The Wuxing District Medical Insurance Bureau deepen the "comprehensive investigation once" multiple departments joint inspections to crack down on fraud and deficiency and accelerate

Voice of Zhejiang June 15th (Correspondent Pan Meiling) In order to further promote the "comprehensive investigation" joint law enforcement, strengthen the specialization and normalization of the medical insurance fund supervision, and promote the comprehensive collaborative supervision of the multi -departments of the medical insurance fund. Recently, the Wuxing District Medical Insurance Bureau jointly jointly jointly joint The District Market Supervision Bureau and the Health and Health Bureau carried out the "comprehensive inspection" law enforcement inspection work in the fixed -point medical institution in 2022, and accelerated in order to carry out special rectification actions to crack down on fraud.

This inspection action adopts a dual -random cross -departmental joint law enforcement mechanism, on the platform of provincial administrative law enforcement supervision ("Internet+supervision") platform, according to "risk level", "blacklist", "key supervision objects", "low credit score", etc. According to different proportions, the information category randomly extracts 4 public medical institutions in the jurisdiction. A total of eight staff members participated in the law enforcement, and the whole process of law enforcement and transparent law enforcement.

Since the beginning of this year, law enforcement personnel of Wuxing's various departments have "synchronized inspections" and "one place" in terms of medical service behavior, medical charges, price behaviors, and medical institutions in accordance with law. This joint inspection is mainly to check whether the medical insurance charges are reasonable and standardized; standards and standards are required in terms of publicity publicity, and the price is open and transparent. The reception records, outpatient medical records, and charging bills are uniformly regulated, and illegal operations such as pre -brushing of medical insurance pre -brushing air brushes are eliminated.

In the next step, the Wuxing District Medical Insurance Bureau will continue to strictly implement supervision responsibilities, reasonably determine, dynamically adjust the proportion of random inspections, and frequent inspections, and continue to crack down on fraudulent insurance with a resolute attitude, solid deployment, and strong actions. Normalization of multi -department linkage, in -depth promotion of the "comprehensive investigation" of designated pharmaceutical institutions, establish and improve information sharing, joint investigation and punishment, and achievement mechanism for fraudulent fraudulent cases, and achieve "one more investigation" and "multiple cases in one case". Maintain the legitimate rights and interests of participants and make good use of the "life -saving money" of the people.

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