<br>"Was in hospital,http://www.jerryodom2010-1925929.adminkc.com," the mother<br> <br>By the end of December 2008, Mr Li Zhengzhou in Zhengzhou City medical center to do their own health insurance formalities,scarpe hogan, the way the transfer of the mother's Medicare card to use single detail. Records show that he was "Mother" Zeng (renamed in 2010 for the harmonious Hospital) in October 2008 in Zhengzhou Yan Chai Cancer Hospital, the total cost is 6568.8 yuan, of which,http://www.astro.com/cgi/aq.cgi, personal account to pay 112.16 yuan, overall pay 5564 .04 yuan, 892.6 yuan in cash.<br> <br>Subsequently, Mr. Lee to the hospital informed, "mother" has a comprehensive five wards in the hospital inpatient, exactly the same patient record registered in the name, ID number,moncler pas cher, address and other information with the mother's. "Mother" in the October 4, 2008 in hospital admission as "urgent", the diagnosis was "pulmonary infection, high blood pressure, coronary heart disease", 13 days after discharge.<br> <br>In this regard, this year 79-year-old mother told reporters that he lived in a hospital in addition to early 2004 to the end of 2008, never actually lived in the hospital.<br> <br>Lee conducted an investigation, that he did not expect that, so the mother "in hospital",http://store.shopping.yahoo.co.jp/mamapan/1900t003.html, was actually his elder sister.<br> <br>Reporter Lee wrote in check book at home, guarantee, etc. see, "just to help a friend a favor,http://index119.com, and in the absence of her mother discuss privately lent to someone else with."<br> <br>After Lee investigate things that make him even more uneasy. Lee found that Ms. Lee also used their Medicare card within 17 months from November 2007 to March 2009, and in the hospital hospitalized five times, from the social medical insurance pool fund account planning to go 38,271.32 yuan. "The truth is that in the meantime she had never been in a hospital, is in 'potentially fraudulent'." Mr Lee said.<br> <br>Cheat premium hospital<br> <br>In April 2009, Lee began to report its sister hospital behavior in the presence of someone else's Yan Chai Cancer Hospital of Zhengzhou. After receiving the report,http://bbs.hxxx.mhedu.sh.cn/forum.php?mod=viewthread&tid=11963423, Zhengzhou City medical center began to check and found that five comprehensive hospital inpatient wards take false means to obtain medical insurance fund 6568.80 yuan. After that, the city medical center designated service area to stop the disease, April 27,http://total-depart2.seesaa.net, 2009 to recover all illegal fees, and deduct the hospital in 2008 QOS deposit 100,000 yuan.<br> <br>January 26,http://www13.plala.or.jp/white_roots/gwbbs/gwbbs.cgi, 2010 City medical center checked again and found the existence of illegal taking of the hospital insurance fund of the suspects, illegal cost of 38,691.10 yuan. January 27, 2010 to recover all illegal medical center expenses, net of the hospital in 2010 QOS guarantee, suspend the city health insurance designated hospital service, the city of Medicare patients admitted to the hospital stop.<br> <br>Was stopped in the hospital after the city health insurance designated services, March 30, 2011, Lee reported his sister since 2007 --2009 May-use Medicare card Yan Chai Cancer Hospital in Zhengzhou false hospitalized. City medical center after receiving the report, the public security departments have jointly handling the case, and found that the presence of foreign contracted hospital departments behavior. City medical center recover illegal fees false hospitalization 38271.32 yuan and department contracted during the entire medical expenses 628,788.08 yuan,piumini woolrich, and on September 13, 2011 the transfer of the relevant material public security departments.<br> <br>After they found the presence of decomposition inpatient hospital also conduct comprehensive internal medicine since its establishment in 2007 until 2009, there is a decomposition of the hospital staff at a cost of 140,817.25 yuan, is on November 8, 2011 the city recovered all health insurance agencies.<br> <br>Zhengzhou City,http://cand.qee.jp/link_p/apeboard_plus.cgi?command=viewres&target/;/, health insurance agencies responsible person to this reporter informed that since 2008, Zhengzhou City medical center Yan Chai Cancer Hospital of Zhengzhou repeatedly investigated irregularities, it has to recover illegal funds 262,297.72 yuan.<br> <br>Unfinished cases<br> <br>Still livelihood director of Zhengzhou City medical center believe, investigate violations Medicare is a national problem.<br> <br>First in the doctor-patient collusion. Hospital and "patient" a collusion, illegal behavior is subtle.<br> <br>Followed by health care agencies lack enforcement. Once violations, in addition to the recovery of illegal funds, guarantee quality of service outside the deduction, there are few other effective measures to stop the Medicare eligibility is punishable designated "capital punishment" was.<br> <br>The right to take coercive measures that the public security organs. According to the 1996 promulgated the "fraud on the trial of a number of issues specific application of the interpretation of the law," states: the amount of insurance fraud units in more than 50,000 yuan, a "large amount." The case of illegal funds more than 260,000 yuan, since September 2011 has received a report six months earlier,hogan outlet, the case is still in the investigation stage, when there is a result, Zhengzhou police have no explanation.<br> <br>Third, how to avoid the decomposition behavior of hospitalization has been a headache. Medicare hospital sector provisions have ceiling, the extra part would be borne by the hospital. Most hospitals are not willing to bear this cost, so they take the hospital to avoid decomposition. The application for the two or more hospital admission, the patient repeat paid "threshold costs",nike tn pas cher, which not only increase the burden on the patient, but also increased spending on health insurance funds.<br> <br>Experts suggested that the implementation of health care policies, also need to strengthen supervision. As part of the super-scale hospital, medical center to be part of the compensation, and the hospital over the fixed part is reasonable, but the final say by the health insurance sector. In this process, the medical center "is both a player and a referee." Reasonable solution should be the establishment of an arbitration institution, its assessment of the reasonableness of the hospital super-scale portion.<br> <br>(Integrated the reporter Qu Cheung Wing and the Xinhua News Agency)<br> <br> Share: welcome to comment I want to comment<br> Microblogging Recommended | today's hot microblogging (edit: SN014)<br>
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