仪征论坛 发表于 2021-11-16 09:40

市医保、市监部门联合开展欺诈骗保“双随机 一公开”检查

<div class="wx_rich_media_content" id="jsWxContainer"><section data-role="paragraph" contenteditable="false" class=""><section style="outline: 0px; font-size: 14px; line-height: 2; letter-spacing: 1px; background-position: 0% 0%; background-repeat: repeat-y; background-size: 100%; background-attachment: scroll; text-align: center; font-family: -apple-system, BlinkMacSystemFont, Arial, sans-serif;" contenteditable="false" class=""><section style="outline: 0px; display: inline-block; width: 677px; vertical-align: top;" contenteditable="false" class=""><section style="outline: 0px;" contenteditable="false" class=""><section style="outline: 0px; vertical-align: middle; display: inline-block; line-height: 0;" contenteditable="false" class=""><span class="wxart_image" wx-style="display:inline-block;outline: 0px;vertical-align: middle;width: 100%;height: auto;overflow-wrap: break-word !important;visibility: visible !important;"></span></section></section></section><section style="margin-top: 20px; outline: 0px; justify-content: center;" contenteditable="false" class=""><section style="outline: 0px; display: inline-block; width: 643.141px; vertical-align: top; height: auto;" contenteditable="false" class=""><section style="outline: 0px; justify-content: center;" contenteditable="false" class=""><section style="outline: 0px; display: inline-block; width: 643.141px; vertical-align: top; box-shadow: rgb(254, 184, 89) 0px 0px 0px; height: auto; border-width: 5px; border-radius: 10px; border-style: solid; border-color: rgb(120, 90, 68); overflow: hidden; background-color: rgb(255, 244, 226);" contenteditable="false" class=""><section style="margin-top: 10px; margin-bottom: 10px; outline: 0px;" contenteditable="false" class=""><section style="padding-right: 20px; padding-left: 20px; outline: 0px; text-align: justify; color: rgb(120, 90, 68); font-size: 17px; line-height: 2;" contenteditable="false" class=""><p style="vertical-align: inherit; outline: 0px; text-indent: 2em;" contenteditable="false" class="">为推动部门间的协同监管,规范定点医药机构各项医保服务,精准打击欺诈骗保等违规违法行为,日前,仪征市医疗保障局联合仪征市市场监管局,对全市9家定点零售药店开展了<strong style="outline: 0px;"><span style="outline: 0px; color: rgb(194, 54, 12);" contenteditable="false" class="">“双随机 一公开”</span></strong>监督及行政检查。</p></section></section><section style="outline: 0px; transform-style: flat; transform: perspective(0px);" contenteditable="false" class=""><section style="margin-top: -40px; outline: 0px; text-align: left; justify-content: flex-start; transform: rotateY(180deg);" contenteditable="false" class=""><section style="outline: 0px; vertical-align: middle; display: inline-block; line-height: 0; border-width: 0px; width: 253.25px; height: auto;" contenteditable="false" class=""><br></section></section></section></section></section><section style="margin-bottom: -50px; outline: 0px; text-align: left; justify-content: flex-start;" contenteditable="false" class=""><section style="outline: 0px; vertical-align: middle; display: inline-block; line-height: 0; width: 450.188px; height: auto;" contenteditable="false" class=""><span class="wxart_image" wx-style="display:inline-block;outline: 0px;vertical-align: middle;width: 450.188px;overflow-wrap: break-word !important;visibility: visible !important;"></span></section></section><section style="margin-bottom: -50px; outline: 0px; text-align: right; justify-content: flex-end; transform: translate3d(-70px, 0px, 0px);" contenteditable="false" class=""><section style="outline: 0px; vertical-align: middle; display: inline-block; line-height: 0; width: 38.5781px; height: auto;" contenteditable="false" class=""></section></section><section style="outline: 0px; text-align: justify;" contenteditable="false" class=""><p style="vertical-align: inherit; outline: 0px;" contenteditable="false" class=""><br></p></section><section style="outline: 0px; justify-content: center;" contenteditable="false" class=""><section style="outline: 0px; display: inline-block; width: 643.141px; vertical-align: top; height: auto; border-width: 1px; border-radius: 5px; border-style: solid; border-color: rgb(240, 155, 90); overflow: hidden;" contenteditable="false" class=""><section style="outline: 0px; text-align: justify;" contenteditable="false" class=""><p style="vertical-align: inherit; outline: 0px;" contenteditable="false" class=""><br></p></section><section style="outline: 0px;" contenteditable="false" class=""><section style="padding-right: 20px; padding-left: 20px; outline: 0px; font-size: 17px; text-align: justify; line-height: 2; color: rgb(80, 84, 86);" contenteditable="false" class=""><p style="vertical-align: inherit; outline: 0px; text-indent: 2em;" contenteditable="false" class="">本次检查主要针对2020年1月1日以来纳入基本医疗保险基金支付范围的所有医药服务行为,抽查比例不低于全市定点零售药店数量的5%,检查对象和执法人员均通过江苏省行政执法监管(互联网+监管)平台随机抽取。</p></section></section><section style="margin-top: -10px; outline: 0px; text-align: right; justify-content: flex-end;" contenteditable="false" class=""><section style="outline: 0px; vertical-align: middle; display: inline-block; line-height: 0; width: 192.328px; height: auto;" contenteditable="false" class=""><span class="wxart_image" wx-style="display:inline-block;outline: 0px;vertical-align: middle;width: 192.328px;overflow-wrap: break-word !important;visibility: visible !important;"></span></section></section><section style="outline: 0px;" contenteditable="false" class=""><section style="outline: 0px; display: inline-block; width: 609.078px; vertical-align: top; height: auto;" contenteditable="false" class=""><section style="outline: 0px;" contenteditable="false" class=""><section style="margin-top: 10px; margin-bottom: 20px; outline: 0px; display: flex; flex-flow: row nowrap;" contenteditable="false" class=""><section style="outline: 0px; display: inline-block; vertical-align: top; width: auto; flex: 0 0 0%; height: auto; align-self: flex-start; line-height: 0;" contenteditable="false" class=""><section style="margin-bottom: -20px; outline: 0px; text-align: right; justify-content: flex-end;" contenteditable="false" class=""><section style="outline: 0px; display: inline-block; width: 8px; height: 20px; vertical-align: top; overflow: hidden; border-width: 0px; border-style: none; border-color: rgb(62, 62, 62); background-color: rgb(245, 241, 224);" contenteditable="false" class=""><section style="outline: 0px;" contenteditable="false" class=""><svg viewBox="0 0 1 1" style="float: left;line-height: 0;width: 0px;vertical-align: top;" space="default"></svg></section></section></section><section style="outline: 0px;" contenteditable="false" class=""><section style="outline: 0px; display: inline-block; width: 16px; height: 20px; vertical-align: top; overflow: hidden; border-width: 0px; border-radius: 21px 21px 0px 0px; border-style: none; border-color: rgb(62, 62, 62); background-color: rgb(250, 168, 73);" contenteditable="false" class=""><section style="outline: 0px;" contenteditable="false" class=""><svg viewBox="0 0 1 1" style="float: left;line-height: 0;width: 0px;vertical-align: top;" space="default"></svg></section></section></section></section><section style="outline: 0px; display: inline-block; width: auto; vertical-align: top; background-color: rgb(255, 244, 226); flex: 100 100 0%; align-self: flex-start; height: auto; border-right: 0px none rgb(62, 62, 62); border-top-right-radius: 12px; overflow: hidden; box-shadow: rgb(250, 168, 73) 0px 6px 0px;" contenteditable="false" class=""><section style="margin-top: 20px; margin-bottom: 20px; outline: 0px;" contenteditable="false" class=""><section style="padding-right: 20px; padding-left: 20px; outline: 0px; text-align: justify; font-size: 17px; line-height: 2; color: rgb(80, 84, 86);" contenteditable="false" class=""><p style="vertical-align: inherit; outline: 0px; text-indent: 2em;" contenteditable="false" class="">据了解,本次检查行动中,检查小组配备医疗保障、市场监管执法人员,严格按照“双随机、一公开”监管细则,结合本部门监管职能,对定点零售药店的<strong><span style="color: #D92142;" contenteditable="false" class="">电子进销存数据与账目是否相符;处方制度是否运行规范;是否存在聚敛盗刷社保卡、诱导参保人员购买化妆品、生活用品等非医疗物品骗取医疗保障基金</span></strong>等方面进行了检查。</p><p style="vertical-align: inherit; outline: 0px; text-indent: 2em;" contenteditable="false" class=""><br></p></section></section><section style="margin-top: -50px; outline: 0px; text-align: right; justify-content: flex-end;" contenteditable="false" class=""><section style="outline: 0px; vertical-align: middle; display: inline-block; line-height: 0; box-shadow: rgb(0, 0, 0) 0px 0px 0px; width: 177.922px; height: auto;" contenteditable="false" class=""><span class="wxart_image" wx-style="display:inline-block;outline: 0px;vertical-align: middle;width: 177.922px;overflow-wrap: break-word !important;visibility: visible !important;"></span></section></section></section></section></section><section style="outline: 0px;" contenteditable="false" class=""><section style="outline: 0px; display: inline-block; width: 578.609px; vertical-align: top; height: auto;" contenteditable="false" class=""><section style="margin-top: 20px; margin-bottom: 20px; outline: 0px;" contenteditable="false" class=""><section style="margin-left: 5px; outline: 0px; width: 7em; height: 7em; display: inline-block; vertical-align: bottom; float: right; overflow: hidden; background-position: center center; background-repeat: no-repeat; background-size: cover; border-width: 5px; box-shadow: rgb(204, 204, 204) 0.7px 0.7px 2px; border-color: rgb(255, 255, 255); border-radius: 100%; border-style: solid;" contenteditable="false" class=""><section style="outline: 0px; height: 88px; overflow: hidden; line-height: 0; vertical-align: middle;" contenteditable="false" class=""><span class="wxart_image" wx-style="display:inline-block;vertical-align: inherit;outline: 0px;opacity: 0;width: 88px;overflow-wrap: break-word !important;visibility: visible !important;"></span></section></section><section style="margin-right: 3.5em; padding: 10px; outline: 0px; background-color: rgb(255, 253, 241); border-style: none; border-width: 2px; border-radius: 4px; box-shadow: rgb(0, 0, 0) 0px 0px 0px; border-color: rgb(249, 110, 87); letter-spacing: 0px;" contenteditable="false" class=""><section style="outline: 0px; transform: translate3d(20px, 0px, 0px);" contenteditable="false" class=""><section style="outline: 0px; font-size: 18px; color: rgb(194, 54, 12); text-align: left;" contenteditable="false" class=""><p style="vertical-align: inherit; outline: 0px; clear: none;" contenteditable="false" class=""><strong style="outline: 0px;">市医疗保障局</strong><strong style="outline: 0px; letter-spacing: 0px;">提醒</strong></p></section></section><section style="outline: 0px; text-align: justify; font-size: 17px; color: rgb(80, 84, 86); letter-spacing: 1px;" contenteditable="false" class=""><p style="vertical-align: inherit; outline: 0px; clear: none; text-indent: 2em;" contenteditable="false" class="">严格履行医保定点医疗机构、药店服务协议,自觉维护医保基金安全,规范化提供各类医药服务,是所有医保定点医药机构及其工作人员的职责所在,容不得半点马虎。</p></section></section></section></section></section></section></section></section></section></section></section><section style="outline: 0px;" contenteditable="false" class=""><p style="vertical-align: inherit; outline: 0px;" contenteditable="false" class=""><br></p></section><section style="padding-right: 20px; padding-left: 20px; outline: 0px; font-size: 17px; color: rgb(80, 84, 86);" contenteditable="false" class=""><p style="text-align: left; vertical-align: inherit; outline: 0px; text-indent: 2em;" contenteditable="false" class="">接下来,市医保部门将与市场监管部门继续发力,把“双随机、一公开”抽查作为常态化医保基金监管机制,坚决守好用好老百姓的“救命钱”,继续加大对定点医疗机构的监管力度,确保医保基金安全平稳运行。<strong style="text-indent: 2em; caret-color: transparent; outline: 0px;"><span style="outline: 0px; color: rgb(222, 8, 3);" contenteditable="false" class="">同时,广大参保群众若在就医购药过程中发现可疑行为,可通过以下3种方式向我们进行咨询、举报。</span></strong></p><p style="text-align: left; vertical-align: inherit; outline: 0px; text-indent: 2em;" contenteditable="false" class=""><strong style="outline: 0px;"><span style="outline: 0px; color: rgb(222, 8, 3);" contenteditable="false" class="">1.电话:83418695;</span></strong></p><p style="text-align: left; vertical-align: inherit; outline: 0px; text-indent: 2em;" contenteditable="false" class=""><strong style="outline: 0px;"><span style="outline: 0px; color: rgb(222, 8, 3);" contenteditable="false" class="">2.邮箱:yzybjdk1@163.com;</span></strong></p><p style="text-align: left; vertical-align: inherit; outline: 0px; text-indent: 2em;" contenteditable="false" class=""><strong style="outline: 0px;"><span style="outline: 0px; color: rgb(222, 8, 3);" contenteditable="false" class="">3.信件:仪征市大庆北路3号,医疗保障局基金监督科。</span></strong><strong style="text-indent: 2em; caret-color: transparent; outline: 0px;"><span style="outline: 0px; color: rgb(222, 8, 3);" contenteditable="false" class=""></span></strong></p></section><section style="margin-bottom: -20px; outline: 0px;" contenteditable="false" class=""><section style="outline: 0px; vertical-align: middle; display: inline-block; line-height: 0; width: 203.094px; height: auto;" contenteditable="false" class=""><span class="wxart_image" wx-style="display:inline-block;outline: 0px;vertical-align: middle;width: 203.094px;overflow-wrap: break-word !important;visibility: visible !important;"></span></section></section><p style="vertical-align: inherit;" contenteditable="false" class=""><br></p></section></section></div><p></p>
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