Original title: Tampering with the medical records picked up to defraud medical insurance reimbursement.
After tampering with the collected medical records, apply for critical medical insurance, and enjoy the reimbursement policy of critical medical insurance. On May 9, the Yingcheng City Procuratorate of Hubei Province prosecuted Hu on suspicion of fraud. Recently, the court sentenced him to one year and eight months in prison, suspended for two years, and fined 10,000 yuan.
In March 2021, after tampering with the medical records picked up in the hospital, Hu took the false medical record materials with malignant tumors to the Yingcheng Medical Security Bureau to apply for critical medical insurance, and enjoyed outpatient critical (malignant tumor) medical insurance treatment. In April of the same year, Hu began to purchase drugs such as hypertension, diabetes, and asthma in the outpatient clinics of Yingcheng People's Hospital and Traditional Chinese Medicine Hospital with critical medical insurance treatment for his own underlying diseases. From April 8, 2021 to December 15, 2022, it was reimbursed 74,041 for outpatient critical (malignant tumor) medical insurance**84 yuan.
In December 2022, the staff of Yingcheng Medical Security Bureau found that there was a problem with the information in the application materials submitted by Hu, and after verification, it was found that the medical documents submitted by Hu were mixed with the relevant medical record information of three people, and Hu did not have the information of hospitalization and settlement in Yingcheng People's Hospital in 2020, and there may be illegal acts of defrauding medical insurance. On December 30 of the same year, the staff of the Medical Security Bureau notified Hu in the form of a text message to go to the bureau to collect the recovery notice of illegal medical insurance**, and ** contacted Hu's wife, repeatedly emphasizing that the nature of the incident was vile, and hoped that the parties and their families would actively cooperate, but his wife did not clearly express her willingness to return.
On January 5, 2023, the staff of the Urban Medical Security Bureau transferred the materials and evidence related to Hu's suspected crime to the public security organs. When he learned that the public security organs had filed a case for investigation, Hu began to raise funds and returned all the funds for medical insurance reimbursement on January 16.
After the case was transferred for review and prosecution, the procuratorate found that Hu should be investigated for criminal responsibility for the crime of fraud.
Jiang Changshun Yu Juhong) (Jiang Changshun Yu Juhong).
Editor in charge: Xiaoyun.