April 30 news, in the opening of private hospitals, hospital director in collaboration with subordinates to fictitious list of hospitalized persons, the preparation of false medical records, etc., violation of the national health insurance funds more than 1.84 million yuan. Recently, Yan'an Intermediate Court made a second-instance verdict on the case, the former director of Fu County Rehabilitation Hospital Duan Wenjie was sentenced to seven years in prison and a fine of 200,000 yuan.
9 months forged false hospitalization procedures 563
It is reported that in October 2015, Duan Wenjie set up the establishment of Fu County Rehabilitation Hospital, for the second level private non-enterprise hospital, Duan Wenjie served as the director of the hospital. between December 2015 and August 2016, Duan Wenjie in order to make its hospital profitable, instructed the vice president Liu Mou, financial responsible person Li Mou, medical office Director Zhang Mou, director of the Office of the combined treatment Wei Mou and others, in order to give the hospital staff under the task of commission, requiring the hospital staff will be their own or friends and relatives of urban workers' health insurance cards, resident identity cards and other information provided to the hospital, the staff to provide information for each of the three people rewarded 100 yuan, more than one person another reward of 50 yuan.
Subsequently, Duan Wenjie and the hospital's new opening to do publicity, registration for membership, hospitalization to see a doctor to buy drugs have preferential treatment, etc., to find people to help collect some employees' health insurance cards to the vice president of Liu, Liu arranged for the departments to forge false hospitalization information, and in the inpatient hospitalization system to repeat the entry of patients who had been hospitalized in the Rehabilitation Hospital, to arbitrage the national health insurance funds.
August 2016, Yan'an Municipal Audit Bureau of Fu County Rehabilitation Hospital health insurance audit, found that there are arbitrage health insurance funds, after verification, December 2015 to August 2016 period, Duan Wenjie in conjunction with the staff of Fu County Rehabilitation Hospital, through a variety of ways to forge false hospitalization patient procedures 563 times, fraudulent national health insurance funds of more than 1.84 million yuan.
Successively paid 73,000 yuan in bribes to six public officials
In September 2016, the Yan'an Municipal Commission for Discipline Inspection handed over the lead to the Fu County Public Security Bureau. Because of the large amount of money involved, the case was set up as a criminal case for investigation. Subsequently, Duan Wenjie and 14 other people involved in the case have surrendered to the public security organs.
After the case, Fu County Rehabilitation Hospital was canceled by the Fu County Health Bureau, Duan Wenjie actively refunded the stolen money of 1.7 million yuan, the Fu County Medical Insurance Office suspended 150,000 yuan,*** counted 1.85 million yuan.
The court also found that Duan Wenjie in the Fu County Health Bureau for the Fu County Rehabilitation Hospital license approval procedures and in the county urban and rural medical cooperation office to declare designated hospitals and declaration and approval of health insurance funds in the process, in order to allow the relevant state staff to facilitate or help, has to the then director of the Fu County Health Bureau Zhanmou (has been doubly dismissed) to take a bribe of 50,000 yuan to the Secretary of the Health Bureau of the County of Fu Wumou Bribe 1,000 yuan, to the Fu County Health Bureau in charge of medical affairs, deputy director of He 7,000 yuan, to the Fu County Urban and Rural Medical Cooperation Office Director Duan Mou, deputy director of Jia Mou, 12,000 yuan, to the Fu County Urban and Rural Medical Cooperation Office, deputy director of Jia Mou, 3,000 yuan, *** counting 73,000 yuan of cash bribes. After the case, Yan'an Municipal Commission for Discipline Inspection at the end of 2016 on the relevant personnel to make dismissal from the party, administrative expulsion, the collection of disciplinary funds, transferred to the judicial organs and other corresponding treatment.
The Yan'an Intermediate Court held that Duan Wenjie, together with his subordinates, had committed fraud by fictionalizing the list of hospitalized persons and compiling false medical record materials for the purpose of illegal appropriation, and that all of his actions constituted the crime of fraud. Sentenced Duan Wenjie guilty of fraud, sentenced to seven years in prison and a fine of 100,000 yuan; guilty of bribery, sentenced to eight months in prison and a fine of 100,000 yuan. Combined punishment, the decision to carry out seven years of imprisonment and a fine of 200,000 yuan.