The guys cheated medical insurance with others, and the dean and director of the department were sentenced to sentence

Recently, the People's Court of Henan Province has publicly tried the fraud case to deceive the national medical insurance funds.

The defendant Sun Mou and other eight people were convicted of fraud and were sentenced to twelve years to one year in prison, and fined 50,000 to 5,000 yuan.

Tuyuan Suixian Court

Gang crime

The public prosecution agency accused that the defendant Sun and Li Mou, the dean of a hospital in Luohe City, and Li Mouyi, director of the pediatrics, formed a rehabilitation department in the hospital.

The defendants Li Mou and Li Mouyi had no qualifications for the establishment of a rehabilitation department, and according to Sun's proposal, Sun was admitted to the numerals of cerebral palsy and hemiplegia in many cities in Henan Province in the name of free treatment.

Sun's bank cards and passwords, social security cards, and identity cards for hospitalization patients. Li Mouyi is responsible for the work of rehabilitation. The defendant Guo, as the director of the drug storage, forged the drug out of medicine and the record of the warehouse. The defendant Guo Mouyi was responsible for deceiving the account record of the medical insurance insurance and helped forge the hospital settlement notes.

The medical staff of Li Mouyi rehabilitated department conducted symbolic treatment that had nothing to do with the disease in the hospital's rehabilitation department. After the patient was hospitalized, the diagnosis and treatment methods of massage, electrotherapy were used as a cover, and should be checked in the medical insurance department. The breakdown of hospitalization and other models, Sun Mou, Li Mouyi and others deceived national medical insurance funds in the cities and counties where the patients are located.

From December 2020 to November 2021, the defendant Sun and other 8 people and other 8 people cooperated to cooperate and cooperated with each other to forge the hospitalization medical records of 65 residents, the medicines and warehouses, and forged the residential payment settlement bills. December 1177474.02 yuan for national medical insurance funds.

There are 48 patients who have forged successful patients, and the medical insurance department where patients who have not been in the hospital are reimbursed, involving a total of 533246.64 yuan involving unpaid medical insurance funds.

Crime constitutional fraud

After hearing, the court believed that the defendant Sun and other 8 people and other 8 people cooperated to cooperate and cooperated with each other to create false medical records and forged drugs in and out of the library. Forgery patients' hospitalization payment settlement notes were used to deceive national medical insurance funds. The facts and charges of the accusations of the public prosecution organ were established. The defendant, Sun, and others committed a joint crime.

The defendant Sun, Li, and Li Mouyi played the main role in the joint crime. The main criminals should be punished in accordance with all the criminal penalties they participated or organized and commanded.

The defendants Guo, Wang, Yang, Zhao, and Guo Mouyi played a secondary or auxiliary role in the process of implementing the crime. It was a criminal and should be lighter and reduced.

The defendant Sun Mou and other eight people sincerely regretted the crime during the trial, had a good attitude, voluntarily pleaded guilty, and signed a penalty for confession and punishment.

This article comprehensive the county court and medical reform community

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