muhammadiyah Hospital Bandung Stopped BPJS Services Because Of Fraud

Deputy for Prevention and Monitoring of the KPK Pahala Nainggolan/PHOTO: Wardhany Tsa Tsia-VOI

JAKARTA - The Corruption Eradication Commission (KPK) said that the BPJS Health service at the Muhammadiyah Hospital in Bandung had to be stopped due to fraud. Management is asked to improve management so that incidents like this do not repeat themselves.

This was conveyed by the Deputy for Prevention and Monitoring of the KPK Pahala Nainggolan. Information about the termination of services was conveyed by the hospital via the Instagram account, @rs_muhammadiyah_bandung on July 28.

"Temporary cooperation was cut off until the management was completed so that fraud would not repeat itself," said Pahala in a written statement to reporters, Friday, August 9.

In addition, the Muhammadiyah Hospital in Bandung has also returned the money that was previously embezzled. However, Pahala did not specify the amount.

Through his official upload, the Muhammadiyah Hospital in Bandung stated that he would no longer accept BPJS Health patients. "On behalf of the RSMB management, we apologize for not being able to provide services for BPJS Health patients as of August 1, 2024," the account wrote.

Unless hemodialysis patients are still served until August 31, 2024.

Hospital management further states that improvements and scenarios for long-term excellent services are being carried out. However, they still accept general patients and insurance partners other than BPJS.

Previously reported, the KPK mentioned allegations of fraud that cost the state up to Rp35 billion. This incident is said to have occurred in three hospitals, namely two in North Sumatra and one in Central Java. This finding was obtained after a joint audit with BPJS Health, Ministry of Health (Kemenkes) and the Financial and Development Supervisory Agency (BPKP) was carried out. The mode of fraud that occurred was in the form of manipulation of medical records. The total findings are more than three thousand fictitious claims. In addition, this hospital inflated the amount of medical treatment to get more benefits. Some of the findings even used the names of BPJS participants who had never been treated to make claims. As a result of this finding, the anti-corruption commission suspected that two fraud occurred. The details are phantom billing, namely claims without any patients as well as inappropriate medical diagnosis or diagnostic manipulation.