(1) The administrative department of medical security in the State Council shall establish a credit management system for designated medical institutions and personnel, conduct supervision and management according to the credit rating, incorporate the results of daily supervision and inspection and administrative punishment into the national credit information sharing platform and other related information publicity systems, and impose penalties in accordance with the relevant provisions of the state.
(II) If a designated medical institution violates the service agreement, the medical security agency may urge it to perform the service agreement, suspend or not pay the fees, recover the illegal fees, and suspend the relevant responsible personnel or departments from using the medical services involved in the medical security fund according to the service agreement until the service agreement is terminated.
(3) If a designated medical institution is under any of the following circumstances, the administrative department of medical security shall order it to make corrections, and may interview the relevant person in charge; If losses are caused to the medical insurance fund, it shall be ordered to return it, and a fine of 1 times and 2 times shall be imposed; Refuses to correct or cause serious consequences, and ordered the designated medical institutions to suspend the use of medical services involved in the medical security fund for more than 6 months and less than 6+0 years; Violation of other laws and administrative regulations shall be dealt with by the relevant competent departments according to law:
1. Decompose hospitalization and hanging bed hospitalization;
2. In violation of the norms of diagnosis and treatment, over-diagnosis, over-examination, prescription decomposition, over-prescribing, repeated prescribing or providing other unnecessary medical services;
3. Repeated charges, over-standard charges and sub-project charges;
4. Exchanging medicines, medical consumables, diagnosis and treatment projects and service facilities;
5 for the insured to take advantage of the opportunity to enjoy medical security benefits to resell drugs, accept cash, return in kind or obtain other illegal benefits to facilitate;
6 do not belong to the medical insurance fund payment scope of medical expenses into the medical insurance fund settlement;
7 other illegal acts that cause losses to the medical insurance fund.