Guangxi Baise launches a look back to rectify medical insurance chaos and recovers more than 51 million yuan of illegal funds
In the past few days, the Disciplinary Inspection and Supervision Team of the Baise Municipal Commission for Discipline Inspection and the Municipal Health Commission of the Guangxi Zhuang Autonomous Region has joined the Municipal Medical Insurance Bureau and the Municipal Health Commission to major medical institutions directly under the city to carry out standardized use of medical insurance through on-site inquiries and ledger information. The special governance of fund behavior "looks back".
Prior to this, the Baise Municipal Medical Insurance Bureau and the Municipal Health Commission jointly carried out the “special governance for regulating the use of medical insurance funds” and “special governance for combating fraudulent insurance”. During the inspection, it was found that some medical institutions had problems with the use of medical insurance funds and corrected the problems. The clues were reported to the discipline inspection and supervision team dispatched in time.
"The medical insurance fund is the'life-saving money' for the insured people. It is necessary to ensure that every cent and every cent is spent on the insured people, and the knife is used." Upon receiving clues to the problem, the Disciplinary Inspection and Supervision Team of the Municipal Health Commission immediately went into relevant medical Institutional verification.
"Your hospital has six types of violations in the process of using the medical insurance fund, such as unreasonable charges, swapped charges, irregular diagnosis and treatment charges, and false service charges. Please conduct a comprehensive inspection and rectification of relevant issues in a timely manner." After verifying the problems, the station The Disciplinary Inspection and Supervision Team of the Municipal Health Commission issued a disciplinary inspection and supervision recommendation to a public hospital, urging the implementation of responsibilities, rectification of problems, plugging loopholes in the system, improving prevention and control measures, and promptly clearing the funds used in violation of regulations.
The group also urged the Municipal Medical Insurance Bureau and the Municipal Health Commission to carry out a special management "look back" on the standardized use of medical insurance funds, guide relevant medical institutions to normalize self-inspections, and prevent disciplinary inspection and supervision recommendations from being "issued" and rectification "moving through the scene." discount.
The Baise Municipal Commission for Discipline Inspection and Supervision organized an inspection team to conduct a "big picture" of the large medical institutions in the city, and found that repeated charges, over-standard charges, disaggregated charges, swap charges, bed-hanging hospitalization, major treatment of minor illnesses, excessive inspection and medication, etc. are not isolated cases. , Then launched a special rectification of the problem of irregular use of medical insurance funds throughout the city.
As of press time, the special rectification has supervised and inspected 1085 designated medical institutions in the city, 546 medical institutions that have dealt with violations of regulations and agreed points, and recovered 51.97 million yuan of medical insurance funds used in violation of regulations. All of them have been returned to the medical insurance fund accounts, protecting the people’s welfare. "Life-saving money" and "life-saving money".
Correspondent Xia Huiwei