Abrechnungsbetrug im Krankenhaus

The billing of healthcare services is multilayered and complex. This is particularly true for medical services in hospitals. The historically developed reimbursement system offers room for billing errors and even fraud. This study examines the issue of billing fraud in hospitals, which has not yet been addressed by the highest courts. Based on the discussion in the private practice sector, case groups are elaborated, categorized and classified with regard to § 263 StGB (German Criminal Code). In this context, not only the criminal liability of directly acting persons is examined, but also possible criminal liability risks for the management level. The focus is on the executive management and the chief physicians.