论文部分内容阅读
为确保基本医疗保险健康运行,查找医疗保险基金支出管理中存在的不足和风险,全面整治定点医疗服务中的违法违规和欺诈行为,进一步提升定点医疗服务管理水平,根据福建省人力资源和社会保障厅《关于开展定点医疗服务行为专项检查的通知》要求,2012年7月到8月,省、市医保经办结构联合对基层定点医疗机构进行专项检查,重点查处伪造医疗文书、冒卡(名)就医、将自费项目修改为医保内项目、空刷社会保障卡套取现金、将非定点医疗机构发生的费用纳入医
In order to ensure the healthy operation of basic medical insurance and to find out the shortcomings and risks in the management of medical insurance fund expenditures, we must comprehensively rectify illegal and fraudulent activities in designated medical services and further improve the management of designated medical services. According to the human resources and social security in Fujian Province, Office “on the implementation of the designated medical service behavior inspection notice” requires that from July to August 2012, provincial and municipal health insurance agencies jointly organized by the grassroots medical institutions to conduct a special inspection, focusing on the investigation and forgery of medical instruments, card (name ) To seek medical treatment and change the self-pay items into items within the medical insurance, emptying the social security card and withdrawing the cash to bring the expenses incurred by the non-designated medical institutions into the medical service