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Report: Compensation Fund frustrates Hawks investigation

───   11:11 Sun, 14 Jan 2018

Report: Compensation Fund frustrates Hawks investigation | News Article

Johannesburg - The labour department’s Compensation Fund is being accused of allegedly frustrating a R12.1m fraud case against a doctor in North West by failing to commission a forensic investigation in the past eight years.


The Hawks said they had collected all statements and records on Dr Sello Ntsoko, a general practitioner in Lethabile near Brits, who allegedly made fraudulent claims.

However, their case has not made progress because the Compensation Fund failed to source an outstanding forensic audit report.

Ntsoko allegedly defrauded the fund in 2009 by submitting fraudulent claims totalling R12.1m in four months for 54 patients.

He claimed he had allegedly treated them for occupational injuries and diseases.

He also allegedly charged no less than R4 000 for a consultation.

He was allegedly caught out when former Compensation Fund risk manager, Twana Makhubela, enlisted three forensic audit firms in 2009 to conduct data analysis on 1 919 invoices.

This initial audit identified several anomalies, but there was no full-scale investigation.

The analysis found that some of the patients did not even consult Ntsoko and were treated by other doctors.

Hawks spokesperson, Brigadier Hangwani Mulaudzi, said the police could not be blamed for the lack of progress in the case.


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