The term "reporting" as mentioned in these Measures refers to the act of a natural person, legal person or other organization (hereinafter referred to as an informer) reporting to the administrative department of medical security that the informer is suspected of violating the laws, regulations and rules on the supervision and administration of the use of medical security funds. Article 3 The administrative department of medical security in the State Council shall be in charge of the reporting work throughout the country and give guidance to the reporting work of local administrative departments of medical security. Medical security administrative departments at all levels shall establish and improve the reporting and handling mechanism.
The administrative department of medical security at or above the county level shall be responsible for the handling of reports within their respective administrative areas. Where laws, administrative regulations and departmental rules provide otherwise, such provisions shall prevail. Article 4 When handling reports, the administrative department of medical security shall follow the principles of unified leadership, territorial management, graded responsibility, fairness and efficiency, and ensure that the application basis is correct and the procedures are legal. Article 5 The public and news media are encouraged to conduct social supervision and public opinion supervision on illegal acts suspected of violating the supervision and management of the use of medical insurance funds according to law. Article 6 Reports to the administrative department of medical security shall be made through the Internet, telephone, fax, mailing address and other channels announced by the administrative department of medical security. Clues received by medical security institutions and other departments shall be handled by the administrative department of medical security according to law and handed over to the administrative department of medical security for handling.
Medical security administrative departments at all levels should smooth the reporting channels and strengthen the specialization and integration of reporting channels. Article 7 An informer shall provide specific clues about the alleged violation of laws, regulations and rules on the supervision and administration of the use of medical insurance funds. If the informant reports in a non-written way, the staff of the administrative department of medical security shall put it on record. Article 8 Informants may report with their real names or anonymously. If the informant reports with his real name, he shall provide his true identity information and real and effective contact information when reporting. Encourage informants to report their real names, and the administrative department of medical security shall perform relevant notification procedures in accordance with the requirements of these Measures, and keep the information of real-name informants strictly confidential.
The administrative department of medical security shall register the received report. Article 9 The report shall be handled by the administrative department of medical security at or above the county level where the reported behavior occurred. Where laws, administrative regulations and departmental rules provide otherwise, such provisions shall prevail.
If the medical security administrative department that receives the report has no handling authority, it shall inform the informant to directly submit it to the medical security administrative department that has handling authority.
The report that the lower medical security administrative department thinks needs to be handled by the higher medical security administrative department may be submitted to the higher medical security administrative department for decision; When the administrative department of medical security at a higher level deems it necessary, it may handle the report received by the administrative department of medical security at a lower level. Tenth more than two medical security administrative departments for handling authority disputes, should be resolved through consultation within 7 working days from the date of the dispute; If negotiation fails, it shall be reported to the administrative department of medical security at the next higher level at the same level as the designated handling department. Article 11 The working institution of the medical security administrative department at or above the county level that uniformly receives the report shall promptly forward the report to the lower medical security administrative department with processing authority or the relevant institutions of the medical security administrative department at the same level for processing.
The relevant institutions of the administrative department of medical security at the same level shall, in accordance with the relevant provisions of these measures, handle the report in a timely manner. Have no right to deal with, it should be timely feedback to the unified working mechanism to accept the report, not to transfer. Article 12 The administrative department of medical security shall handle the report in accordance with the relevant provisions on administrative punishment of medical security.
If the informant reports with his real name, the administrative department of medical security with the authority to handle the case shall inform the informant within 5 working days from the date of making a decision on whether to file a case. Thirteenth laws, regulations, rules and regulations, the administrative department of medical security shall inform the informant of the report processing results, the administrative department of medical security shall inform. Fourteenth for the reported matters that have been put on file, before the medical security administrative department makes a decision, if the informant voluntarily withdraws the report, it will not affect the investigation and handling of the medical security administrative department; The administrative department of medical security will no longer inform the reporter of the results. Fifteenth informants should cooperate with the administrative department of medical security to investigate according to law. Article 16 The administrative department of medical security shall keep the information of informants confidential, and shall not disclose the personal information of informants and the handling of reports to informants or persons irrelevant to the handling of reports.
The administrative department of medical security shall strictly keep confidential the state secrets known in the reporting and handling work and the information that may endanger national security, public security, economic security and social stability after disclosure.
Involving business secrets, personal privacy and other information. , in accordance with the "Regulations on Information Openness in People's Republic of China (PRC)" and other relevant provisions.
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