The Medical Insurance Bureau clearly stipulates that medical institutions must resolutely put an end to all insurance fraud. Once discovered, the consequences are unimaginable. Nevertheless, a series of problems still exist, such as insurance fraud and hedging. In order to crack down on criminals, the state has also made a heavy blow, digging up some malignant tumors that take advantage of their positions and collude with many people to commit crimes together
The former director of Hunan Hospital forged CT diagnosis opinions more than a thousand times.
Hunan Provincial Medical Insurance Bureau reported an incident of defrauding medical insurance funds. According to the report, the president of a hospital in Hunan, together with the staff of medical insurance department and radiology department, forged the diagnosis report of inpatients thousands of times in the past two years to defraud medical insurance funds. During this period, nearly 300,000 yuan of medical insurance funds were defrauded. It's outrageous to swindle such a large sum in a short time.
Forged a CT diagnosis opinion and was sentenced for defrauding insurance for more than a thousand times.
It is shocking that several staff members unscrupulously defrauded nearly 300,000 yuan of medical insurance fund in a short time. As the saying goes, if you don't reach out, you will be caught. Perhaps once or twice, greed may have been lucky enough not to be discovered, but it was so bold and reckless that it forged a patient's diagnosis report to defraud insurance, to the point of madness and finally fell into the police's field of vision. In the end, the dean of this crazy insurance fraud case was sentenced to three years in prison and fined, and other people involved were also sentenced and fined according to law.
How was it discovered by the police
It has been nearly two years since the dean of this hospital forged the CT diagnosis together with the relevant staff to defraud the medical insurance fund. With the further rectification of illegal activities such as defrauding and taking medical insurance funds by the National Medical Insurance Bureau, these people's criminal activities were exposed to the police and were subsequently investigated.