湛江市醫(yī)療保障局曝光2024年第二批違法違規(guī)使用醫(yī)?；鸬湫桶咐?/title> <link rel="icon" href="http://www.15808a.com/favicon.ico" type="image/icon"> <link href="/global/2019bmstyle.css" rel="stylesheet" type="text/css"> <link rel="stylesheet" rel="stylesheet" type="text/css" href="/newglobal/share.css"> <meta http-equiv="Cache-Control" content="no-transform" /> <meta http-equiv="Cache-Control" content="no-siteapp" /> <script>var V_PATH="/";window.onerror=function(){ return true; };</script> </head> <body style=""> <h1><a href="http://www.15808a.com/">99精品在线免费观看_2020最新国产精品视频_国产精品偷伦视频免费还看了_免费国产综合视频在线看</a></h1> <div style="position:fixed;left:-9000px;top:-9000px;"><ins id="igbfn"></ins><span id="igbfn"><rt id="igbfn"><acronym id="igbfn"></acronym></rt></span><dl id="igbfn"></dl><strong id="igbfn"></strong><strike id="igbfn"></strike><rt id="igbfn"></rt><b id="igbfn"><span id="igbfn"><delect id="igbfn"></delect></span></b><b id="igbfn"></b><xmp id="igbfn"></xmp><legend id="igbfn"><label id="igbfn"><abbr 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class="maxcobx" id="share-1" style="display: inline-block;" data-sites="wechat ,weibo, qq, qzone"></div> </div> <div id="ocieto3" class="content">  <p style="text-align: left; line-height: 3em;"><span style="font-size: 18px;">　　醫(yī)療保障基金是人民群眾的“看病錢”、“救命錢”，其使用安全涉及廣大群眾的切身利益，關(guān)系醫(yī)療保障制度健康持續(xù)發(fā)展。部分定點(diǎn)醫(yī)藥機(jī)構(gòu)通過非法手段騙取醫(yī)?；鸬男袨?，嚴(yán)重?cái)_亂了醫(yī)療保障管理秩序，危害了人民群眾醫(yī)療保障的切身利益，依法依規(guī)應(yīng)予以嚴(yán)懲。湛江市醫(yī)療保障局現(xiàn)將2024年第二批違法違規(guī)使用醫(yī)保基金的5宗案例通報(bào)如下：</span></p><p style="text-align: left; line-height: 3em;"><span style="font-size: 18px;">　　<strong>案例一：徐聞東平醫(yī)院欺詐騙取醫(yī)?；鸢?/strong></span></p><p style="text-align: left; line-height: 3em;"><span style="font-size: 18px;">　　湛江市醫(yī)療保障局在2024年打擊違法違規(guī)使用醫(yī)?；饘ｍ?xiàng)整治檢查中獲得線索，經(jīng)現(xiàn)場(chǎng)查實(shí)，徐聞東平醫(yī)院存在虛構(gòu)理療和DR檢查項(xiàng)目、偽造超聲報(bào)告簽名和檢驗(yàn)報(bào)告的詐騙醫(yī)?；鹦袨?，涉及違法違規(guī)使用醫(yī)保基金520096.88元。依據(jù)《醫(yī)療保障基金使用監(jiān)督管理?xiàng)l例》《中華人民共和國(guó)行政處罰法》等規(guī)定，湛江市醫(yī)療保障局于 2024年10月9日對(duì)該機(jī)構(gòu)作出處理，處行政罰款1820339.08元，同時(shí)解除該機(jī)構(gòu)醫(yī)保定點(diǎn)服務(wù)協(xié)議。</span></p><p style="text-align: left; line-height: 3em;"><span style="font-size: 18px;">　　<strong>案例二：雷州安泰醫(yī)院欺詐騙取醫(yī)?；鸢?/strong></span></p><p style="text-align: left; line-height: 3em;"><span style="font-size: 18px;">　　湛江市醫(yī)療保障局在2024年打擊違法違規(guī)使用醫(yī)?；饘ｍ?xiàng)整治檢查中獲得線索，經(jīng)現(xiàn)場(chǎng)查實(shí)，雷州安泰醫(yī)院存在虛構(gòu)檢驗(yàn)項(xiàng)目、偽造彩超報(bào)告的詐騙醫(yī)?；鹦袨椋婕斑`法違規(guī)使用醫(yī)?；?79514.10元。依據(jù)《中華人民共和國(guó)社會(huì)保險(xiǎn)法》、《醫(yī)療保障基金使用監(jiān)督管理?xiàng)l例》《中華人民共和國(guó)行政處罰法》等規(guī)定，湛江市醫(yī)療保障局于2024年10月9日對(duì)該機(jī)構(gòu)作出處理，處行政罰款978299.35元，同時(shí)解除該機(jī)構(gòu)醫(yī)保定點(diǎn)服務(wù)協(xié)議。</span></p><p style="text-align: left; line-height: 3em;"><span style="font-size: 18px;">　　<strong>案例三：湛江市第四人民醫(yī)院違法違規(guī)使用醫(yī)保基金案</strong></span></p><p style="text-align: left; line-height: 3em;"><span style="font-size: 18px;">　　根據(jù)2024年湛江市醫(yī)?；鸾徊鏅z查中發(fā)現(xiàn)的問題線索，霞山區(qū)醫(yī)保局經(jīng)現(xiàn)場(chǎng)查實(shí)，湛江市第四人民醫(yī)院存在重復(fù)收費(fèi)、超標(biāo)準(zhǔn)收費(fèi)、串換項(xiàng)目收費(fèi)、過度診療、超醫(yī)保限定支付收費(fèi)等違法違規(guī)行為，涉及違法違規(guī)使用醫(yī)保基金2509593.91元。依據(jù)《醫(yī)療保障基金使用監(jiān)督管理?xiàng)l例》等規(guī)定，霞山區(qū)醫(yī)保局于2024年7月9日對(duì)該機(jī)構(gòu)作出處理，處行政罰款908953.07元。</span></p><p style="text-align: left; line-height: 3em;"><span style="font-size: 18px;">　　<strong>案例</strong><strong>四</strong><strong>：</strong><strong>廣東省紅星農(nóng)場(chǎng)醫(yī)院</strong><strong>違法</strong><strong>違規(guī)使用醫(yī)?；鸢?/strong></span></p><p style="text-align: left; line-height: 3em;"><span style="font-size: 18px;">　　徐聞縣醫(yī)療保障局在湛江市打擊違法違規(guī)使用醫(yī)保基金專項(xiàng)檢查中獲得線索，經(jīng)現(xiàn)場(chǎng)查實(shí)，廣東省紅星農(nóng)場(chǎng)醫(yī)院存在串換診療項(xiàng)目的違法違規(guī)使用醫(yī)?；鹦袨?，涉及違法違規(guī)使用醫(yī)保基金99144元。依據(jù)《醫(yī)療保障基金使用監(jiān)督管理?xiàng)l例》《規(guī)范醫(yī)療保障基金使用監(jiān)督管理行政處罰裁量權(quán)辦法》等規(guī)定，徐聞縣醫(yī)療保障局于2024年3月29日對(duì)該機(jī)構(gòu)作出處理決定，責(zé)令其立即改正，處行政罰款99144元。</span></p><p style="text-align: left; line-height: 3em;"><span style="font-size: 18px;">　　<strong>案例</strong><strong>五</strong><strong>：</strong><strong>雷州雷霞醫(yī)院欺詐騙取醫(yī)?；鸢?/strong></span></p><p style="text-align: left; line-height: 3em;"><span style="font-size: 18px;">　　根據(jù)專項(xiàng)審計(jì)報(bào)告中獲得線索，湛江市醫(yī)保部門協(xié)助公安機(jī)關(guān)查實(shí)，雷州雷霞醫(yī)院存在虛報(bào)藥品小牛血去蛋白注射液14849支的詐騙醫(yī)?；鹦袨?，涉及違法違規(guī)使用醫(yī)?；?87351.31元。依據(jù)《中華人民共和國(guó)刑法》《中華人民共和國(guó)刑事訴訟法》等規(guī)定，雷州市人民法院于2024年9月12日對(duì)該機(jī)構(gòu)作出判決，被告人張某某犯詐騙罪，判處有期徒刑三年，緩刑四年，并處罰金人民幣十萬(wàn)元。</span></p><p><br/></p>  </div> </div>  </div>  </div> </div> <div id="3imqnbp" 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