{"id":17278,"date":"2025-05-22T13:44:43","date_gmt":"2025-05-22T11:44:43","guid":{"rendered":"https:\/\/newmediacreative.co.za\/afrocentric\/?p=17278"},"modified":"2025-06-25T11:29:30","modified_gmt":"2025-06-25T09:29:30","slug":"held-to-account","status":"publish","type":"post","link":"https:\/\/newmediacreative.co.za\/afrocentric\/archives\/17278","title":{"rendered":"Held to account\u00a0"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-post\" data-elementor-id=\"17278\" class=\"elementor elementor-17278\" data-elementor-post-type=\"post\">\n\t\t\t\t<div class=\"elementor-element elementor-element-118675e e-flex e-con-boxed e-con e-parent\" data-id=\"118675e\" data-element_type=\"container\" data-e-type=\"container\">\n\t\t\t\t\t<div class=\"e-con-inner\">\n\t\t\t\t<div class=\"elementor-element elementor-element-aa246a1 elementor-widget elementor-widget-heading\" data-id=\"aa246a1\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h5 class=\"elementor-heading-title elementor-size-default\">With the recent conviction of a medical provider who submitted false claims, years of hard work by the Medscheme forensics team has finally paid off.<\/h5>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-3b34bba elementor-widget elementor-widget-text-editor\" data-id=\"3b34bba\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Do you remember the healthcare provider burning tyres in Medscheme\u2019s reception?<\/p><p>Mr Lesiba\u202fMorgan\u202fGololo, a speech therapist and audiologist, was recently found guilty and sentenced on four counts of fraud related to false claims submitted to medical schemes. The sentencing, handed down at the Specialised Commercial Crimes Court in Polokwane, marked the culmination of a six-year investigation led by Medscheme\u2019s Group Forensics team in collaboration with law enforcement.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-8cbd629 elementor-widget elementor-widget-image\" data-id=\"8cbd629\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"image.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<img fetchpriority=\"high\" decoding=\"async\" width=\"1024\" height=\"683\" src=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/05\/false-claims-1024x683.jpg\" class=\"attachment-large size-large wp-image-17310\" alt=\"\" srcset=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/05\/false-claims-1024x683.jpg 1024w, https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/05\/false-claims-300x200.jpg 300w, https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/05\/false-claims-768x512.jpg 768w, https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/05\/false-claims-1536x1024.jpg 1536w, https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/uploads\/2025\/05\/false-claims-2048x1365.jpg 2048w\" sizes=\"(max-width: 1024px) 100vw, 1024px\" \/>\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7596b92 elementor-widget elementor-widget-text-editor\" data-id=\"7596b92\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>Mr Gololo was sentenced to a R150 000 fine or eight years\u2019 direct imprisonment. This is a significant outcome in the fight against fraud, waste, and abuse Fraud, Waste, Abuse and Error (FWAE).<\/p><p>The case dates back to incidents in 2016 and involves fraudulent claims amounting to millions of rands. The criminal case was logged in 2019.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-6265b1d elementor-widget elementor-widget-html\" data-id=\"6265b1d\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<!DOCTYPE html>\n<html lang=\"en\">\n<head>\n  <meta charset=\"UTF-8\">\n  <title>Blockquote Example<\/title>\n  <style>\n    blockquote {\n      font-style: italic;\n      color: #555;\n      border-left: 4px solid #2bb673; \/* green accent *\/\n      margin: 20px;\n      padding: 10px 20px;\n      background-color: #f9f9f9;\n    }\n\n    cite {\n      display: block;\n      margin-top: 10px;\n      text-align: border-left;\n      color: #ed1c24; \/* red accent *\/\n      font-weight: bold;\n    }\n  <\/style>\n<\/head>\n<body>\n\n  <blockquote>\n    \"This conviction is a testament to the perseverance of the forensic and legal teams, who have worked tirelessly to hold fraudsters accountable. Fraud in healthcare is not a victimless crime \u2013 it erodes trust and deprives patients of much-needed resources\"\n    <cite>\u2014 Charlene Kelly, Manager: Governance and Operations I Group Forensics, on behalf of the team<\/cite>\n  <\/blockquote>\n\n<\/body>\n<\/html>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-ebdc695 elementor-widget elementor-widget-heading\" data-id=\"ebdc695\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h4 class=\"elementor-heading-title elementor-size-default\">Key details of the case <\/h4>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-251cbcc elementor-widget elementor-widget-text-editor\" data-id=\"251cbcc\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<ul><li><span style=\"color: #2bb673;\"><strong>2016 \u2013 2023<\/strong><\/span>: Multiple investigations uncovered fraudulent billing practices, including false claims and intimidation tactics against Medscheme staff.<\/li><li><span style=\"color: #2bb673;\"><strong>2019<\/strong><\/span>: A criminal case was lodged, and the Health Professions Council of South Africa (HPCSA) found Mr Gololo guilty of unprofessional conduct following a case lodged with them.<\/li><li><span style=\"color: #2bb673;\"><strong>2023<\/strong><\/span>: Additional charges were filed, leading to his arrest in December 2023.<\/li><li><span style=\"color: #2bb673;\"><strong>25 March 2025<\/strong><\/span>: Sentencing delivered in Polokwane Specialised Commercial Crimes Court.<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-7851f4c elementor-widget elementor-widget-text-editor\" data-id=\"7851f4c\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p>This conviction highlights the critical importance of collaboration between medical schemes, law enforcement, and the private sector in combating healthcare fraud. The successful prosecution was made possible through close cooperation with the scheme, the private sector, the South African Police Service (SAPS), and the Specialised Commercial Crimes Court.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t<div style=\"display:flex; gap:10px;justify-content:center\" class=\"wps-pgfw-pdf-generate-icon__wrapper-frontend\">\n\t\t<a  href=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts\/17278?action=genpdf&amp;id=17278\" class=\"pgfw-single-pdf-download-button\" ><img src=\"https:\/\/newmediacreative.co.za\/afrocentric\/wp-content\/plugins\/pdf-generator-for-wp\/admin\/src\/images\/PDF_Tray.svg\" title=\"Generate PDF\" style=\"width:auto; height:45px;\"><\/a>\n\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>With the recent conviction of a medical provider who submitted false claims, years of hard work by the Medscheme forensics team has finally paid off. Do you remember the healthcare provider burning tyres in Medscheme\u2019s reception? Mr Lesiba\u202fMorgan\u202fGololo, a speech therapist and audiologist, was recently found guilty and sentenced on four counts of fraud related [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":17279,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[334],"tags":[329],"class_list":["post-17278","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-our-knowledge-centre-afrocentric14","tag-afrocentric14"],"acf":[],"_links":{"self":[{"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts\/17278","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/users\/6"}],"replies":[{"embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/comments?post=17278"}],"version-history":[{"count":52,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts\/17278\/revisions"}],"predecessor-version":[{"id":20068,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/posts\/17278\/revisions\/20068"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/media\/17279"}],"wp:attachment":[{"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/media?parent=17278"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/categories?post=17278"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/newmediacreative.co.za\/afrocentric\/wp-json\/wp\/v2\/tags?post=17278"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}