Cure protects Carrie to have many money, set shop now? The medical treatment fee that ought pay oneself after many " hands or feet " turn the medical treatment that can you submit an expense account into charge? Perhaps deliver false data to cover again take fund of medical treatment insurance? Produce these things beside you?
Above these, not desirable! These can sin! Jiangxi is about to begin blow bully bilk to take medical treatment to ensure fund special operation.
On October 22, office of the company that save a person, province defends Public Security Department of committee of planning, province, province to feed medical inspect bureau 4 branches combine dispatch, the decision begins blow bully bilk to take medical treatment to ensure fund special operation. This second action takes the lead by office of the company that save a person, the branch such as inspect of wholesome family planning, public security, medicine attends.
What does the content of this second action have?
Sieve of combinative intelligence monitoring checks doubtful point, complain inform against clew, union samples randomly, protect fund to use a circumstance to begin an inspection to cure. In the light of have the case that informs against clew, begin key inspection, chase after after all. The examination is as follows mainly:
The examination nods medical establishment surely
Key examination nods medical establishment to violate compasses and bully bilk to protect through breaking the law surely wait for a method, diddle, cover the action that takes cure to keep fund. Include the following 9 kinds:
01, through false conduct propaganda, with the items such as check-up ginseng of revulsive, diddle defends the action such as personnel be in hospital; 02, keep, pilfer is brushed, risk with ginseng protect personnel social security (cure is protected) the behavior such as card; 03, testimony of a witness nots agree with, service of the baleful be in hospital that hang a bed, dummy medical treatment, forge medical treatment writ or note behavior; 04, assistance is joined protect personnel to open medicines and chemical reagents to be used at changing to show, cover thereby take cure to protect fund to wait malfeasant; 05, empty is written down, write down medicines and chemical reagents, diagnosis and treatment more project, medical the behavior of cost of facilities of service of bad news material, medical treatment; 06, string change the behaviour such as project of medicines and chemical reagents, appliance, diagnosis and treatment; 07, decompose collect fees, exceed a standard to collect fees, repeat collect fees, apply mechanically project collects fees etc violate compasses collect fees behavior; 08, unreasonable diagnosis and treatment and other break the law violate compasses and bully bilk to protect wait for behavior; 09, the key inspects item of a few special treatment: Tumor is put change cure, transplanting to fight function of the cure that discharge different, kidney to fail the project such as dialytic cure.
The examination nods retail drugstore surely
Key examination decides those who select retail drugstore drug to enter sell the Zhang that keep a station, whether to exist string exchange medicines and chemical reagents, goods, move brushs card to wait for an action that takes cure to keep fund.
Examination ginseng keeps staff
Handiwork of go to a doctor of ground of key examination different submits an expense account, frequency seeing a doctor second more, use cure protects the ginseng with more fund to protect personnel go to a doctor to buy medical action, include:
Check voucher of expense of big medical treatment. Right charge of medical treatment of be in hospital exceeds 50 thousand yuan since 2017 (specific specified amount spends each district to decide according to the circumstance, similarly hereinafter) bill checks in the round. Combine intelligent monitoring data, to 50 thousand yuan the following bill samples check; Light to relapsing disease inpatient, selective examination anamnesis of the be in hospital inside period of time, the consistency of data of comparative around medical history, examination, assay.
Check the authenticity of charge of exorbitant outpatient service. The key checks since 2017, apparent heighten ginseng keeps cost of medical treatment of year outpatient service the circumstance of go to a doctor of personnel. Before charge of examine of face each other is ranked 100 ginseng protects personnel to undertake checking in the round. Join intelligent monitoring case, protect behavior of personnel go to a doctor to sample to other ginseng check.
So is cure protected cheat protect what will receive to punish?Basis " law of insurance of society of People's Republic of China " 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 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 punishs place diddle amount below fivefold. Standing Committee of the National People's Congress about " criminal law of People's Republic of China " the 266th explanation: With con, falsify proof data provide for the aged of diddle of other perhaps measure, medical treatment, inductrial injury, career, bear wait for social insurance gold of pay of other perhaps social security, attribute the action of the bilk company finance affairs that criminal law sets the 266th times.
Hope everybody can reasonable use cure keeps fund, the illegal behavior that also dares to keep fund to con cure says " not " !
