-
Categories
-
Pharmaceutical Intermediates
-
Active Pharmaceutical Ingredients
-
Food Additives
- Industrial Coatings
- Agrochemicals
- Dyes and Pigments
- Surfactant
- Flavors and Fragrances
- Chemical Reagents
- Catalyst and Auxiliary
- Natural Products
- Inorganic Chemistry
-
Organic Chemistry
-
Biochemical Engineering
- Analytical Chemistry
-
Cosmetic Ingredient
- Water Treatment Chemical
-
Pharmaceutical Intermediates
Promotion
ECHEMI Mall
Wholesale
Weekly Price
Exhibition
News
-
Trade Service
From August 25, Yunnan is about to usher in a 10-day "comprehensive physical examination", from "six nails" to "check the account book", and the medical insurance flight inspection is from fine to strict "back check for two and a half years"
.
.
01 Yunnan 10 days flight inspection started, do not let go of any details
Recently, the 2022 National Medical Security Fund Flight Inspection Yunnan Kick-off Meeting was held
in Kunming.
It is reported that the national medical insurance flight inspection team will carry out a 10-day "all-round physical examination"
around the implementation of the decision-making and deployment of the Party Central Committee by local medical institutions.
in Kunming.
It is reported that the national medical insurance flight inspection team will carry out a 10-day "all-round physical examination"
around the implementation of the decision-making and deployment of the Party Central Committee by local medical institutions.
In this regard, the website of the Central Commission for Discipline Inspection and the State Supervision Commission released information "Medical Insurance Flight Inspection Stationed in Yunnan On the First Day of Inspection, I Did Not Miss Any Doubts", and it can be seen from some details that the requirements for this flight inspection are extremely meticulous and strict, ranging from the "list of expenses and the home page of the case" to the small "screws and fusion devices"
.
.
The inspection team strictly grasps the key points and risk points of the inspection, and closely examines every possible violation of laws and regulations
.
It is understood that Yunnan Feijian has set up a comprehensive policy guarantee group, a medical group (under which there are a comprehensive group, an orthopedic group, an intracardiac group), a collection group, an information group, a financial group, and a number of other groups, and one-on-one to determine the hospital contact person, focusing on different key points to carry out inspections
.
.
It is understood that Yunnan Feijian has set up a comprehensive policy guarantee group, a medical group (under which there are a comprehensive group, an orthopedic group, an intracardiac group), a collection group, an information group, a financial group, and a number of other groups, and one-on-one to determine the hospital contact person, focusing on different key points to carry out inspections
.
It can be seen that this flight inspection focuses on key departments, key areas and key links, that is, to "start from the bottom" of possible violations of laws and regulations and completely expose them to the sun
.
.
02 The flight inspection "reverse check for two and a half years" can be extended to designated pharmacies
Since the establishment of the National Medical Insurance Bureau, medical insurance flight inspection, as an important means of medical insurance fund supervision, has been carried out several rounds a year, which has played an important
role in ensuring the safety of medical insurance funds.
In fact, the National Health Insurance Bureau has always taken strict regulatory measures on the use of medical insurance funds, and this year's "reverse two-and-a-half-year" flight inspection began with a notice
in May.
role in ensuring the safety of medical insurance funds.
In fact, the National Health Insurance Bureau has always taken strict regulatory measures on the use of medical insurance funds, and this year's "reverse two-and-a-half-year" flight inspection began with a notice
in May.
On May 31, the National Medical Insurance Bureau issued the "2022 Annual Medical Security Fund Flight Inspection Work Plan" (hereinafter referred to as the plan), officially announcing the official start of a new round of medical insurance fund flight inspection work, and the inspection time frame is framed for the use
of medical insurance funds since January 1, 2020.
of medical insurance funds since January 1, 2020.
Among them, the "Plan" mentions that the object of this flight inspection is a designated medical institution and a county-level medical insurance agency nationwide, and the relevant institutions and insured persons can be extended according to the situation, in other words, the designated retail pharmacies also belong to the scope
of this extended inspection.
of this extended inspection.
The medical insurance fund is the people's "medical treatment money" and "life-saving money", and how to manage and make good use of this money is related to the vital interests
of the broad masses of the people.
The flight inspection adjusted the time range to January 1, 2020, and the requirement of "two and a half years of retrospective investigation" conveyed a signal of strong supervision, which showed the determination of the regulatory authorities to thoroughly investigate violations
.
of the broad masses of the people.
The flight inspection adjusted the time range to January 1, 2020, and the requirement of "two and a half years of retrospective investigation" conveyed a signal of strong supervision, which showed the determination of the regulatory authorities to thoroughly investigate violations
.
In July this year, the Heilongjiang Launch meeting of the National Medical Insurance Fund Flight Inspection was held in Harbin, which marked the official launch
of the 2022 National Medical Insurance Fund Flight Inspection.
of the 2022 National Medical Insurance Fund Flight Inspection.
Subsequently, in accordance with the unified deployment of the National Medical Insurance Bureau, all localities have launched the flight inspection of the 2022 annual medical insurance fund, including Jilin Province, Guangxi, Hebei, Inner Mongolia, Jiangxi, Jiangsu, Fujian and other places have successively held the national medical insurance fund flight inspection kick-off meeting
.
.
03 The maximum amount involved in the case is 2.
53 million, and pharmacies should not touch such behavior
53 million, and pharmacies should not touch such behavior
The importance of the medical insurance fund to the people to see a doctor and treat the disease is self-evident, and the "life-saving money" of the people is gradually becoming a consensus
.
However, various violations of laws and regulations in the field of medical insurance are not uncommon, and the medical insurance fund has become the "Tang monk meat"
that some institutions and individuals eat together.
.
However, various violations of laws and regulations in the field of medical insurance are not uncommon, and the medical insurance fund has become the "Tang monk meat"
that some institutions and individuals eat together.
Previously, the National Medical Insurance Bureau exposed the second batch of typical cases in 2022, including the designated retail pharmacies to replace non-medical insurance drugs or other commodity strings with medical insurance drug sales, super medical insurance payment limited drug sales, the use of medical insurance electronic voucher QR code screenshots to remotely swipe cards to purchase drugs and sell drugs, non-designated retail pharmacies for medical insurance cost settlement, medical insurance settlement equipment to change the use of the site and other violations of the law and regulations
.
In the name of medical insurance, fraudulent insurance is practiced
.
.
In the name of medical insurance, fraudulent insurance is practiced
.
In May 2021, the Public Security Bureau of Baicheng City, Jilin Province, handed over a clue to a chain of suspected collusion drugs in its jurisdiction to the Baicheng Medical Security Bureau
.
After investigation, the chain of pharmacies actually took 2,538,544.
66 yuan
from the medical insurance fund in the baicheng city jurisdiction through the collusion of drugs.
.
After investigation, the chain of pharmacies actually took 2,538,544.
66 yuan
from the medical insurance fund in the baicheng city jurisdiction through the collusion of drugs.
According to the Social Insurance Law of the People's Republic of China and the Agreement on Designated Retail Pharmacy Services for Baicheng Basic Medical Insurance in the Second Year, the results of the local medical insurance department's handling were: 1.
Issued a penalty decision to the chain and refused to pay the medical insurance fund of 2,538,544.
66 yuan for illegal use; 2.
Terminate the medical insurance fixed-point service agreement of the pharmacy, and no longer accept its medical insurance fixed-point application
within three years.
Issued a penalty decision to the chain and refused to pay the medical insurance fund of 2,538,544.
66 yuan for illegal use; 2.
Terminate the medical insurance fixed-point service agreement of the pharmacy, and no longer accept its medical insurance fixed-point application
within three years.
Coincidentally, the same insurance fraud has also occurred in a place
in Xinjiang.
In February 2021, the Shihezi Municipal Medical Security Bureau of the Eighth Division of the Xinjiang Production and Construction Corps conducted a daily audit of a chain of pharmacies, and inspected
the materials and video recordings in accordance with laws and regulations.
After investigation, the pharmacy had problems such as over-medical insurance payment for limited drug sales, over-sale of drugs, sale of drugs without prescriptions, and irregular prescriptions during the period from October 2020 to January 2021, involving the illegal use of medical insurance funds of 2,211,234.
9 yuan
.
in Xinjiang.
In February 2021, the Shihezi Municipal Medical Security Bureau of the Eighth Division of the Xinjiang Production and Construction Corps conducted a daily audit of a chain of pharmacies, and inspected
the materials and video recordings in accordance with laws and regulations.
After investigation, the pharmacy had problems such as over-medical insurance payment for limited drug sales, over-sale of drugs, sale of drugs without prescriptions, and irregular prescriptions during the period from October 2020 to January 2021, involving the illegal use of medical insurance funds of 2,211,234.
9 yuan
.
According to the Regulations on the Supervision and Administration of the Use of Medical Security Funds and the Supplementary Provisions for Pharmacies of the Agreement on Special Chronic Diseases in the Outpatient Clinics of the Eighth Division's Shihezi City Basic Medical Insurance, the results of the local medical insurance department are as follows: 1.
Order the pharmacy to return the medical insurance fund used in violation of laws and regulations; 2.
Terminate the outpatient medical insurance fixed-point service agreement for outpatient major illnesses in
the pharmacy.
At present, the loss of 2,211,234.
9 yuan of medical insurance funds has been recovered
.
Order the pharmacy to return the medical insurance fund used in violation of laws and regulations; 2.
Terminate the outpatient medical insurance fixed-point service agreement for outpatient major illnesses in
the pharmacy.
At present, the loss of 2,211,234.
9 yuan of medical insurance funds has been recovered
.
The above cases also give pharmacies in the industry a wake-up call: we must strictly abide by the medical security laws, regulations, rules, relevant policies and medical security service agreements of designated retail pharmacies, and provide medical insurance drug sales, medical insurance cost settlement and other services to the insured in accordance with the regulations, so as to better protect the rights and interests of the majority of insured persons and jointly maintain the safety of
the medical insurance fund.
the medical insurance fund.
From August 25, Yunnan is about to usher in a 10-day "comprehensive physical examination", from "six nails" to "check the account book", and the medical insurance flight inspection is from fine to strict "back check for two and a half years"
.
.
01 Yunnan 10 days flight inspection started, do not let go of any details
01 Yunnan 10 days flight inspection started, do not let go of any details Recently, the 2022 National Medical Security Fund Flight Inspection Yunnan Kick-off Meeting was held
in Kunming.
It is reported that the national medical insurance flight inspection team will carry out a 10-day "all-round physical examination"
around the implementation of the decision-making and deployment of the Party Central Committee by local medical institutions.
in Kunming.
It is reported that the national medical insurance flight inspection team will carry out a 10-day "all-round physical examination"
around the implementation of the decision-making and deployment of the Party Central Committee by local medical institutions.
In this regard, the website of the Central Commission for Discipline Inspection and the State Supervision Commission released information "Medical Insurance Flight Inspection Stationed in Yunnan On the First Day of Inspection, I Did Not Miss Any Doubts", and it can be seen from some details that the requirements for this flight inspection are extremely meticulous and strict, ranging from the "list of expenses and the home page of the case" to the small "screws and fusion devices"
.
.
The inspection team strictly grasps the key points and risk points of the inspection, and closely examines every possible violation of laws and regulations
.
It is understood that Yunnan Feijian has set up a comprehensive policy guarantee group, a medical group (under which there are a comprehensive group, an orthopedic group, an intracardiac group), a collection group, an information group, a financial group, and a number of other groups, and one-on-one to determine the hospital contact person, focusing on different key points to carry out inspections
.
.
It is understood that Yunnan Feijian has set up a comprehensive policy guarantee group, a medical group (under which there are a comprehensive group, an orthopedic group, an intracardiac group), a collection group, an information group, a financial group, and a number of other groups, and one-on-one to determine the hospital contact person, focusing on different key points to carry out inspections
.
It can be seen that this flight inspection focuses on key departments, key areas and key links, that is, to "start from the bottom" of possible violations of laws and regulations and completely expose them to the sun
.
.
02 The flight inspection "reverse check for two and a half years" can be extended to designated pharmacies
02 The flight inspection "reverse check for two and a half years" can be extended to designated pharmacies Since the establishment of the National Medical Insurance Bureau, medical insurance flight inspection, as an important means of medical insurance fund supervision, has been carried out several rounds a year, which has played an important
role in ensuring the safety of medical insurance funds.
In fact, the National Health Insurance Bureau has always taken strict regulatory measures on the use of medical insurance funds, and this year's "reverse two-and-a-half-year" flight inspection began with a notice
in May.
role in ensuring the safety of medical insurance funds.
In fact, the National Health Insurance Bureau has always taken strict regulatory measures on the use of medical insurance funds, and this year's "reverse two-and-a-half-year" flight inspection began with a notice
in May.
On May 31, the National Medical Insurance Bureau issued the "2022 Annual Medical Security Fund Flight Inspection Work Plan" (hereinafter referred to as the plan), officially announcing the official start of a new round of medical insurance fund flight inspection work, and the inspection time frame is framed for the use
of medical insurance funds since January 1, 2020.
of medical insurance funds since January 1, 2020.
Among them, the "Plan" mentions that the object of this flight inspection is a designated medical institution and a county-level medical insurance agency nationwide, and the relevant institutions and insured persons can be extended according to the situation, in other words, the designated retail pharmacies also belong to the scope
of this extended inspection.
of this extended inspection.
The medical insurance fund is the people's "medical treatment money" and "life-saving money", and how to manage and make good use of this money is related to the vital interests
of the broad masses of the people.
The flight inspection adjusted the time range to January 1, 2020, and the requirement of "two and a half years of retrospective investigation" conveyed a signal of strong supervision, which showed the determination of the regulatory authorities to thoroughly investigate violations
.
of the broad masses of the people.
The flight inspection adjusted the time range to January 1, 2020, and the requirement of "two and a half years of retrospective investigation" conveyed a signal of strong supervision, which showed the determination of the regulatory authorities to thoroughly investigate violations
.
In July this year, the Heilongjiang Launch meeting of the National Medical Insurance Fund Flight Inspection was held in Harbin, which marked the official launch
of the 2022 National Medical Insurance Fund Flight Inspection.
of the 2022 National Medical Insurance Fund Flight Inspection.
Subsequently, in accordance with the unified deployment of the National Medical Insurance Bureau, all localities have launched the flight inspection of the 2022 annual medical insurance fund, including Jilin Province, Guangxi, Hebei, Inner Mongolia, Jiangxi, Jiangsu, Fujian and other places have successively held the national medical insurance fund flight inspection kick-off meeting
.
.
03 The maximum amount involved in the case is 253.
<> million, and pharmacies should not touch such behavior
03 The maximum amount involved in the case is 2. <> million, and pharmacies should not touch such behavior
53 million, and pharmacies should not touch such behavior
The importance of the medical insurance fund to the people to see a doctor and treat the disease is self-evident, and the "life-saving money" of the people is gradually becoming a consensus
.
However, various violations of laws and regulations in the field of medical insurance are not uncommon, and the medical insurance fund has become the "Tang monk meat"
that some institutions and individuals eat together.
.
However, various violations of laws and regulations in the field of medical insurance are not uncommon, and the medical insurance fund has become the "Tang monk meat"
that some institutions and individuals eat together.
Previously, the National Medical Insurance Bureau exposed the second batch of typical cases in 2022, including the designated retail pharmacies to replace non-medical insurance drugs or other commodity strings with medical insurance drug sales, super medical insurance payment limited drug sales, the use of medical insurance electronic voucher QR code screenshots to remotely swipe cards to purchase drugs and sell drugs, non-designated retail pharmacies for medical insurance cost settlement, medical insurance settlement equipment to change the use of the site and other violations of the law and regulations
.
In the name of medical insurance, fraudulent insurance is practiced
.
DrugsPharmaceuticals pharmacies.
In the name of medical insurance, fraudulent insurance is practiced
.
In May 2021, the Public Security Bureau of Baicheng City, Jilin Province, handed over a clue to a chain of suspected collusion drugs in its jurisdiction to the Baicheng Medical Security Bureau
.
After investigation, the chain of pharmacies actually took 2,538,544.
66 yuan
from the medical insurance fund in the baicheng city jurisdiction through the collusion of drugs.
.
After investigation, the chain of pharmacies actually took 2,538,544.
66 yuan
from the medical insurance fund in the baicheng city jurisdiction through the collusion of drugs.
According to the Social Insurance Law of the People's Republic of China and the Agreement on Designated Retail Pharmacy Services for Baicheng Basic Medical Insurance in the Second Year, the results of the local medical insurance department's handling were: 1.
Issued a penalty decision to the chain and refused to pay the medical insurance fund of 2,538,544.
66 yuan for illegal use; 2.
Terminate the medical insurance fixed-point service agreement of the pharmacy, and no longer accept its medical insurance fixed-point application
within three years.
Issued a penalty decision to the chain and refused to pay the medical insurance fund of 2,538,544.
66 yuan for illegal use; 2.
Terminate the medical insurance fixed-point service agreement of the pharmacy, and no longer accept its medical insurance fixed-point application
within three years.
Coincidentally, the same insurance fraud has also occurred in a place
in Xinjiang.
In February 2021, the Shihezi Municipal Medical Security Bureau of the Eighth Division of the Xinjiang Production and Construction Corps conducted a daily audit of a chain of pharmacies, and inspected
the materials and video recordings in accordance with laws and regulations.
After investigation, the pharmacy had problems such as over-medical insurance payment for limited drug sales, over-sale of drugs, sale of drugs without prescriptions, and irregular prescriptions during the period from October 2020 to January 2021, involving the illegal use of medical insurance funds of 2,211,234.
9 yuan
.
in Xinjiang.
In February 2021, the Shihezi Municipal Medical Security Bureau of the Eighth Division of the Xinjiang Production and Construction Corps conducted a daily audit of a chain of pharmacies, and inspected
the materials and video recordings in accordance with laws and regulations.
After investigation, the pharmacy had problems such as over-medical insurance payment for limited drug sales, over-sale of drugs, sale of drugs without prescriptions, and irregular prescriptions during the period from October 2020 to January 2021, involving the illegal use of medical insurance funds of 2,211,234.
9 yuan
.
According to the Regulations on the Supervision and Administration of the Use of Medical Security Funds and the Supplementary Provisions for Pharmacies of the Agreement on Special Chronic Diseases in the Outpatient Clinics of the Eighth Division's Shihezi City Basic Medical Insurance, the results of the local medical insurance department are as follows: 1.
Order the pharmacy to return the medical insurance fund used in violation of laws and regulations; 2.
Terminate the outpatient medical insurance fixed-point service agreement for outpatient major illnesses in
the pharmacy.
At present, the loss of 2,211,234.
9 yuan of medical insurance funds has been recovered
.
Order the pharmacy to return the medical insurance fund used in violation of laws and regulations; 2.
Terminate the outpatient medical insurance fixed-point service agreement for outpatient major illnesses in
the pharmacy.
At present, the loss of 2,211,234.
9 yuan of medical insurance funds has been recovered
.
The above cases also give pharmacies in the industry a wake-up call: we must strictly abide by the medical security laws, regulations, rules, relevant policies and medical security service agreements of designated retail pharmacies, and provide medical insurance drug sales, medical insurance cost settlement and other services to the insured in accordance with the regulations, so as to better protect the rights and interests of the majority of insured persons and jointly maintain the safety of
the medical insurance fund.
Regulations the medical insurance fund.
