{"id":987653306,"date":"2021-11-12T03:16:28","date_gmt":"2021-11-12T02:16:28","guid":{"rendered":"https:\/\/p4h.world\/news\/mali-an-information-day-on-the-fight-against-insurance-fraud\/"},"modified":"2021-11-12T03:16:28","modified_gmt":"2021-11-12T02:16:28","slug":"mali-an-information-day-on-the-fight-against-insurance-fraud","status":"publish","type":"news","link":"https:\/\/p4h.world\/en\/news\/mali-an-information-day-on-the-fight-against-insurance-fraud\/","title":{"rendered":"Mali: an information day on the fight against insurance fraud"},"content":{"rendered":"<p><span><span><span><strong><span><span>With the theme &#8220;Fighting health insurance fraud: tools, roles and responsibilities of stakeholders (policyholders, delegated organizations and healthcare providers)&nbsp;&#8220;, the union committee of the Caisse Nationale d&#8217;Assurance Maladie (Canam) organized&nbsp;&nbsp; Canam Day&nbsp;. The general aim of the 4th edition of this meeting was to define the strategies&nbsp; being implemented to combat compulsory health insurance fraud&nbsp; effectively.<\/span><\/span><\/strong><strong><span>.<\/span><\/strong><\/span><\/span><\/span><\/p>\n<p><span><span><span><span><span>An overview of the situation shows that<strong><span><span> <\/span><\/span><\/strong>This fraud exists in various forms, notably&nbsp;: the cost of services not in line with the conventional tariff, unauthorized services, various forms of identity theft, billing fictitious insured persons,&nbsp; the use&nbsp; of CMSS insured persons&#8217; numbers (State civil servant) for the benefit of INPS voluntary insured persons.<\/span><\/span><\/span><\/span><\/span><\/p>\n<blockquote>\n<p><span><span><span><span><span><span><span>To put Canam on a solid footing&nbsp; we have embarked on the road to ISO9001 version 2015 certification. With this certificate,&nbsp; we could easily take the Ramu path, which is the perfect illustration of universal will. Coverage will be based on three main mechanisms&nbsp;: compulsory health insurance, medical assistance (Ramed) and mutual health insurance.<\/span><\/span><\/span><\/span><\/span><\/span><\/span><\/p>\n<\/blockquote>\n<p>M DIAWARA, representative of the Minister of Health.<\/p>\n<p><a href=\"https:\/\/maliactu.net\/mali-journee-canam-la-lutte-contre-la-fraude-des-assurances\/\">Read more<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>With the theme &#8220;Fighting health insurance fraud: tools, roles and responsibilities of stakeholders (policyholders, delegated organizations and healthcare providers)&nbsp;&#8220;, the union committee of the Caisse Nationale d&#8217;Assurance Maladie (Canam) organized&nbsp;&nbsp; Canam Day&nbsp;. The general aim of the 4th edition of this meeting was to define the strategies&nbsp; being implemented to combat compulsory health insurance fraud&nbsp;&#8230;<\/p>\n","protected":false},"author":1633,"featured_media":987528675,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":""},"categories":[],"tags":[115],"acf":[],"_links":{"self":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news\/987653306"}],"collection":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news"}],"about":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/types\/news"}],"author":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/users\/1633"}],"replies":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/comments?post=987653306"}],"version-history":[{"count":0,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/news\/987653306\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media\/987528675"}],"wp:attachment":[{"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/media?parent=987653306"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/categories?post=987653306"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/p4h.world\/en\/wp-json\/wp\/v2\/tags?post=987653306"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}