{"id":7742,"date":"2025-10-22T06:48:00","date_gmt":"2025-10-22T04:48:00","guid":{"rendered":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/?p=7742"},"modified":"2025-10-27T15:36:56","modified_gmt":"2025-10-27T13:36:56","slug":"un-chirurgien-juge-pour-une-serie-descroqueries-a-la-secu","status":"publish","type":"post","link":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/2025\/10\/22\/un-chirurgien-juge-pour-une-serie-descroqueries-a-la-secu\/","title":{"rendered":"Un chirurgien jug\u00e9 pour une s\u00e9rie d\u2019escroqueries \u00e0 la S\u00e9cu"},"content":{"rendered":"<div class=\"paragraph\">\n<p>\u00ab <i>J<\/i><i>\u2019\u00e9tais submerg\u00e9, j\u2019ai \u00e9t\u00e9 d\u00e9pass\u00e9, je le regrette. J\u2019ignorais la s\u00e9paration entre activit\u00e9s de secteur public et activit\u00e9s lib\u00e9rales<\/i><i>\u00a0<\/i>\u00bb, a expliqu\u00e9, mardi \u00e0 Marseille, le docteur Ikbel Farhat, 52\u00a0ans, dans des d\u00e9clarations embrouill\u00e9es m\u00ealant l\u2019erreur, l\u2019ignorance et le complot. Il a in fine \u00e9lud\u00e9 la surfacturation \u00e0 son profit et \u00e0 grande \u00e9chelle, entre janvier\u00a02019 et le 21\u00a0octobre 2022, d\u2019interventions op\u00e9ratoires d\u2019activit\u00e9 lib\u00e9rale, le plus souvent fictives, puisqu\u2019il d\u00e9tournait les donn\u00e9es des patients op\u00e9r\u00e9s par plusieurs de ses confr\u00e8res, ce qui aboutissait en outre \u00e0 faire payer deux fois un m\u00eame acte par la S\u00e9curit\u00e9 sociale.<\/p>\n<p>Le praticien relevait les informations figurant sur les programmes op\u00e9ratoires \u00e9tablis par l\u2019infirmi\u00e8re coordinatrice du bloc op\u00e9ratoire, notamment la date, les pr\u00e9noms et noms des patients, le nom du chirurgien r\u00e9ellement en charge de l\u2019intervention, ainsi que l\u2019intitul\u00e9 de l\u2019acte programm\u00e9. Il r\u00e9cup\u00e9rait ensuite, via le logiciel hospitalier, les num\u00e9ros de <span class=\"mln_uppercase_mln\">s<\/span>\u00e9curit\u00e9 sociale des patients concern\u00e9s. Ces donn\u00e9es lui permettaient de g\u00e9n\u00e9rer, \u00e0 l\u2019aide d\u2019un logiciel de facturation install\u00e9 sur un ordinateur portable, des feuilles de soins \u00e9lectroniques qu\u2019il t\u00e9l\u00e9transmettait \u00e0 l\u2019assurance maladie.<\/p>\n<\/p><\/div>\n<div class=\"intext\"> \u00ab\u00a0C\u2019est facturer plus pour gagner plus\u00a0\u00bb\n              <\/div>\n<div class=\"paragraph\">\n<p>Il est question de 883\u00a0interventions frauduleusement pay\u00e9es au titre de son activit\u00e9 lib\u00e9rale, alors que 768\u00a0relevaient du secteur public pour lesquelles il \u00e9tait salari\u00e9, percevant d\u00e9j\u00e0 10\u00a0000\u00a0euros par mois. Il a dit ignorer l\u2019existence du taux maximal de 20% d\u2019activit\u00e9 lib\u00e9rales, lui qui en effectuait jusqu\u2019\u00e0 113%. Ses transmissions informatiques, au rythme de 20 par mois, ont tromp\u00e9 neuf caisses primaires d\u2019assurance maladie et la caisse nationale militaire de S\u00e9curit\u00e9 sociale, se faisant cr\u00e9diter de 467\u00a0272\u00a0euros, dont plus de 400\u00a0000\u00a0euros rien que de la CPAM des Bouches-du-Rh\u00f4ne.<\/p>\n<p>Le pr\u00e9venu s\u2019est d\u00e9fauss\u00e9 sur un confr\u00e8re l\u2019accusant de \u00ab\u00a0<i>vengeance<\/i>\u00a0\u00bb, ce dernier ayant lanc\u00e9 l\u2019alerte, d\u2019abord en vain aupr\u00e8s de la direction de l\u2019h\u00f4pital, avant de signaler les faits au parquet. \u00ab\u00a0<i>Ma vie a \u00e9t\u00e9 pulv\u00e9ris\u00e9e quand j\u2019ai fait le signalement, <\/i>a dit ce dernier<i>. J\u2019ai \u00e9t\u00e9 \u00e9vinc\u00e9 de l\u2019h\u00f4pital d\u2019Aubagne car j\u2019ai d\u00e9nonc\u00e9 le syst\u00e8me. Il m\u2019a fallu 7<\/i><i>\u00a0<\/i><i>mois pour comprendre ce syst\u00e8me frauduleux o\u00f9 l\u2019h\u00f4pital y gagne aussi<\/i>\u00a0\u00bb, a ajout\u00e9 ce chirurgien constitu\u00e9 partie civile.<\/p>\n<p>\u00ab\u00a0<i>C\u2019est facturer plus pour gagner plus, gr\u00e2ce aussi \u00e0 des d\u00e9faillances et des facilit\u00e9s. On peut reprocher \u00e0 la CPAM de ne pas avoir d\u00e9clench\u00e9 plus t\u00f4t le contr\u00f4le<\/i><i>\u00a0<\/i>\u00bb, a dit la procureure, qui a requis 30 mois de prison dont 6 mois ferme sous bracelet et 24\u00a0mois de sursis probatoire, ainsi que 50\u00a0000\u00a0euros d\u2019amende, dont 30\u00a0000 avec sursis et interdiction d\u2019exercer une activit\u00e9 lib\u00e9rale au sein d\u2019un \u00e9tablissement public. D\u00e9lib\u00e9r\u00e9 le 4\u00a0novembre.<\/p>\n<\/p><\/div>\n","protected":false},"excerpt":{"rendered":"&laquo; J&rsquo;&eacute;tais submerg&eacute;, j&rsquo;ai &eacute;t&eacute; d&eacute;pass&eacute;, je le regrette. J&rsquo;ignorais la s&eacute;paration entre activit&eacute;s de secteur public et activit&eacute;s lib&eacute;rales&nbsp;&raquo;, a &#8230;","protected":false},"author":1,"featured_media":7743,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[20],"tags":[100,10,1086,496,3206,514,840,1490,1047,1803,200,2912,16,2061,1182,2358,1031,3205,877,382],"news-destination":[],"news-source":[475],"is_homepage":[],"ta_other":[],"class_list":["post-7742","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-societe","tag-activites","tag-bouches-du-rhone","tag-centre-hospitalier","tag-chirurgie","tag-complot","tag-controle","tag-defaillances","tag-direction","tag-informations","tag-interdiction","tag-justice","tag-maladie","tag-marseille","tag-parquet","tag-patients","tag-primaires","tag-prison","tag-profit","tag-securite-sociale","tag-soins","news-source-website"],"_links":{"self":[{"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/posts\/7742","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/comments?post=7742"}],"version-history":[{"count":1,"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/posts\/7742\/revisions"}],"predecessor-version":[{"id":7744,"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/posts\/7742\/revisions\/7744"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/media\/7743"}],"wp:attachment":[{"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/media?parent=7742"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/categories?post=7742"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/tags?post=7742"},{"taxonomy":"news-destination","embeddable":true,"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/news-destination?post=7742"},{"taxonomy":"news-source","embeddable":true,"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/news-source?post=7742"},{"taxonomy":"is_homepage","embeddable":true,"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/is_homepage?post=7742"},{"taxonomy":"ta_other","embeddable":true,"href":"https:\/\/euapp01.newsmemory.com\/lamarseillaise\/news\/wp-json\/wp\/v2\/ta_other?post=7742"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}