The flight inspection of medical insurance bureau refers to the flight inspection system supervised by medical insurance fund. The flight inspection system of medical insurance refers to the on-site supervision and inspection by the administrative department of medical insurance on the use of medical insurance funds by medical insurance agencies, medical bidding and purchasing institutions, designated medical institutions, pharmaceutical enterprises, medical insurance physicians (pharmacists) and insured persons without prior notice.
The system has the following characteristics: First, it is legal and functional, and is usually authorized by the superior medical insurance administrative department according to the Social Insurance Law, the Administrative Enforcement Law, the Provisions on the Functional Allocation, Internal Organizations and Staffing of the National Medical Insurance Bureau, and the Provisions on the Supervision of Flight Inspection of Medical Insurance Fund (Trial), and it is implemented on its own initiative without the application of the supervision and inspection unit; Second, the medical insurance administrative department directly faces people, things, behaviors and places. Third, it is sudden. Flight inspection is usually conducted in secret, that is, the medical insurance administrative department does not inform the inspected object in advance. Fourth, it is mandatory. If the inspected object forges, alters, transfers, conceals, falsifies or destroys financial accounts, accounting vouchers, prescriptions, medical records, treatment and inspection records, expense details and the warehousing and warehousing records of drugs and medical devices, the medical insurance administrative department has the right to take compulsory measures. When the inspected object does not cooperate, refuses or hinders the medical insurance administrative department from carrying out the inspection, the medical insurance administrative department may carry out compulsory inspection, and the inspected object will bear corresponding legal responsibilities. Fifth, objectivity. The administrative department of medical insurance may invite health, public security, drug supervision and other departments to jointly fly the inspection, and organize qualified social third parties to participate in the inspection by purchasing services. According to the needs of the inspection work, the news media can be invited to participate in the supervision. Sixth, it is invasive. Flight inspection will bring adverse consequences to the inspected object, that is, set the obligation of the inspected object to accept on-site inspection, retain information and accept inquiries, limit the relative rights and interests of places, personnel and information within a certain period of time, and implement administrative compulsory measures.