Medicare Bureau of flying inspection refers to the medical insurance fund supervision flight inspection system. The medical insurance flight inspection system refers to the medical insurance administrative department for the medical insurance agency, medicine bidding and purchasing agencies, designated medical institutions, pharmaceutical enterprises, medical insurance doctor (pharmacist), the insured person to carry out the use of the medical insurance fund behavior of the on-site supervision and inspection without prior notice.
The system has the following characteristics: First, legality, competence, usually by the higher health insurance administrative department in accordance with the Social Insurance Law, "Administrative Compulsory Law" "National Health Security Bureau function configuration, internal institutions and staffing regulations" "medical insurance fund supervision flight inspection procedures (for trial implementation)" authorization to take the initiative to carry out the administrative act without the supervision of the unit to apply for the initiation of inspection, and the second is direct. Secondly, it is direct, on-site inspection carried out by the administrative department of medical insurance directly facing people, things, behaviors, places, etc. Thirdly, it is unannounced, flight inspection is usually carried out on the spot. Third, unannounced, flight inspection is usually carried out in secret, i.e., the medical insurance administrative department does not inform the inspected person in advance. Fourth, compulsory, when the insured person forges, alters, transfers, conceals, alters and destroys the financial accounts, bookkeeping vouchers, prescriptions, medical records, treatment and examination records, cost details, and records of drugs and medical equipment in and out of the warehouse, the medical insurance administrative department has the right to take coercive measures, and when the insured person doesn't cooperate with, refuses, or obstructs the inspection carried out by the administrative department of the medical insurance, the administrative department of the medical insurance can force the inspection, and the insured person will bear the corresponding legal responsibility. The inspected person will bear the corresponding legal responsibility. Fifth, objectivity, the health insurance administrative department can invite health, public security, drug supervision departments to jointly fly inspection, and through the purchase of services to organize qualified social third party to participate in the inspection, according to the needs of the inspection work, the news media can be invited to participate in the supervision. Sixth, intrusive, flight inspection will bring adverse consequences to the subject of the inspection, that is, the subject of the inspection set to accept on-site inspection, storage of information, accepting the obligations of the inquiry, to limit the relative rights and interests of a certain period of time place, personnel, information, and the implementation of administrative coercive measures, and other administrative actions.