Hospital probed for insurance fund fraud

    Updated: 2012-02-20 11:07

    By An Baijie and Xiang Mingchao (China Daily)

      Comments() Print Mail Large Medium  Small 分享按鈕 0

    ZHENGZHOU - The local government is investigating allegations of insurance fraud against a private hospital in Zhengzhou, capital of Central China's Henan province.

    The Zhengzhou Harmony Hospital is believed to have illegally acquired more than 628,000 yuan ($99,700) from 2008 to 2010 by making fraudulent clinical reports, said Shi Liang, deputy director of the Zhengzhou Medical Insurance Center.

    The manager of the hospital, who has already fled to the United States, borrowed medical cards from acquaintances who were not actually patients. The manager counterfeited clinical reports, prescribed medicine for the non-existent patients and billed the city's medical insurance fund for the costs.

    Shi said regulations allow a hospital to recover 80 percent of the medical fees charged from the city insurance fund.

    The hospital was also found to have contracted one of its departments to individuals, which made the fraud difficult to trace, according to a report released by the medical insurance center last Tuesday.

    Receiving whistleblowing from local residents, the medical insurance center canceled the hospital's eligibility for medical insurance reimbursement in January 2010, Shi said. But the center did not make public the case at that time.

    The local government started a two-month inspection of all of the city's hospitals after the case was found out and reported by the Xinhua News Agency in early February. It vowed to crack down on hospital managers who attempt to defraud the insurance fund.

    Li Xiang, who reported the case to the center and local police, said his mother's medical card was used five times from 2007 to 2009, during which time his mother had not been to the hospital.

    The record of his mother's medical card shows that she had stayed in the hospital 13 days starting on Oct 4, 2008 due to lung infection, high-blood pressure and coronary heart disease. The cost of medical treatment was 6,568 yuan, and 5,564 yuan of that was paid by the medical insurance center directly to the hospital as reimbursement.

    Li found out that his sister had given his mother's medical card to the manager of the hospital, and the hospital used it on five different occasions to make a total of 38,200 yuan. It is not yet known if his sister was paid any money by the hospital.

    Zhang Jiayin, head of the unit that is investigating the case, said police have found six suspects who allowed their medical cards to be used by the hospital.

    "We have not found the manager of the hospital, and the accountant also fled. As a result, whether or not the suspects profited from the activities remains unknown," Zhang said.

    Formerly called Renji Tumor Hospital, the hospital was purchased by a Shanghai-based company in July 2010. Its name along with most of its managers and doctors was changed. The buyout makes it more difficult to investigate the case, Zhang said.

    On condition of anonymity, an official from the Zhengzhou Medical Insurance Center said that it was difficult to supervise all the city's hospitals.

    "The patients just come and go irregularly, and if we occasionally meet the patients during the investigation, we can double-check their clinic reports and the medical cards to judge whether their medical reports were forged," he said.

    Cao Wanchen contributed to this story.

    亚洲日韩在线中文字幕综合| 超清纯白嫩大学生无码网站| 97免费人妻无码视频| 中文字幕在线观看免费视频| 国产成人AV一区二区三区无码| 最近的2019免费中文字幕| 亚洲日韩VA无码中文字幕| 色综合久久中文字幕无码| 最近中文字幕大全中文字幕免费 | 国产中文字幕乱人伦在线观看| 97精品人妻系列无码人妻| 中文字幕乱码人妻无码久久| 91视频中文字幕| 免费一区二区无码视频在线播放| 亚洲国产精品无码专区在线观看| 日本高清不卡中文字幕免费| 熟妇人妻中文a∨无码| 精品无码久久久久久国产| 少妇人妻偷人精品无码视频| 曰韩精品无码一区二区三区 | 日韩中文字幕在线视频| 亚洲精品无码久久毛片| 人妻无码久久一区二区三区免费 | 中文在线资源天堂WWW| 国产精品无码专区在线观看| 少妇无码AV无码专区在线观看| 亚洲真人无码永久在线| 直接看的成人无码视频网站| 无码内射中文字幕岛国片| 日韩精品无码免费专区网站| 天堂网www中文天堂在线| 中文字幕在线观看亚洲日韩| 亚洲综合日韩中文字幕v在线| 日韩亚洲欧美中文高清| 亚洲AV区无码字幕中文色| 天堂中文在线最新版| 曰韩中文字幕在线中文字幕三级有码| 国产中文字幕在线观看| 中文字幕AV中文字无码亚| 中文字幕亚洲免费无线观看日本| 日韩在线中文字幕|