China News Service, Urumqi, December 17th (Reporter Wang Xiaojun) The reporter learned from the Xinjiang Uygur Autonomous Region Medical Security Bureau on the 17th that the bureau severely cracked down on fraud and insurance fraud in accordance with the law. From January to November this year, there were 5,462 medical institutions dealing with illegal and illegal medical institutions, accounting for More than 60% of the inspected institutions have penalized and recovered more than 300 million yuan (RMB, the same below).
The Xinjiang Medical Security Bureau guards the people's "life-saving money", strives to improve the fund supervision system and mechanism, severely cracks down on fraud and insurance fraud with a zero tolerance attitude, and ensures the safety of medical insurance funds.
Wei Yonghong, director of the Fund Supervision Division of the Xinjiang Medical Security Bureau, said that the bureau implements supervision responsibilities at the prefecture and county levels, strengthens the main responsibility of designated medical insurance institutions, improves the mechanism of "one case with multiple investigations, one case with multiple locations", and extensively mobilizes all sectors of society to participate Fund supervision, Xinjiang medical insurance departments at all levels selected a total of 590 social supervisors.
Wei Yonghong stated that he will severely crack down on fraud and insurance fraud in accordance with the law, focus on the "three false" issues such as "fake patients", "fake conditions", and "fake bills", and cooperate with the public security and health departments to carry out special rectification actions against fraudulent insurance to seriously pursue fraud and fraud. Guarantee unit and individual responsibility.
It is understood that from January to November this year, the Xinjiang Medical Security Bureau inspected 8,298 designated medical institutions, with an inspection coverage rate of 100%; 5,462 medical institutions that dealt with violations of laws and regulations, accounting for 66.6% of the inspected institutions, of which 718 medical insurance services were suspended, 251 medical insurance service agreements were lifted, 254 administrative fines were imposed, 6 were handed over to judicial authorities, and 3 cases were handed over to anti-criminal and evil offices; 305 million yuan was punished and recovered; 46 cases of rewards were reported, with rewards amounting to 12,500 yuan, media reports There are 644 cases.
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