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recently, a doctor from the radiology department of wuxi hongqiao hospital in jiangsu province reported that the hospital had falsified medical records in order to defraud medical insurance funds. on september 23, the national medical insurance administration sent a flight inspection team to the hospital to conduct a special inspection. on the same day, the local public security agency filed a case for investigation and the relevant hospital personnel were detained. the hospital was also terminated from the medical insurance service agreement due to suspected fraud.

the reason why the hongqiao hospital insurance fraud has attracted national attention is that the medical insurance fund concerns the interests of everyone. it is everyone's "life-saving money", not the "tang monk's meat" in the eyes of criminals!

however, some lawless elements commit insurance fraud with such arrogant attitude and despicable means that it is shocking.

take the insurance fraud case of wuxi hongqiao hospital that was exposed this time. according to the radiological imaging records provided by the reporting doctor, the films of 72-year-old yang, 62-year-old qiu and 25-year-old ye were almost identical. through the hospital system query, it can be seen that one patient had an mri examination within 1 minute of a normal mri examination, while a normal examination takes at least 10 to 15 minutes. the media reporter randomly called the patient's phone number left in 20 medical records, and three-quarters of them were empty or could not be connected. most of the people who were connected said that it was not the person himself.

on april 2 this year, the national health insurance administration, the supreme people's court, the supreme people's procuratorate, the ministry of public security, the ministry of finance, and the national health commission jointly issued a notice to carry out a special rectification of illegal and irregular issues in medical insurance funds. on july 30, a national meeting on the deployment of in-depth rectification of fraudulent use of medical insurance funds was held, requiring the implementation of the relevant requirements of the central commission for discipline inspection and the national supervisory commission on the rectification of fraudulent use of medical insurance funds, and fully conveying a "zero tolerance" attitude towards fraud and insurance fraud.

wuxi hongqiao hospitalthe insurance fraud incident occurred during a special rectification period by six ministries and commissions. it can be said that it was committed in defiance of the law and was extremely bold and reckless!

in fact, since the establishment of the national health insurance administration in 2018, it has worked with relevant departments to carry out special rectification of illegal and irregular issues in medical insurance funds for seven consecutive years, but cases of criminals falsifying and obtaining medical insurance funds are still emerging in an endless stream:

in some hospitals, female patients actually incurred medical insurance expenses for "prostate magnetic resonance imaging" and "free prostate-specific antigen measurement" and other male-related medical treatment items. when it was discovered, one hospital even conducted 1,263 such strange examinations in a year.

some hospitals use car pick-up and drop-off services, free meals, and other methods to lure insured persons who have no indication for hospitalization into false hospitalization to defraud insurance. some of them are hospitalized for nearly 200 days in a year, and are hospitalized in the next hospital right after being discharged from the previous one...

there are endless ways to cheat people out of insurance, and what they are cheating away is everyone's life-saving money. how can such outrageous behavior not arouse public anger?

it is also worth noting that, in the context of the country's ongoing special rectification, there are still hospitals that dare to commit crimes against the wind, which shows thatthere is more than one hospital that needs to be strictly investigated、more than one place.