Overview

The Norwegian Health Economics Administration (HELFO) is responsible for direct payments to health service providers and reimbursing patients for treatment expenses. Its corporate control strategy includes guidance on tackling the challenges of fraud, corruption and other types of waste. Annual monitoring plans include different types of pre- and post-payment controls, both at national and regional level. A vignette provides an example of a fraud case involving a general practitioner that was detected during a regional monitoring activity, demonstrating how a defined corporate control strategy and professional anti-fraud competencies can efficiently detect subtle methods of unjustified claims by a provider.