Health: long-distance medical reimbursement should be connected to the Internet check

Yang Guodong (lawyer)

Release date: 2013-07-17

Source: health

        Zhejiang province sanmen county juncture in bridge town, village is a small village only a few hundred people, can be more than a year of time, there is suddenly appeared a dozen cancers, uremia patients ", they see the "disease" are also ran hospital of zhejiang province. As a matter of fact, this more than a dozen "disease" of villagers health, only by agriculture insurance reimbursement left more than ten thousand yuan. Three police through the past investigation, found that behind this is involving more than 10 provinces, involving more than 500 ten thousand yuan fraud: someone specifically to produce each big hospital certificate, invoice to see the doctor at the hospital. (on June 12, qianjiang evening news)

        This case involved widely, the amount of big, staggering. If medicare patients with different medical reimbursement system is not a loophole, producing fake a doctor how can invoice criminal gangs to expand to more than 10 provinces? The same crime should be much more than a. Men such as jiangsu gaoyou Wu Mou has bought more than 200 ten thousand yuan denomination of false invoices, in gaoyou in proportion to the new rural cooperative medical management commission for reimbursement. The doctor spend 20000 for 600000, in addition to its own "netted" more than 40, ten thousand yuan, also "drive" Lv Mou, XXL never seen sick relatives and friends "earn" more than 90000 yuan. (2010, February 3, the yangcheng evening news) visible, false insurance fraud is not in the minority. See how many people in the use of false invoices insurance fraud? Around health care departments should fully investigate before long-distance medical reimbursement documents, save medicare fund losses?

        Criminal gangs for producing fake doctor invoice and insurance fraud of the villagers should not only to "illegal generate invoice invoice, sold illegal crime" and "fraud" shall be investigated for criminal responsibility according to law, should also be based on "social insurance law" the 88th regulation, shall be ordered to return diddle insurance reimbursement of insurance fraud, and diddle two times and five times the amount of fines. High cost of insurance fraud, illegal, in order to effectively deter malicious, insurance fraud to prevent a repeat.

        Department of health, of course, also want to improve reimbursement for examination and approval system, to strengthen supervision. Long-distance medical reimbursement targeted by false invoices, mainly around the health department does not implement connected to the Internet. Should be as soon as possible the national health care agencies and the medical establishment that decide a dot of networking, and start the national long-distance medical insurance joint inspection, let false invoices and false medical records is nowhere to hide.

(this site editor Wang Zhong one)