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晋中打击新农合资金欺诈 医院违纪将取消医疗资格--亲稳舆论引导监测室
2012-09-03
中新网太原8月31日电(范丽芳 通讯员刘翔)31日,记者从山西省卫生厅获悉,晋中市将重点打击冒领或扣领农民补偿费等7种新农合欺诈行为;民营定点医疗机构违纪违规情节严重者,或被取消办医资格。
Beijing on August 31, taiyuan(FanLiFang correspondent liu xiang)31,Reporters learned from the Shanxi Province health department,Jinzhong city will focus on strike or buckle falsely claim compensation for farmers took 7 kinds of new agriculture close fraud;Private fixed-point medical institutions discipline illegal if the circumstances are serious,Or cancelled do medical qualification。
常见的新农合资金欺诈行为包括伪造或转借《合医证》骗取新农合基金;不按政策办事;擅自提高或降低补偿标准比例,冒领或扣领农民补偿费;患者与医疗机构串通挂床;门诊病人转住院等。
Common new farming joint capital fraud including forged or referral《Joint medical card》Diddle new farming close fund;Don't work by policy;Presumptuously raise or lower proportion of compensation standard,Personally or buckle brought farmers compensation;Patients and medical institutions in collusion with hanging bed;Outpatient turn in hospital, etc。
新农合体制是解决中国日益突出的农民因病致贫、返贫问题的重要途径,由此新农合资金也被视为农民的“救命钱”。但近年来,针对新农合资金的欺诈案不断增多。近日,山西省晋中市卫生部门与纠风、财政、物价、审计等部门联合,形成新农合联合反欺诈制度,并针对常见的欺诈行为进行重点打击。
The new agriculture system is close to solve China's increasingly prominent farmers become financially-difficult、An important way of poverty problem,This new farming close funds can also be regarded as farmers“JiuMingQian”。But in recent years,According to the new agriculture joint capital increasing fraud。recently,Jinzhong city in Shanxi Province health department and report、financial、price、Auditing departments jointly,Form new farming combined together anti-fraud system,And in the light of common fraud by focusing on strike。
“有的是患者欺诈、医疗机构欺诈、经办机构欺诈,还有相互之间的联合欺诈。”晋中市卫生局工作人员介绍,对于群众反映投诉的欺诈问题,要求限期(原则上一周)查实并反馈。根据晋中市卫生局相关规定,对于冒名顶替或伪造病历、票据资料骗取新农合的参合农民,根据情况进行处罚;欺诈数额较大构成犯罪的,移交司法机关处理,并且从第二年开始取消其三年参合资格。对于发生冒名住院、串换费用、提供虚假资料套取基金,过度医疗,违规收费造成基金流失和损失等行为的,将对医院相关人员问责,责任科室视情节严重程度处以暂停5个月定点资格。
“Have a plenty of patients fraud、Medical institutions fraud、Agency orgnaization fraud,There are mutual joint fraud。”Jinzhong city health bureau staff introduced,For the populace to reflect complaints fraud problems,Requirements within a prescribed time limit(In principle, a week)Verify and feedback。According to the relevant provisions of jinzhong city health bureau,For an impostor or falsify medical record、Bill material diddle new farming, ginseng adds up to farmer,According to the situation of punishment;A large amount of fraud constitutes a crime,Handed over to judicial organs for treatment,And from second year onwards cancel third year ginseng adds up to qualification。To happening in color、ChuanHuan cost、Providing false data show the fund,Excessive medical,Illegal charge cause fund loss and loss of the behavior,Will the hospital personnel related accountability,Responsibility department on the severity impose suspended five months point qualification。
民营定点医疗机构如果发生违纪违规问题,取消定点资格并且三年内不得重新申请新农合定点,情节严重者建议相关部门取消其办医资格。(完)
Private fixed-point medical institutions in the event of discipline violation problem,Cancel the fixed-point qualification and three years shall not apply for afresh new farming joint point,If the circumstances are serious suggestion related department to cancel the do medical qualification。(finish)
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