At the same time, it launched a special campaign to crack down on fraudulent fraudulent medical insurance funds, and investigated and punished the fixed-point medical institutions and their medical personnel. In the special governance work, it will realize three “full coverage” of fixed-point medical institution inspection, report clue review, and intelligent monitoring, and implement classified policy and precision strike. For designated medical institutions, we will focus on the behavior of inducing and defrauding the insured persons through false propaganda and physical examination. Among them, public medical institutions at or above the second level are mainly involved in the investigation of decomposing charges, over-standard charges, repeated charges, repeated inspections, application of project charges, unreasonable diagnosis and treatment, etc. for primary health care institutions, focusing on the investigation of hanging bed hospitalization, decomposition hospitalization and no Indications for hospitalization, serial exchange of drugs, consumables and medical treatments; for social medical institutions, focus on investigating false hospitalization, inducing insured personnel hospitalization, fictional hanging bed hospitalization, stealing medical insurance cards and other acts.
In the investigation and prosecution of illegal medical advertisements and false information, in the future, strict review and publicity of medical advertisements will be implemented, and the advertisement monitoring system will be implemented, focusing on the investigation and non-administration of medical advertisements without the approval of the administrative examination and approval department and violation of《医疗广告审查证明》. Strengthen communication and information sharing, timely report the situation, and implement the publicity system for punishment information. Strengthen the monitoring of false medical information on the Internet, and clean up the false medical information released from the media such as the self-built website and public number of the hospital. Strengthen daily supervision and management, and include medical and health institutions to publish illegal medical advertisements and false information into the scores of bad practice and the verification of medical institutions.
In addition, it will resolutely investigate and punish irregular charges, arbitrary charges, induced consumption and excessive medical treatment. Strengthen supervision and inspection of the charging behavior of medical and health institutions, investigate and deal with the charges for split surgery or inspection and inspection items according to law, and fail to publicize the prices of medicines, medical materials and medical services, super-standard charges, and repeated charges. Serious violations such as violation of medical treatment routines, induced medical treatment and over-medical treatment, especially intraoperative fare increase, are included in the management of bad practice and credit system management in medical and health institutions, and are announced to the public.
xxThe reporter also learned that the special rectification action was led by the Municipal Health and Safety Committee, the Municipal Party Committee's Network Office, the Municipal Development and Reform Commission, the Municipal Public Security Bureau, the Municipal Market Supervision Bureau and the Municipal Medical Insurance Bureau. This activity will be as of February 2020, in which, before September of this year, it will focus on special rectification tasks, combined with daily supervision and inspection, carry out centralized investigation and rectification of medical and health institutions in the districts, and focus on rectification and scope to achieve full hospitals within the jurisdiction. Coverage, other types of medical institutions cover more than 50%. From October this year to January 2020, the health and safety administrative departments at all levels will carry out inspection and evaluation of the special rectification work in the jurisdiction with relevant departments, focus on the implementation of verification work and report the investigation and handling of clues, and ensure that the special rectification work falls. To be practical. In February 2020, in order to summarize and exchange the stage, all levels and departments will systematically summarize the special rectification work, and the county health administrative departments will also summarize the work of special rectification actions in their respective jurisdictions. (Reporter Yan Wenwen)xx