Post Approval Checking Mechanism
Post Approval Checking Mechanism
In the application of Samaritan Fund, applicants are required to provide complete, accurate, true and up-to-date information to Medical Social Workers for assessment and verification. In order to maintain the integrity of the medical fee assistance systems and protect the systems from being abused, the Hospital Authority established Investigation Section (Fee Assistance Application) in March 2007 (renamed as Medical Fee Assistance Section in 2008) for the purposes of:- preventing and detecting the occurrence of fraud and abuse of medical fee assistances
- taking appropriate action against suspect who commits deception relating offence
To accomplish the purposes, a Post Approval Checking Mechanism has been put in place at hospital clusters and the Hospital Authority Head Office to conduct:
- in-depth investigation on suspected fraud cases of medical fee assistances
- regular checks of approved cases selected on a random basis
- checking of cases with high risk factors for fraud and abuse
- data matching within Hospital Authority, with Government Departments, banks, employers and other parties
