The "Regulations" emphasize that the medical security fund is earmarked for special purposes, and no organization or individual may occupy or misappropriate it. Medical security agencies, designated medical institutions and other units and their staff and insured persons shall not defraud the medical security fund by forging, altering, concealing, tampering with or destroying medical documents, medical certificates, accounting vouchers, electronic information and other related materials or fictional medical services.
If a medical security institution defrauds the medical security fund, the administrative department of medical security shall order it to be returned, and impose a fine of more than 2 times and less than 5 times the amount defrauded, and the directly responsible person in charge and other directly responsible personnel shall be punished according to law.
Medical insurance fraud presents a trend of high incidence and multiple occurrences.
In recent years, medical insurance fraud has shown a trend of high incidence and multiple occurrences, and the public security department has cracked down heavily. In 2020 alone, public security organs throughout the country investigated such cases 1396, arrested criminal suspects 1082, and recovered more than 400 million yuan of medical insurance funds.
Qin, political commissar of the Criminal Investigation Bureau of the Ministry of Public Security, said that in the next step, the public security organs will deploy and carry out special rectification actions against fraudulent insurance with the medical security department, focusing on cracking down on all kinds of medical insurance fraud crimes.
He said: "We will conscientiously perform the functions of public security organs, strengthen departmental cooperation and cooperation, enhance the overall synergy in cracking down on medical insurance fraud crimes, and form a high-pressure situation of quick investigation and quick break; In-depth analysis and judgment of various types of medical insurance fraud cases, timely discover hidden dangers and loopholes, notify relevant departments to improve the supervision mechanism, strengthen source prevention, and minimize the occurrence of such cases. "
Refer to the above? Phoenix. The Regulations on the Supervision and Administration of the Use of Medical Insurance Funds came into effect today.