Six positions of the are summoned to testify on Tuesday as witnesses in Court number 52 of Castilla Plaza de Madrid, which instructs the previous proceedings originated by a complaint for alleged fraud centered on the alleged existence of a billing system designed to inflate the payments that the Community of Madrid must make to the flagship of the company, the.
Since the beginning of the 21st century, this private management center is the reference hospital according to the complaint, which the country accessed, the regional administration would have paid “at a price 30 times higher than what really corresponds” the treatment to hundreds of patients, supposedly invoiced as if they had been in the plant (more expensive), when they were in the Emergency (cheaper). To do this, according to the complainant, he would have registered in a non -existent Unit 70 to up to 447 patients between 2017 and 2024, with an alleged extra cost paid by the public treasury of almost two million euros.
The company denies the accusation, points out that it is based on false information, and ensures that this is confirmed by an external audit. Asked about the case, a spokesman for the Ministry of Health of the Government of Isabel Díaz Ayuso has referred to Quirón. Quirón, on the other hand, ensures that the Madrid Health Service (Sermas) has not been incorporated into the case as injured, although the judge was offered.
The complainant is a former worker still pending judgment for his dismissal, that he would have discovered the information of the case while he was wage earner of the company, and against which, in turn, the company has been complained to understand that it has infringed the regulations for using patient data to put together its complaint.
The relationship between the Community of Madrid and Quirón is the subject of a triple controversy. On the one hand, for being a paradigmatic example of public-private collaboration in health through the Jiménez Díaz Foundation of the capital, the Rey Juan Carlos de Móstoles hospital, the Infanta Elena de Valdemoro and the General Hospital of Villalba.
On the other, because the conglomerate receives hundreds of millions from the Madrid government through Quirónsalud, and has been, through chirón -prevention, the main client of the regional president’s boyfriend, Alberto González Amador, judicially investigated by his businesses during the pandemic ,.
And, finally, because the opacity of a system in which payments for the provision of services in public private management hospitals take years to occur, and are subject to constant administrative and judicial lawsuits, causes opposition complaints about the difficulty in obtaining spending and investment data by the Community of Madrid.
What is certain is that Madrid’s debt with Fresenius, owner since 2017 of the Network of Quirón Health Centers in Spain, of the 1,004 million with which 2019 was closed to 455 with which it ended 2024, its lowest level since the Spanish company is part of the German (2017).
The last controversy starring the two parties concerns this complaint for alleged scam, which will lead to the Witnesses on Tuesday to the FJD administration director; to the Director of Internal Management and Audit Control; to the Information Systems Director; to the territorial director of systems; to the admission coordinator; to the director; already attached to the Nursing Directorate.
“The facts that result from the previous actions present characteristics that presume the possible existence of crime/s of fraud,” reads the order of admission to the complaint of the complaint, of February, in which proceedings are responsible for not being “determined the nature and circumstances of such facts or the people who have intervened.”
Among these proceedings, the FJD is claimed “to provide all the records of the Activity Registration Application (called IMDH) in the hospitalization beds referred to the Hospitalization Unit 70 since 2018 ″, in addition to“backup o backup of the medical history computer application (called Casiopea), where the hospitalization module “Unit 70” appears. According to the complainant, that unit does not exist.
Price 30 times higher
“This information was discovered when preparing a hospital-free and free bed management report,” reads the complaint, directed against the UTE-FJD, IDCQ, the FJD, and two managers (the hospital manager and the manager of the UTE-FJD). “The FJD-UTE devised a system to be able to invoice emergency episodes as a fraudulent hospitalization,” he says. “A fictional hospitalization unit was created, Unit 70. In this unit, which has no real beds because it does not exist, they were created in the computer application of activity of activity also fictitious beds to be able to record false revenues of hospitalization,” it is added.
“According to the available data, this system works at least from 2018 to the present,” he continues. “The patient is not really going to move the box in which he is in the emergency room, but informatically will not be in the emergency room,” he says. And he denounces: “With this system, the SERMAS is deceived, which will end up paying emergency episodes as hospitalization, at a price 30 times higher than what really corresponds.”
All the activity of the FJD is audited by the Sermas before proceeding. If the Madrid service has not appeared, as Quirón transmits, it is because it has not detected anything denounced. However, the complainant offers an explanation so that no alarm has jumped so far: he argues that the Audit of the Sermas consists “basically” in the verification that there is a high clinical report of each invoiced episode, without them in them, he clarifies, it is clarified that the patient never left the Emergency Box.
