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why are some insurance fraudsters too lazy to even pretend to be rich?

2024-09-26

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do you really regard the medical insurance fund as "tang monk's meat"? every "monster" wants to have a bite. wuxi hongqiao hospital was exposed by cctv for tampering with ct and mri imaging records to obtain medical insurance, which once again aroused public attention to the problem of medical institutions defrauding insurance. recently, the wechat public account of the national medical insurance bureau announced more than ten cases of violations of laws and regulations, which are not only ugly, but also shocking. wuxi hongqiao hospital only dares to use a ct image three times, while the wanshou town health center in dazhou, sichuan reused 26 color ultrasound images up to 608 times. doctors don't have to bother to write fake medical records, there are professional templates to apply directly. the way chongqing hechuan district kangning hospital defrauded insurance makes you see what "one-stop service" and "industrial chain" are. the price is clearly marked that each person who is hospitalized is paid a referral fee of 300 yuan, and the hospital's social work department, nursing department, and medical insurance information department all have performance appraisals for "recruiting people". there were only three records of treatments in a psychiatric treatment room in the hospital, but the number of charges for the project was as high as 96,000. there were only 30 inpatient beds in qingkang hospital in dazhou, sichuan, but at its peak, 108 patients were admitted in one day. how did they do that?

the over-medicalization we understand is at least a formality that makes it difficult to check. the insurance fraud cases that have been exposed recently have shattered people's three views. they are too lazy to pretend, and they don't even wipe the mud when selling fake antiques. how can these people be so bold? the medical insurance fund is the money for the people to see a doctor and save their lives. if these "monsters" are allowed to erode, what will happen to everyone's medical care in the future? wuxi hongqiao hospital's insurance fraud, from the real-name report of dr. zhu chenggang half a year ago to the 15 people involved in the case being taken criminal compulsory measures by the public security organs in accordance with the law, the process in the middle is a bit tortuous and a bit long. it is not because the chain of evidence reported by zhu chenggang is not complete and sufficient, so what is the reason? the means of committing these insurance fraud cases announced by the national medical insurance administration are not like rats crossing the street, but are very ostentatious. as long as you are willing to come to the hospital, you will be picked up and sent by car, and you will eat and drink for free. who gave them the courage to make insurance fraud a "fair and aboveboard" business? this is the most worthy of deep thought.