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国家医保局曝光台2021年第三期曝光典型案件(10例)
来源:国家医疗保障局 日期:2021-05-14 访问次数:

一、海南省中医院违规结算医保基金案

jinghainanshengyibaojugenjuguojiafeijianzuyijiaoxiansuojinyibudiaocha,faxianhainanshengzhongyiyuancunzaizhongfushoufei、chuanhuanshoufei、duojifeiyong、taogaoshoufei、chaofanweiyongyaodengweiguijiesuanyibaojijinxingwei,shejiyibaojijin15694850yuan。dangdiyibaobumenchuliruxia:1.yijuxieyiguiding,zhuihuihainanshengzhongyiyuanweiguijiesuandeyibaojijin;2.yaoqiugaiyuanxianqizhenggai。muqian,gaiyuanweiguijiesuandeyibaojijinyizhuihui10000000yuan,shengyubufenzhengjinyibuzhuijiaozhong。

二、河南省郑州人民医院违规结算医保基金案

jinghenanshengyibaojugenjuguojiafeijianzuyijiaoxiansuojinyibudiaocha,faxianzhengzhourenminyiyuancunzaizhongfushoufei、chuanhuanshoufei、kunbangshoufei、chaoliangshoufei、chaofanweizhiliao、chaofanweiyongyaodengweiguijiesuanyibaojijinxingwei,shejiyibaojijin9381605.25yuan。dangdiyibaobumenchuliruxia:1.yijuxieyiguiding,zhuihuizhengzhourenminyiyuanweiguijiesuandeyibaojijin;2.yaoqiugaiyuanxianqizhenggai。muqian,gaiyuanweiguijiesuandeyibaojijin9381605.25yuanyiquanbuzhuihui。

三、贵州省遵义市第一人民医院违规结算医保基金案

jingguizhoushengyibaojugenjuguojiafeijianzuyijiaoxiansuojinyibudiaocha,faxianzunyishidiyirenminyiyuancunzaizhongfushoufei、duojifeiyong、taocanshijiancha、zhongfuyongyaodengweiguijiesuanyibaojijinxingwei,shejiyibaojijin15577068.76yuan。dangdiyibaobumenchuliruxia:1.yijuxieyiguiding,zhuihuizunyishidiyirenminyiyuanweiguijiesuandeyibaojijin;2.yaoqiugaiyuanxianqizhenggai。muqian,gaiyuanweiguijiesuandeyibaojijin15577068.76yuanyiquanbuzhuihui。

四、陕西省宝鸡高新医院违规结算医保基金案

jingshanxishengyibaojugenjuguojiafeijianzuyijiaoxiansuojinyibudiaocha,faxianbaojigaoxinyiyuancunzaizhongfushoufei、chuanhuanshoufei、xujishoufeidengweiguijiesuanyibaojijinxingwei,shejiyibaojijin4906579.3yuan。dangdiyibaobumenchuliruxia:1.yijuxieyiguiding,zhuihuibaojigaoxinyiyuanweiguijiesuandeyibaojijin;2.yaoqiugaiyuanxianqizhenggai。muqian,gaiyuanweiguijiesuandeyibaojijin4906579.3yuanyiquanbuzhuihui。

五、甘肃省白银市第一人民医院违规结算医保基金案

jinggansushengyibaojugenjuguojiafeijianzuyijiaoxiansuojinyibudiaocha,faxianbaiyinshidiyirenminyiyuancunzaiguachuangzhuyuan、chaoxianyongyao、guodujianchazhenliao、duoshoufeidengweiguijiesuanyibaojijinxingwei,sheji3113236.34yuan。dangdiyibaobumenchuliruxia:1.yijuxieyiguiding,zhuihuibaiyinshidiyirenminyiyuanweiguijiesuandeyibaojijin;2.yaoqiugaiyuanxianqizhenggai。muqian,gaiyuanweiguijiesuandeyibaojijin3113236.34yuanyiquanbuzhuihui。

六、青海省西宁市第三人民医院违规结算医保基金案

jingqinghaishengyibaojugenjuguojiafeijianzuyijiaoxiansuojinyibudiaocha,faxiandisanrenminyiyuancunzaichaobiaozhunshoufei、zhongfushoufei、chaoliangshoufei、chaofanweiyongyaodengweiguijiesuanyibaojijinxingwei,sheji1829682.81yuan。dangdiyibaobumenchuliruxia:1.yijuxieyiguiding,zhuihuixiningshidisanrenminyiyuanweiguijiesuandeyibaojijin;2.yaoqiugaiyuanxianqizhenggai。muqian,gaiyuanweiguijiesuandeyibaojijinyizhuihui499004.4yuan,shengyubufenzhengjinyibuzhuijiaozhong。

七、广西壮族自治区南宁市隆安县人民医院违规结算医保基金案

jingguangxizhuangzuzizhiquyibaojugenjuguojiafeijianzuyijiaoxiansuojinyibudiaocha,faxiannanningshilonganxianrenminyiyuancunzaizhongfushoufei、chuanhuanshoufei、fenjieshoufei、duojifeiyong、taocanshijiancha、chaofanweiyongyaodengweiguijiesuanyibaojijinxingwei,shejiyibaojijin9831778.43yuan。dangdiyibaobumenchuliruxia:1.yijuxieyiguiding,zhuihuilonganxianrenminyiyuanweiguijiesuandeyibaojijin;2.yaoqiugaiyuanxianqizhenggai。muqian,gaiyuanweiguijiesuandeyibaojijin9831778.43yuanyiquanbuzhuihui。

八、宁夏回族自治区固原市西吉县人民医院违规结算医保基金案

jingningxiahuizuzizhiquyibaojugenjuguojiafeijianzuyijiaoxiansuojinyibudiaocha,faxianguyuanshixijixianrenminyiyuancunzaichuanhuanshoufei、fenjieshoufei、duojifeiyong、chaofanweizhiliaodengweiguijiesuanyibaojijinxingwei,shejiyibaojijin4539843.3yuan。dangdiyibaobumenchuliruxia:1.yijuxieyiguiding,zhuihuixijixianrenminyiyuanweiguijiesuandeyibaojijin;2.yaoqiugaiyuanxianqizhenggai。muqian,gaiyuanweiguijiesuandeyibaojijin4539843.3yuanyiquanbuzhuihui。

九、新疆生产建设兵团八师石河子中医医院违规结算医保基金案

jingxinjiangshengchanjianshebingtuanyibaojugenjuguojiafeijianzuyijiaoxiansuojinyibudiaocha,faxianshihezizhongyiyiyuancunzaichaobiaozhunshoufei、zhongfushoufei、chuanhuanshoufei、kunbangshoufei、chaofanweiyongyaodengweiguijiesuanyibaojijinxingwei,shejiyibaojijin3140542.52yuan。dangdiyibaobumenchuliruxia:1.yijuxieyiguiding,zhuihuishihezishizhongyiyiyuanweiguijiesuandeyibaojijin;2.yaoqiugaiyuanxianqizhenggai。muqian,gaiyuanweiguijiesuandeyibaojijin3140542.52yuanyiquanbuzhuihui。

十、西藏自治区林芝中区医院违规结算医保基金案

jingxizangzizhiquyibaojugenjuguojiafeijianzuyijiaoxiansuojinyibudiaocha,faxianlinzhizhongquyiyuancunzaichaobiaozhunshoufei、zhongfushoufei、taocanshijianchahuayandengweiguijiesuanyibaojijinxingwei,shejiyibaojijin1178968yuan。dangdiyibaobumenchuliruxia:1.yijuxieyiguiding,zhuihuilinzhizhongquyiyuanweiguijiesuandeyibaojijin;2.yaoqiugaiyuanxianqizhenggai。muqian,gaiyuanweiguijiesuandeyibaojijin1178968yuanyiquanbuzhuihui。


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