Zhengzhou Muzhou Hospital (formerly the Second People's Hospital of Zhongmu County). Photo by Beijing News reporter Cheng Yalong.
A non-existent ward, but there are 445 hospitalizations, and the list of suspected patients also has the leaders of the hospital involved. Recently, a news that Zhengzhou Muzhou Hospital, Zhongmu County, Zhengzhou City, Henan Province, was accused of "falsely setting up a ward and fabricating inpatient medical records" has attracted widespread attention.
According to the Beijing News, setting up a non-existent ward and then fraudulently using other people's identity information to handle false hospitalization has become one of the means for this hospital to obtain national medical insurance. In response, the local government responded that it was confirmed that the hospital involved had obtained a total of 614 medical insurance**020,000 yuan.
In recent years, some hospitals have been reported from time to time to defraud medical insurance through various means. In September 2021, the National Health Insurance Administration had 10 typical cases of hospital insurance fraud and violations, in order to serve as a warning.
The "special" thing about this incident is that the fraud process in the hospital is obviously a bit "rough" and too blatant, so it can be said that there is almost no "technical content". In comparison, the process and methods of the previous insurance fraud cases are a little "hidden".
Judging from the content of the report, the so-called "second ward of obstetrics and gynecology" in the hospital involved in the case does not exist. And when the reporter combed through a patient**, it was found that the inpatients in this ** included many hospital personnel such as Yuan Mou, the president of the hospital, Zhang Mou, the vice president, and Li Mou, the director of the Department of Obstetrics and Gynecology. Among them, Dean Yuan was hospitalized 8 times, Zhang was hospitalized 6 times, and Li was hospitalized 4 times.
What's even more bizarre is that this patient** shows that in a hospitalization record in 2015, Zhang was both a patient and his own bedside doctor, and such an inferior fraud method made people look laughing and crying. As many netizens said, if the ** content is true, then "it is a bit insulting to IQ".
Such "rough" and blatant counterfeiting methods can't help but remind people of the old stalk - "I feel blush when I look at it". However, emotions are emotions, and at this time, we should still ask: Who gave them so much "courage" to blatantly fake and make them "not avoid people at all"?
What is more important to ask is how in such a situation, how do the relevant local regulatory departments let this kind of fraud "pass the review layer by layer" in the process of approving relevant matters?It stands to reason that the local regulatory authorities involved should be more familiar with the situation of the hospitals under their jurisdiction, especially when it comes to matters such as the establishment of false wards and the multiple hospitalizations of the president and vice president.
After all, a hospital is so big, and there are so many leaders in the hospital. If the hospital suddenly has an additional "ward" set up without approval, and the hospital leadership team is repeatedly "sick and hospitalized" within a few years, this is actually a loophole that is not difficult to find. Not to mention the clumsy trick of "the vice president is both a patient and a doctor in charge of his own bed".
According to the response of the local authorities to **, the hospital involved has been punished, and the suspected illegal and criminal acts of the relevant personnel have also been transferred to ** for investigation. Next, I believe that with the in-depth investigation of the case-handling organs, I believe that a clearer conclusion can be drawn. It is also expected that the local government can draw inferences from one another, increase the rectification of insurance fraud and other related incidents, and continue to maintain the safety and rational use of medical insurance funds.
Written by Su Shiyi (**person).
Edited by Chi Daohua.
Proofread by Wang Xin.