CCM-SNS - Verification of medical prescriptions

Responsible organisation: Portuguese Public National Health Service (Centro de Controlo e Monitorização do Sistema Nacional de Saúde) (Governmental)

In Portugal, the Control and Monitoring Center from the Portuguese Public National Health Service (CCM-SNS), uses data from several databases, in order to detect and fight prescription fraud. It follows a paperless prescription program and the electronic medical prescriptions system which were both implemented in 2016 and made mandatory for the public sector. During the first seven years, the central unit detected irregularities amounting to hundreds of millions of euros, and was instrumental in starting many prosecution for fraud in the health system. According to the Ministry of Health, in the first semester of 2017, the Invoice Control Center processed 356.2 million Euros' worth of prescriptions and flagged 21.1 millions euros to the State prosecutor.

Additional information

Source	AI Watch - Artificial Intelligence in public services. Overview of the use and impact of AI in public services in the EU
Web site	https://algorithmwatch.org/en/story/portugal-automated-verification-prescriptions-medical-fraud/
Start/end date	2021/01/01 -
Still active?	Unknown

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