According to the National Medical Insurance Bureau, the National Health and Wellness Commission and the General Administration of Market Supervision, tongji hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology was inspected in March. After investigation, it is found that 20 17 1 month? In September, 2020, there was a problem of exchange of high-value medical consumables in tongji hospital Orthopedics Department, and the medical insurance fund was defrauded to pay more than 23 million yuan.

Tongji hospital of China University of Science and Technology was fined nearly 60 million yuan for defrauding the medical insurance fund. What is the specific situation?

1, orthopedics, a mouse shit ruined a bowl of soup.

The offender is an orthopedic surgeon, but the fine target is a hospital. Generally, this money is shared by the whole hospital, which is equivalent to using the money earned by all departments before the hospital to fill in the fine. However, how to reduce the treatment of the departments fined later and how to reform the performance plan to subsidize the departments that helped it share before is each hospital's own problem.

2. Why do you want to punish 60 million?

How to define defrauding medical insurance fund? Cheating medical insurance funds mainly includes: fraudulent acts involving designated medical institutions and their staff, retail pharmacies and their staff, insured persons and staff of medical insurance agencies. For example, designated medical institutions and their staff provide false invoices for insured persons, provide credit card bookkeeping services for non-designated medical institutions, and be hospitalized in name only; Designated retail pharmacies and their staff steal medical insurance identity certificates to obtain cash for the insured or buy non-medical items such as nutrition and health products, cosmetics and daily necessities; The insured forged false medical service bills to defraud the medical security fund; It is fraudulent for the staff of medical insurance agencies to pay medical insurance premiums in violation of regulations.

Postscript: If the medical insurance fund can't work well, it will hurt the interests of all of us. China's medical insurance professional supervision still has a long way to go, so everyone should be nervous, right? Cheating insurance is illegal? This string, don't be an accomplice to insurance fraud. After all, the more the medical insurance fund is cheated, it means that people who really need to see a doctor will not have enough money to spend. It will really cause drought, drought, death and waterlogging.