小丸子着急
发表于 2022-8-28 16:54
“冒名就医” 结果通报：医院负责人被约谈，移交卫健部门处罚
<span style='color: rgb(34, 34, 34); font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 16px; letter-spacing: 2px; text-align: justify;'>8月12日西安市民于女士向华商报反映称，8月11日下午2时许，其手机上收到一条个人医疗消费信息，显示其在西安高新区重民医院有一笔315元的消费，其中：现金支付135元，基金支付180元，个人支付0元。于女士不解，当时自己在单位上班，怎么会有这家医院的看病消费记录？</span><div style='text-align: center;'></div><div><section style='margin-top: 20px; margin-bottom: 20px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); text-align: justify; border-width: 0px; border-style: initial; border-color: initial; font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 18px; line-height: 1.75em; visibility: visible;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; visibility: visible; box-sizing: border-box !important;'>于女士要求医院解释，西安高新区重民医院医保办工作人员回复称，今年7月，该院在于女士所在小区做了统筹门诊签约活动，当时其家人拿着户口本与该院进行了门诊签约，领了药品和东西，现在要进行统筹结算，</span><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; color: rgb(61, 170, 214); visibility: visible; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'>其家人所领的东西在医保系统开不出来，该院就用药品置换方式将费用报销。</strong></span></section><section style='margin-top: 20px; margin-bottom: 20px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); text-align: justify; border-width: 0px; border-style: initial; border-color: initial; font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 18px; line-height: 1.75em; visibility: visible;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; visibility: visible; box-sizing: border-box !important;'>对此，于女士称，当初医院到小区来做宣传时，宣称拿着户口本与医院签约门诊，就可以免费领两样礼品（米、面、油三选二），没有想到医院是这么操作的。</span></section><section style='margin-top: 20px; margin-bottom: 20px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); text-align: justify; border-width: 0px; border-style: initial; border-color: initial; font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 18px; line-height: 1.75em; visibility: visible;'><strong style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(255, 255, 255); font-size: 16px; letter-spacing: 2px; background-color: rgb(0, 122, 170); visibility: visible; box-sizing: border-box !important;'>记者调查：患者名下有莫名的病历诊断</span></strong></section><section style='margin-top: 20px; margin-bottom: 20px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); text-align: justify; border-width: 0px; border-style: initial; border-color: initial; font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 18px; line-height: 1.75em; visibility: visible;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; visibility: visible; box-sizing: border-box !important;'>于女士表示，经过与家人核实，其母亲在签约之后确实领取了几样药品。于女士介绍，在她找过医院后，当天工作人员上门解释，老人现场领取的药没开在孩子名下，只是当时其母亲去签约时，孩子的名字在纸条最下方，就手工登记的时候登记了一下，没录入电脑。</span><br style='outline: 0px; max-width: 100%; visibility: visible; box-sizing: border-box !important;'></section><section style='margin-top: 20px; margin-bottom: 20px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); text-align: justify; border-width: 0px; border-style: initial; border-color: initial; font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 18px; line-height: 1.75em; visibility: visible;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; visibility: visible; box-sizing: border-box !important;'>于女士称，她对工作人员的解释不满意，于是前往医院调取了《门诊结算单》。在西安高新区重民医院提供的《门诊结算单》上，记者看到，</span><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; color: rgb(61, 170, 214); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'>医院诊断于女士患：泌尿道感染</strong></span><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>，这让于女士更加生气了。</span></section><section style='margin-top: 20px; margin-bottom: 20px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); text-align: justify; border-width: 0px; border-style: initial; border-color: initial; font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 18px; line-height: normal;'><span style='outline: 0px; max-width: 100%; background-color: rgb(0, 122, 170); color: rgb(255, 255, 255); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>医院承认：报销需要填写病历</span></strong></span></section><section style='margin-top: 20px; margin-bottom: 20px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); text-align: justify; border-width: 0px; border-style: initial; border-color: initial; font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 18px; line-height: normal;'><span style='outline: 0px; max-width: 100%; background-color: rgb(0, 122, 170); color: rgb(255, 255, 255); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>但诊断病情确实不存在</span></strong></span></section><section style='margin-top: 20px; margin-bottom: 20px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); text-align: justify; border-width: 0px; border-style: initial; border-color: initial; font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 18px; line-height: 1.75em;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>8月15日上午10时30分，华商报记者来到西安高新区重民医院，该院负责人及负责医保的工作人员就相关情况给出了解释。医院负责人表示：今年7月份，医院在附近小区做宣传时，于女士母亲拿着户口本到医院签约。根据规定，参保城乡居民统筹320元/年，其中参保城乡居民在本人签约的统筹医疗机构门诊就诊，有200元/年的门诊报销。当时，于女士母亲拿的户口本上有六人签约。对于于女士是否患有《门诊结算单》上所写的疾病，医院医保办回复称：</span><span style='outline: 0px; max-width: 100%; color: rgb(61, 170, 214); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>没有，也是为了这笔统筹费用结算方便，根据报销需要填写了诊断病历</span></strong></span><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>。同时称</span><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; color: rgb(61, 170, 214); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'>，医院确实存在一些不规范的行为，但已经改正。</strong></span></section><section style='margin-top: 20px; margin-bottom: 20px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); text-align: justify; border-width: 0px; border-style: initial; border-color: initial; font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 18px; line-height: normal;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; background-color: rgb(0, 122, 170); color: rgb(255, 255, 255); box-sizing: border-box !important;'>西安高新区社会事业服务局：</span></strong></section><section style='margin-top: 20px; margin-bottom: 20px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); text-align: justify; border-width: 0px; border-style: initial; border-color: initial; font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 18px; line-height: normal;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; background-color: rgb(0, 122, 170); color: rgb(255, 255, 255); box-sizing: border-box !important;'>若医院涉嫌套保将按规定处理</span></strong></section><section style='margin-top: 20px; margin-bottom: 20px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); text-align: justify; border-width: 0px; border-style: initial; border-color: initial; font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 18px; line-height: 1.75em;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>8月18日下午4时，华商报记者来到西安高新区社会事业服务局，问及依据相关流程和规定非参保本人能否进行报销的问题，工作人员表示，现在执行的西安市城市居民统筹医保有关规定，按照报销流程，病历诊断及报销人必须是参保同一人。</span></section><section style='margin-top: 20px; margin-bottom: 20px; outline: 0px; max-width: 100%; box-sizing: border-box; color: rgb(34, 34, 34); text-align: justify; border-width: 0px; border-style: initial; border-color: initial; font-family: "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei", "WenQuanYi Micro Hei", "Helvetica Neue", Arial, sans-serif; font-size: 18px; line-height: 1.75em;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>记者随后向该局提供了相关证据资料，工作人员表示，根据资料证据，西安高新区重民医院此项报销不符合流程。目前，该局已经正式介入调查此事，如果医院涉嫌存在虚构医药服务项目套保的情况，将严格按照《医疗保障基金使用监督管理条例》规定处理。</span></section><p style='margin-bottom: 24px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: normal; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; color: rgb(255, 255, 255); background-color: rgb(0, 122, 170); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'>官方调查：</strong></span></p><p style='margin-bottom: 24px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: normal; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; color: rgb(255, 255, 255); background-color: rgb(0, 122, 170); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'>该医院存在10笔“冒名就医”问题</strong></span></p><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>官方调查后表示，西安高新重民医院存在违反《西安市医疗保险定点医疗机构服务协议书》中“未核实患者信息，造成冒名顶替”的规定，</span><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; color: rgb(61, 170, 214); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'>要求其退回违规结算费用、缓付医保结算费用3个月，对医院负责人约谈并全区通报，移交卫健部门调查进行行政处罚。</strong></span></section><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>8月27日凌晨，西安高新区社会事业服务局向华商报记者通报了调查结果，经核查，8月10日，蒋某某（系于女士之母）在重民医院门诊就医，因其本人门诊统筹报销额度将近使用完的情况，8月11日蒋某某用其女儿于女士的身份进行城乡居民医保门诊统筹挂账结算。</span><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></section><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>重民医院未严格按照《西安市医疗保障局关于印发西安市城乡居民基本医疗保险门诊统筹暂行办法的通知》（市医保发〔2019〕75号）“参保居民到门诊统筹医疗机构门诊就医时，门诊统筹医疗机构要认真核实参保居民身份”的要求，存在</span><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; color: rgb(61, 170, 214); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'>违反《西安市医疗保险定点医疗机构服务协议书》第三十七条第四项“未核实患者信息，造成冒名顶替”的规定。</strong></span><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></section><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>针对此情况，西安高新区社会事业服务局对重民医院2022年1月至8月的所有城乡居民医疗保险门诊结算数据进行核查，通过对“HIS一站式结算”、“陕西省两定医疗机构保障信息平台”系统结算明细信息、门诊处方、药品库存进行对比检查，</span><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; color: rgb(61, 170, 214); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'>共发现存在10笔此类问题</strong></span><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>，涉及医保结算金额1577.95元。</span><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></section><p style='margin-bottom: 24px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: normal; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(255, 255, 255); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; background-color: rgb(0, 122, 170); box-sizing: border-box !important;'>处理结果：</span></strong></span></p><p style='margin-bottom: 24px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: normal; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(255, 255, 255); box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; background-color: rgb(0, 122, 170); box-sizing: border-box !important;'>移交卫健部门行政处罚，</span></strong></span></p><p style='margin-bottom: 24px; outline: 0px; max-width: 100%; clear: both; min-height: 1em; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: normal; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; color: rgb(255, 255, 255); box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; background-color: rgb(0, 122, 170); box-sizing: border-box !important;'>缓付医保结算费用3个月，</span></strong><strong style='outline: 0px; max-width: 100%; color: rgb(255, 255, 255); box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; background-color: rgb(0, 122, 170); box-sizing: border-box !important;'>约谈院方负责人</span></strong></p><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>西安高新区社会事业服务局相关负责人表示，按照《西安市医疗保险定点医疗机构服务协议书》有关规定，该局决定对重民医院做出如下处理：</span><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></section><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>1、缓付重民医院医保结算费用3个月；</span></strong></section><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>2、鉴于本年度居民医保门诊统筹费用尚未拨付，后期对于违规结算的医保费用将予以拒付，并责令重民医院退回违规结算费用1577.95元；</span></strong></section><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>3、对重民医院法人、医保负责人、当事医生、蒋某某（于女士之母）的有关违规行为进行约谈；</span><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></strong></section><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>4、对重民医院进行严肃批评，予以全区通报；</span><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></strong></section><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>5、责令被检医院做好群众政策解释工作，即日起进行全面整改，并将整改方案7个工作日内报送高新区社会事业服务局；</span><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></strong></section><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>6、责令该医院引以为戒，加强内部管理，严格落实就医实名制，坚决防止冒名就医事件再次发生；</span><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></strong></section><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><strong style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>同时，针对重民医院不规范诊疗行为的问题，移交卫健部门调查后予以相应行政处罚。</span></strong><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'></span><br style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'></section><section style='margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; line-height: 1.75em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; font-size: 16px; letter-spacing: 2px; box-sizing: border-box !important;'>该负责人表示，针对华商报的报道，该局近日将组织召开全区民营医疗机构服务行为专项整治会议，要求各医疗机构以案为鉴，吸取教训，切实加强自律，全面开展城乡居民医疗保险门诊统筹结算自查自纠工作。同时，对全区范围内城乡居民门诊统筹结算工作的定点医疗机构开展专项检查行动，强化定点医疗机构监管，规范医疗服务行为，确保基金安全有效运行。</span></section><section style='text-align: right; margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); letter-spacing: 0.544px; line-height: 1.75em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(136, 136, 136); box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; letter-spacing: 2px; box-sizing: border-box !important;'><font face="微软雅黑" style='' size="1">（来源：华商报）</font></span></span></span></section><section style='text-align: center; margin-bottom: 24px; outline: 0px; max-width: 100%; color: rgb(34, 34, 34); letter-spacing: 0.544px; line-height: 1.75em; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; color: rgb(136, 136, 136); box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; box-sizing: border-box !important;'><span style='outline: 0px; max-width: 100%; letter-spacing: 2px; box-sizing: border-box !important;'><img src="https://www.yewn.cn/data/attachment/forum/202208/24/192015mdsn8qwhpes7uqnn.jpg"></span></span></span></section></div>
@不倒翁
发表于 2022-8-28 20:04
严惩不贷
笑春风
发表于 2022-8-28 20:18
还有这样的事啊
我的唯一
发表于 2022-8-28 20:28
必须严惩！！！！！
简单一点。。
发表于 2022-8-28 21:15
又是骗人的把戏
zhaozhixue
发表于 2022-8-28 22:06
骗取医保资金，给医院摸黑！
☆邻家姐姐☆
发表于 2022-8-28 22:19
整天就知道动歪心思
果冻麻
发表于 2022-8-28 22:24
骗取医保金不可取。
好人张
发表于 2022-8-28 22:25
严厉打击套取国家医保的犯罪行为
anyp086
发表于 2022-8-28 23:35
还有这种操作