Five departments: carry out special rectification work to crack down on fraud and fraud in the field of medical insurance

FIFA, April 29 (FIFA)-National Healthcare Security Administration, together with the Supreme people's Procuratorate, the Ministry of Public Security, the Ministry of Finance, and the National Health Commission, recently issued the "2023 Special rectification Plan for cracking down on fraudulent insurance in the field of medical insurance." carry out special rectification work to crack down on fraud and insurance fraud in the medical insurance field. The "program" requires specific efforts from three aspects: first, focus on orthopaedics, blood purification, cardiovascular medicine, examination, testing, rehabilitation physiotherapy and other key areas. Second, focus on the key drugs and consumables that rank high in medical insurance settlement costs, monitor the use of their funds, and pay attention to other drugs and consumables with abnormal growth. The third is to focus on key behaviors such as false medical treatment and resale of medical insurance drugs. Special work requirements are also put forward for the high incidence of illegal and illegal behaviors after the implementation of the policy of remote medical treatment and outpatient overall planning. The five departments will strengthen overall guidance on all kinds of rectification priorities, formulate inspection guidelines in different areas, and sort out a list of key violations of laws and regulations for local reference and implementation.