Shanghai suburb attacks the behavior of defrauding of medical insurance medicines to traffic illegally

Shanghai suburb attacks the behavior of defrauding of medical insurance medicines to traffic illegally
Shanghai suburb attacks the behavior of defrauding of medical insurance medicines to traffic illegally
Cable of September 8 of www.chinanews.com Shanghai (Shen Yongchang) A resident located in Jinshan District of the suburb of Shanghai is in hospital for 5 times in one year, make up a prescription in the clinic in 7 months, match Damien's American health 162 to shut altogether, that step efficacious 121 shut, equal to shellfish Knapp profit 108, is Thebe efficacious to shut, it spills that stone is sour to ask Lip river 95 shutting, two first guanidine 78 shutting, two first guanidine slow beautifully for 28 times The behavior of making up a prescription in ultra quantity of this kind of violation, the investigation done by the medical insurance of Jinshan District a few days ago, and recover all expenses for medicine according to the regulation of medical insurance. Medical insurance, concern ordinary people's vital interests. On May 1 this year, " the basic medical insurance of Shanghai supervises management " to begin to implement, this is for the medical insurance the first regulatory file released in the form of local rule of the whole country supervising and issuing. For strengthen the intersection of medical insurance and the intersection of fund and management further, manage every of ordinary people well, save someone's life money, guarantee person's administration is safe, Jinshan District has launched the safe construction project - " take precautions against and attack and defraud of medical insurance medicines and traffic the illegal activity " for 2011 years . It is managed and done that comprehensive from district in this district, public security bureau, health bureau, district food medicines have supervised relevant units such as administration bureau, industrial and commercial bureau, administrative law enforcement agency of city management,etc. making up the system of joint conference, within the range of Kingsoft. Strengthen it to lending, falsely use the intersection of medical insurance and card, seek medical advice, record volume the intersection of medical insurance and evidence, betray, utilize the intersection of medical insurance and medicines,etc. that evidence must mix defraud of the intersection of medical insurance and the intersection of fund and blow and punishment efforts of unlawful practice. Through checking, have found the situations in violation of rules and regulations of some residents in using the medical insurance card too, if a resident make up a prescription at chronic disease at ordinary times, first, not used and recorded the volume, invalid recorded the volume to use alternatively two times, three hangs a plurality of number and makes up a prescription repeatedly once, cause this to join sponsors and reach the American health 62 to shut in 3 months; Belong to and corner the medicines behavior. For another example persons who effect an insurance mix various about 20,000 yuan of lotion relieving pain during half a year. Ultra quantity these make up a prescription and medical insurance run recover the medical fee according to the regulation of medical insurance. It is introduced, Jinshan District is in taking precautions against and attacking the behavior of defrauding of medical insurance medicines to traffic illegally, the punishment to illegal activities stipulates clearly too, to lending the medical insurance evidence, falsely using, betray, utilize the intersection of medical insurance and evidence mix medicines, except that recover relevant hospitalization costs, fine more than 100 and less than 10,000 yuan administration, also by public security department until " the People's Republic of China public security manage the intersection of punishment and law " go on, punish in accordance with the law; Participate in defrauding of the medical insurance fund to the medical worker, will suspend its expenses of medical insurance to settle and pay, until revoking doctor's practising certificate in accordance with the law, form the crime in defrauding of the medical insurance fund, criminal responsibilities shall be affixed in accordance with the law. District medical insurance run, require citizen study about medical insurance regulation still, report, deceive, protect, buy to sell the intersection of medicine and clue of illegal activity actively, resist and damage the malfeasance of public interests together, ensure the use security of the medical insurance fund.


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