61 medical organizations in Qingdao swallow and cure 1 400 000 of insurance money

61 medical organizations in Qingdao swallow and cure 1,400,000 of insurance money
61 medical organizations in Qingdao swallow and cure 1,400,000 of insurance money
In the first half of this year, Qingdao checks Qingdao to 370 medical organizations by fixed position altogether, the situation in violation of rules and regulations that there are 61 among them, accounts for 16.5% which check the total number. The reporter learnt from the municipal office of people's society yesterday, our city recovered the medical insurance fund of more than 1,400,000 yuan together in the first half of the year, the unlawful practice that the fixed organization exists mainly includes the financial administration is unstandard, retail pharmacy, pay attention to 300 the above register regulation, use the intersection of card and money sell article for daily use,etc. in violation of rules and regulations. The reporter visited several pharmacies discovery of island city yesterday, brushed the medical insurance card and bought the article for daily use very easily, and " the medical insurance pays by credit card " Also one of the magic weapons of canvassing business orders in the pharmacy. A bowl of oil vinegar can pay by credit card yesterday in the pan, the reporter successively visited finding in the pharmacy of places such as road, Taitung of Ruichang,etc., still dealing in medicines in though most pharmacies, but the articles of daily use have already occupied the important position, having even set up independent shelve in some pharmacies, the articles of daily use are being put towards the door, including peanut oil, dry fruit, one pot of bowls wooden dipper basin, rice, soy sauce, vinegar, goods such as the wine, tea,etc.. The reporter successively chose several kinds of goods when a pharmacied on the road of Ruichang is interviewed, while consulting and brushing the medical insurance card and checking out, staff members say " all right " ,And show without any question, there is not too great difference to and brush the bank card and consume. The reporter knows from the municipal office of people's society, when the fixed pharmacy offers service of paying by credit card, must be in the following ranges: Medicine allow word type medicines, traditional Chinese medicine decoction pieces; Chinese Health Ministry, every province department of public health sanction the disinfection articles that are produced; Disposable medical material, medical equipment and recommending the physiotherapy products which the family used; Hygienic food and health number, the intersection of country and food good for the word health product. All goods beyond the scope of these, considered as and paid by credit card in violation of rules and regulations, the responsible institution will make punishment to the unit in violation of rules and regulations. Check 5 kinds of unlawful practices especially The social insurance of the city is audited the relevant persons in charge in the administrative center and introduced, our city owns all kinds of in common and is in hospital in fixed medical organization, the fixed medical organization of community, fixed medical organization of clinic and retailed about 2600 pharmacies by fixed position, will check specially in the near future, the focal point is every situation that the medical organization carries out medical insurance relevant laws and regulations, rule and system by fixed position, include specifically: Clinic retail pharmacy by fixed position business personnel and POS machine attenbant hold card list on duty and the pharmacist is on duty; Whether violate the basic medical insurance administration regulation, exist and does not write a prescription according to fixed limit, get a lift to write a prescription, exchange the behavior of medicines; Whether exist and include ultra medical insurance such as the article for daily use range of submitting an expense account in the money of card and consume, or offer behavior of money trade of the card,etc. for getting the medical mechanism of the fixed qualification; Nip the intersection of King and the intersection of sales and document of consumption ' Prescription or specialized note of charge) Mark out the concrete name of medicines in detail according to the regulation ' Includes Chinese herbal medicine) , relevant contents such as specification, unit price, quantity, amount of money, sales time,etc.; To retail the intersection of pharmacy and the intersection of form and the intersection of pen and the intersection of card and the intersection of money and 300 of amount of consumption by fixed position ' Includes 300 yuan) The above divide time decompose the intersection of card and the intersection of King and amount of consumption, add up to 300 in the one hour ' Includes 300 yuan) The above-mentioned, whether check and register holders and all effective certificates of people of social insurance card,etc. according to the regulation. Defraud of the social insurance and fine a fivefold reporter and interview to know, our city has already been in hospital in fixed medical organizations such as the fixed community of the hospital,etc. by fixed position to 163 this year at most, and 207 retail the pharmacy and do the inspection by fixed position, 61 are checked and gone wrong. At present, investigate and prosecute and disobey stipulating there are 3 some medical organizations in hospital, the medical insurance fund takes place in violation of rules and regulations in one, two violate situations such as the management system of the right of being in know,etc., have not let patient or its relative sign to approve of in knowing love letter according to the regulation; 26 fixed communities of the medical insurance fund take place in violation of rules and regulations to investigate and prosecute, involve the medical insurance fund of 1,340,000 yuan, investigate and prosecute and manage 17 communities of unstandard question, investigate and prosecute and disobey stipulating some retails 15 pharmacies, the card money of more than 6500 yuan of the medical insurance takes place in violation of rules and regulations. Statistics reveal, our city recovers the medical insurance fund of more than 1,400,000 yuan together in the first half of the year. It is introduced, " social law of insurance in the People's Republic of China " implemented formally from July 1 stipulates: Service organizations of social insurance such as medical organization, medicines operating unit,etc. prove that defrauded of expenditure of the social insured fund by material or other means by swindling, forging, order social insurance premium defrauded of to return, but also place defraud of the intersection of amount of money and more than two but less than five times penalty (law this implement, as being more than one but less than three times) . Ones that belong to the service organization of the social insurance, will solve the service agreement, will have practicing qualification on direct person in charge and other direct persons liable, revoke its practicing qualification in accordance with the law. Citizen find pay by credit card or extract the intersection of medical insurance and behavior of fund while being other in violation of rules and regulations, can dial, work, ensure Supervisory Bureau report complaints hotline while being municipal: 82670331, The southern part 68896007, 83902705 of the northern part, district 83761675, Li deep blue district 84616606; Lao mountain area 88978673, Chengyang district 87968528, Huang Island district 86896513, bonded area 86766803, Jiaonan city 86163329, Jiaozhou city 82205962, Jimo city 88531461, Pingdu city 88321806, Laixi city 88478430. (reporter's old ornament on a bridle photographic report)


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