Editor's note: 5 days, the reporter ensures bureau know from province medical treatment, inform against con diddle medical treatment to ensure fund behavior eagerly to encourage broad masses, cogent the accuracy that raises blow bully bilk to protect, on May 1, hall of finance of bureau of safeguard of province medical treatment, province combines print and distribute " Heilongjiang saves con diddle medical treatment to ensure fund behavior to inform against award to carry out detailed rules (try out) " (the following abbreviation " executive detailed rules " ) , make clear a regulation, inform against con diddle cure to defend fund action, will press the certain proportion that checks cure of solid con diddle to defend fund amount, to according with a condition inform against a person to give award, highest forehead is spent do not exceed 100 thousand yuan.
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" executive detailed rules " the concerned content such as standard of the promotive limits that informs against clearly, award and promotive program, ask various medical treatment ensures a branch to be protected lawfully inform against a person legitimate rights and interests, must not divulge inform against a person pertinent information.
Basis " executive detailed rules " , fund of medical treatment safeguard is to show the town worker that guarantees sectional government by medical treatment is basic medical treatment insurance, urban and rural dweller is basic deliverance of medical treatment insurance, medical treatment, birth insurance and a serious illness of urban and rural dweller are sure to wait for compensatory medical treatment to be sure to wait for special fund.
Executive detailed rules still made clear con diddle cure to defend fund action: It is to involve the con diddle cure of the medical establishment that decide a dot and its staff member to defend fund action, include dummy medicine service, falsify medical treatment writ and voucher, diddle cure keeps fund; To join those who protect personnel to offer false invoice; what ought to write down cure to protect fund to pay limits by the medical treatment charge of individual responsibility; The staff that keeps range to do not belong to cure deals with cure to defend salary; Offer the charge to an account that brush card to serve to be not orgnaization of the medicine that decide a dot; Of nominal be in hospital; String together those who change project of material of medicines and chemical reagents, bad news, article, diagnosis and treatment to wait for diddle cure to protect fund expenses. 2 it is to involve the con diddle doctor that chooses retail drugstore and its staff member surely to defend fund action, include pilfer to brush cure to protect identity evidence, protect personnel to cover to join take ready money or buy nutrient health care to taste, of the article of blame medical treatment such as cosmetic, articles for daily use; Protect personnel to string together those who change the diddle cure such as material of medicines and chemical reagents, bad news, article to protect fund expenses to join; Offer the charge to an account that brush card to serve to be not orgnaization of the medicine that decide a dot; Keep personnel empty invoice to join, offer false invoice. 3 it is to involve join the con diddle medical service that keeps staff to defend fund action, include to forge medical treatment to serve bill, diddle cure keeps fund; Keep oneself medical service proof subtenancy another person go to a doctor or hold other cure to maintain seek medical advice of proof go under sb else's name; Use cure illegally to protect identity evidence, set take drug cost material to wait, fraudulent buying and selling seeks profit illegally. 4 it is to involve cure to protect the con diddle cure of agency orgnaization staff member to defend fund action, the personnel that includes to protect range to do not belong to cure deals with cure to maintain wage procedures; Deregulation pays cure insurance cost to use. 5 it is the action that cure of other and con diddle defends fund.
" executive detailed rules " regulation, inform against a person to be able to protect a branch to undertake informing against to local cure, also can protect a branch to undertake informing against to ranking cure. Inform against a person to should be offerred objective and true inform against material and evidence, assume corresponding legal responsibility to what informing against content. Inform against award to should accord with 3 conditions at the same time: It is to inform against a circumstance to be belonged to via check solid, cause medical treatment ensures fund loss or avoid medical treatment to ensure fund loss because of informing against; 2 it is the main fact that informs against a person to offer, evidence was not mastered by branch of medical treatment safeguard or audit department beforehand; 3 it is to inform against person selected choose to be willing to get informing against award. Inform against promotive principle upper limit at real name. Faceless if hope to obtain,inform against a person inform against award, should be in inform against while offer other can discern the information of its identity and effective connection means, make medical treatment ensures sectional after the event to be able to confirm its identity, cash inform against award.
Inform against award to hold to mental award and union of corporeal award photograph. " executive detailed rules " regulation, each plan as a whole branch of safeguard of area medical treatment is right those who accord with a condition inform against a person, by what check medical treatment of solid con diddle to ensure fund amount 3% give award, the promotive amount of every case is highest do not exceed 100 thousand yuan, be not worth 300 yuan give 300 yuan of award; Bully bilk protects behavior to be not involved goods is worth amount or punish the amount that do not have a paragraph, but inform against content to belong to solid, give 200 yuan of award; Inform against the factitious medical establishment that decide a dot, calm dot of personnel of retail drugstore interior or former in-house personnel, and inform against the factitious medical establishment that decide a dot, calm dot orgnaization of retail drugstore competition and its staff member, provide reliable clue, corresponding award the standard increases a percent.
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