国产热热热精品,亚洲视频久久】日韩,三级婷婷在线久久,99人妻精品视频,精品九热人人肉肉在线,AV东京热一区二区,91po在线视频观看,久久激情宗合,青青草黄色手机视频

Hospital probed for insurance fund fraud

Updated: 2012-02-20 07:26

By An Baijie and Xiang Mingchao (China Daily)

  Comments() Print Mail Large Medium  Small

ZHENGZHOU - The local government is investigating allegations of insurance fraud against a private hospital in Zhengzhou, capital of Central China's Henan province.

The Zhengzhou Harmony Hospital is believed to have illegally acquired more than 628,000 yuan ($99,700) from 2008 to 2010 by making fraudulent clinical reports, said Shi Liang, deputy director of the Zhengzhou Medical Insurance Center.

The manager of the hospital, who has already fled to the United States, borrowed medical cards from acquaintances who were not actually patients. The manager counterfeited clinical reports, prescribed medicine for the non-existent patients and billed the city's medical insurance fund for the costs.

Shi said regulations allow a hospital to recover 80 percent of the medical fees charged from the city insurance fund.

The hospital was also found to have contracted one of its departments to individuals, which made the fraud difficult to trace, according to a report released by the medical insurance center last Tuesday.

Receiving whistleblowing from local residents, the medical insurance center canceled the hospital's eligibility for medical insurance reimbursement in January 2010, Shi said. But the center did not make public the case at that time.

The local government started a two-month inspection of all of the city's hospitals after the case was found out and reported by the Xinhua News Agency in early February. It vowed to crack down on hospital managers who attempt to defraud the insurance fund.

Li Xiang, who reported the case to the center and local police, said his mother's medical card was used five times from 2007 to 2009, during which time his mother had not been to the hospital.

The record of his mother's medical card shows that she had stayed in the hospital 13 days starting on Oct 4, 2008 due to lung infection, high-blood pressure and coronary heart disease. The cost of medical treatment was 6,568 yuan, and 5,564 yuan of that was paid by the medical insurance center directly to the hospital as reimbursement.

Li found out that his sister had given his mother's medical card to the manager of the hospital, and the hospital used it on five different occasions to make a total of 38,200 yuan. It is not yet known if his sister was paid any money by the hospital.

Zhang Jiayin, head of the unit that is investigating the case, said police have found six suspects who allowed their medical cards to be used by the hospital.

"We have not found the manager of the hospital, and the accountant also fled. As a result, whether or not the suspects profited from the activities remains unknown," Zhang said.

Formerly called Renji Tumor Hospital, the hospital was purchased by a Shanghai-based company in July 2010. Its name along with most of its managers and doctors was changed. The buyout makes it more difficult to investigate the case, Zhang said.

On condition of anonymity, an official from the Zhengzhou Medical Insurance Center said that it was difficult to supervise all the city's hospitals.

"The patients just come and go irregularly, and if we occasionally meet the patients during the investigation, we can double-check their clinic reports and the medical cards to judge whether their medical reports were forged," he said.

Cao Wanchen contributed to this story.

大名县| 禄丰县| 平罗县| 海淀区| 清原| 区。| 盐边县| 蕲春县| 锡林郭勒盟| 兴山县| 当涂县| 搜索| 福泉市| 海阳市| 洪泽县| 新竹市| 岳阳市| 赞皇县| 南充市| 巴林左旗| 澜沧| 濮阳县| 循化| 克山县| 大姚县| 静安区| 洪雅县| 洪泽县| 五华县| 大港区| 邵武市| 息烽县| 阳原县| 平潭县| 南川市| 大厂| 定远县| 海口市| 阿图什市| 舟山市| 桐柏县|