Thursday 2 September 2010

375. Dental clinic accused of fraud to ADSE

During five years, a clinic in the city of Oporto invented invented consultations and issued false invoices that were reimbursed by ADSE. The fraud was around 200 000 euros. The prosecution has accused 63 former employees of the SMAS and the owners of the clinic.
On top of that fraud, according to the indictment prosecutors, advanced yesterday by the newspaper Público, reaches almost 200 000 euros, are the owners of the Dental Clinic Santo Ildefonso, Oporto - Felisberto Horácio, dentist and his wife, Julieta Monteiro, who was managing the company. Both are accused of fraud and falsification of classified documents. In the list of defendants are also 63 former officials Municipal Services of Water and Sanitation (SMAS) in the city of Oporto, and also for crimes allegedly complicit in the strategy outlined by the owners of the clinic.
According to prosecutors, the scheme consisted in the issuance of fake receipts in favor of the clinic. Through the endorsement of bills of ex-SMAS Porto, currently the City Water Company of Oporto, ADSE paid almost 200 000 euros in shares, for the support and social protection of employees and agents of government. The prosecution considers that there is evidence that in some cases, employees of the SMAS never even been clients of the health unit and, curiously, the receipts of treatments appeared on behalf of their relatives or colleagues.
In other situations, however, researchers have concluded that the value of the receipts had been fraudulently raised for the sole purpose of serving repayments, often to medical acts ever committed. Sometimes these values functioned as a kind of current account to pay for treatments to teeth that were in fact carried out.
Everybody made money: managers of the clinic received funding of health care has never provided and the staff of former SMAS (or family) pay nothing when they had need of any medical treatment. The facilities were such that the subject came by word of mouth and became known in the company. Moreover, managers at the Dental Clinic of Santo Ildefonso, sought to establish relations of friendship and trust with potential customers, facilitating, including payments for services not provided to friends and family.
The purpose was twofold: firstly, to increase profits and, secondly, increase considerably the number of clients because, for the relevant period (2001-2005) many of them went to the clinic because they were employees of former SMAS and know in advance that anything paid for medical care made. Done cross-checked data and the excessive number of receipts, some of them torn by a former employee of the SMAS (which, in a month, came to receive reimbursement of ADSE more than the salary paid by former SMAS) the researchers concluded that the defendants maintained a plan together for the illicit enrichment for society members who were due in cash values delivered by ADSE.

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