Violation of medical insurance regulations!Shenzhen, a three -level hospital in Shenzhen, was punished

Recently, Austrian reporters learned from the Shenzhen Medical Security Bureau that the Shenzhen Hospital of Peking University was punished for violating relevant regulations.

It is reported that the Shenzhen Hospital of Peking University was from May 1, 2021 to October 8, 2021, with the following illegal acts:

41. When 4 hospitalized patients such as Wang conducted "laparoscopic gastric cancer root treatment" and "laparoscopic sleeve gastric removal", they also charged the "internal vascular detection of the body cavity". The medical security fund loses RMB 4680; when the "laparoscopic gastrointestinal treatment" medical insurance accounting is performed on the medical insurance accounting of the hospital for hospitalization. RMB 675;

2. When 57 inpatients including Wei Chi Moumou carried out sleeve gastric resection or stomach bypass surgery diagnosis and treatment service projects, there were acts of skewer diagnosis and treatment projects, causing medical security funds to lose RMB 91116;

等3. Carry out the "non -disease treatment" weight loss surgery project for two inpatient patients and other hospitalized patients and carry out medical insurance accounts; 57 major diagnosis of Wei Chi Moumou as the "metabolic syndrome" does not belong to the medical security fund payment scope The cost of the cost of the medical insurance fund is incorporated into the medical insurance expenses that will not belong to the medical security fund settlement of the medical security fund, which will cause the medical security fund to lose RMB 1254251.24.

The above illegal acts have caused a medical security fund to lose RMB 135072.24.

According to Article 32 (1) of the "Administrative Penalty Law of the People's Republic of China", and the "Regulations on the Supervision and Administration of the Medical Security Fund", Article 38 (3), (4), (6) (6) Regulations. The Shenzhen Medical Security Bureau gave the unit a fine of RMB 67.5361.12 million.

Details are as follows:

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