Protect fund security to defend medical service, this year in April, bureau of safeguard of medical treatment of the Changchun City is begun inside whole town limits with " blow is cheated false protect, defend fund safety " the propagandist month activity that gives priority to a problem. As we have learned, on April 10, bureau of safeguard of medical treatment of the Changchun City makes print and distribute " the Changchun City hit con diddle cure to keep fund 2019 program of special processing work " , the blow bully bilk that starts by a definite date one year at the same time protects special processing to act, domain of safeguard of severe blow medical treatment breaks the law violate compasses and bully bilk to defend action.
Domain of safeguard of severe blow medical treatment breaks the law violate compasses and bully bilk to defend action
The reporter ensures bureau know from city medical treatment, "Hit bully bilk to protect, defend fund safety " month of thematic conduct propaganda is main around the following 3 respects content begins propagandist work: It is primary medical treatment ensures fund to superintend relevant law, code and policy; 2 it is to arouse whole society participates in blow bully bilk to defend action, conduct propaganda informs against the channel that complains con diddle medical treatment to ensure fund behavior to reach what will carry out to inform against promotive method; 3 it is case of type of fund of safeguard of con diddle medical treatment. The key administers fair halt of 2 class and above to nod medical establishment to decompose collect fees, exceed a standard to collect fees, repeat collect fees, apply mechanically project collects fees, etc of unreasonable diagnosis and treatment breaks the law violate compasses act; Do medical establishment key to investigate revulsive ginseng to protect personnel be in hospital to the society, service of dummy medical treatment, forge the bill of medical treatment writ, be in hospital that hang a bed, pilfer to brush the behavior such as social security card; Investigate the be in hospital that hang a bed to key of basic level medical establishment, string change project of material of medicines and chemical reagents, bad news and diagnosis and treatment to wait for behavior; Key of retail to deciding a dot drugstore investigates pilfer of amass wealth by heavy taxation to brush social security card, revulsive ginseng to protect personnel to buy the deed such as articles for daily use; Protect personnel to weigh enumeration place to forge false bill to submit an expense account to joining, chuck of go to a doctor of go under sb else's name, use social security shows, set take capable person of medicines and chemical reagents, bad news the behavior such as fraudulent buying and selling; Protect agency orgnaization to cure (include to undertake the commercial insurance device that basic medical service is protected and a serious illness is sure) should strengthen supervisory examination, system of the careful inside heavy enumeration place audit of diseased, fund is not comprehensive, honor the agreement the examination does not reach the designated position, violate compasses conduction cure to defend salary, violate compasses pay cure to defend the action such as charge.
The Changchun City will punish bully bilk to defend action lawfully
As we have learned, the Changchun City will be violated to breaking the law of compasses " two calm orgnaizations " , inspect its clue to give by the agreement formulary processing, administration is punished, move send public security mechanism or record appoint censorial appoint. To violating of compasses " two calm orgnaizations " main controller and ginseng protect personnel to want to undertake agreement talking, instruct correct violate compasses act, in the meantime, suspensive ginseng protects a person to use social security to block settle accounts.
Bureau of safeguard of the medical treatment that occupy town staff member introduction, basis " social insurance law " the 87th, the orgnaization of social insurance service such as management unit of orgnaization of social insurance agency and medical establishment, drug with con, falsify proof data of expenses of fund of insurance of society of diddle of other perhaps measure, the social insurance gold that instructs go back diddle by social insurance service, duple above fines place diddle amount below fivefold; Belong to a society to be sure to serve an orgnaization, remove service agreement; The director staff that is in charge of directly and personnel of other and direct responsibility have hold of job seniority, lawfully revoke its hold job seniority. Basis " social insurance law " the 88th, with con, falsify proof data of pay of insurance of society of diddle of other perhaps measure, the social insurance gold that instructs go back diddle by social insurance service, duple above fines place diddle amount below fivefold. Basis " criminal law " the 266th bilk is state-private property, number is larger, handle battle of 3 years of the following set term of imprisonments, arrest or control, be in gold of only perhaps punishment; Amount is huge perhaps have other and serious plot, be in 3 years of above 10 years the following set term of imprisonment, punish gold; Amount is particularly huge perhaps have other and special serious plot, be in set term of imprisonment of 10 years of above or life imprisonment, punish gold to perhaps confiscate property. This law has a regulation additionally, according to regulation.
Bureau of safeguard of medical treatment of the Changchun City announces blow bully bilk to defend typical case 7 cases
Form awe to protect bully bilk to defend action to cure further, bureau of safeguard of city medical treatment announced typical case 7 cases to the society.
Case one: Piece such-and-such, Liu Mou is passed forge individual and industrial and commercial a contract of obtain employment labor, to do not accord with the uremia that attends worker doctor to protect patient conduction ginseng maintains procedures, make the patient has blood when dialytic cure, enjoy cure to protect submit an expense account pay, in all diddle cure protects fund to amount to 1 million yuan, relevant responsibility person already obtained punishment lawfully.
Case 2: Grandson such-and-such, China some waits for such-and-such, Dai Mou to serve a company through establishing manpower resource, forge ginseng of contract of obtain employment labor to protect to do not accord with conditional pregnant woman, diddle bears insurance pay, 3 organizers already obtained punishment lawfully.
Case 3: Be located in south shut Ou Yatai main street some civilian battalion hospital, luo Mou of its legal person protects personnel cure to keep card through collection ginseng, fictional be in hospital and charge of medical treatment of outpatient service of characteristic of doctor of traditional Chinese medicine are covered take cure to keep fund, because experience record amount is larger, cancelling this courtyard cure while Baoding nods a qualification, move send public security machine to close farther detect to do, at present this case near future tries open a court session.
Case 4: National medical service protects bureau inspection team to make flying discover in the examination to the Changchun City, be located in exist via opening hospital of battalion of Ou Mou civilian " be in hospital of typical check-up type " problem, the ginseng that sees a doctor through pay a return visit keeps staff, discover this courtyard with " be in hospital is returned return cure to protect calorie of individual account remaining sum " for collect cure to protect card to deal with false be in hospital; At the same time this courtyard still collects fees actually through raising a hospital cure applies for to keep close an account again after the price of the project, bring about a hospital to collect fees actually the price and cure are protected upload not agree with, cause cure to keep fund loss.
Because this courtyard existence is suspected of cure of diddle of dummy patient be in hospital defending the action of fund, and involve amount bigger, removing cure defends service agreement, while refuse payment violates plan cost, move send public security machine to close farther detect to do.
Case 5: Join the Zhao Mou that keep a person some is suspected of forging turn go to a doctor of nonlocal medical establishment submits an expense account material and bill undertake submitting an expense account, set take cure to keep fund. This ginseng protects a person to turn outside during add up to see a doctor 31 times, involve amount of medical treatment cost to be as high as 1 million yuan, its are specific details of a case already turned over public security machine to close farther detect to do.
Case 6: Changchun steam opens an area outpatient department of oral cavity of dot of two Baoding that be not cure, through bagman illegal collection cure protects chuck to profit now. Because the advertisement before its door publishs conduct propaganda " can use cure protect card to see a doctor submit an expense account " , via combining public security, Wei Jian sectional spot is checked, capture keep cure to protect calorie of 11 Zhang Ji generation to receive cure to protect card to register in all in two afore-mentioned outpatient department this 2, share 11 cure Baoding to nodded a medical establishment, retail drugstore to offer era to delimit for its via checking calorie of business. Violate plan cost entirely according to violating compasses circumstance to offer refuse payment, nod medical establishment to give surely to 5 stop a net to rectify, two Baoding is not cure that receive cure to keep card to era at the same time nod medical establishment, wei Jian of bulletin the Changchun City appoint do further processing.
Case 7: Protect according to national medical service bureau turn do case handhold, some large chain drugstore is located in the Changchun City wide the city zone nods drugstore twice near 100 chrysanthemum road surely, existence uses cure to protect card to sell issue of articles for daily use. Via protecting bureau composition with province cure scene of group of test of association is checked solid clew of case of drugstore of a chain is belonged to solid, in the meantime, two chain drugstore all is put in storeroom to deposit life commodity and part to sell medicines and chemical reagents and cure to keep the problem that uploads data to not agree with in great quantities, string together the moral that change medicine to be belong to solid. Stop cure to protect service agreement and suspensive cure to defend service agreement according to violating compasses circumstance to offer two afore-mentioned chain chemist's shop respectively 6 months, full medical service guarantees refuse payment the processing that violates plan cost.
(Changchun evening paper)
