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2011年底,新疆维吾尔自治区乌鲁木齐市某家三级医院因在一次诊疗行为过程中涉嫌违反《自治区区级单位职工基本医疗保险定点医疗机构服务协议》的相关规定,并出现超定额现象,自治区社会保险管理局对此决定,该次超定额部分发生费用医疗保险统筹基金将不予支付。该决定做出的同时,这家三级医院被自治区社保局判定拒付超定额部分医疗费用累计已达7700万元。
At the end of 2011, a third-class hospital in Urumqi, Xinjiang Uygur Autonomous Region was suspected of violating the relevant provisions of the Agreement on Service of Fixed Medical Institutions for Basic Medical Insurance for District-level Units of Workers and Workers in a Municipal Hospital during a medical diagnosis and treatment and the phenomenon of over-quota occurred. The Authority decided that the over-quota portion of the cost of medical insurance co-ordination fund will not be paid. The decision made at the same time, the three hospitals were judged by the autonomous region Social Security Bureau overruled part of the total medical expenses have reached 77 million yuan.