象山爱尔眼科医院8月份两度被罚 投诉人艾芬获奖励

Core Points - The report highlights a case of fraudulent billing practices at the Eye Hospital in Xiangshan, where a doctor received a reward for reporting the hospital's illegal switching of medical insurance billing items [1] - The hospital was found to have engaged in fraudulent activities that resulted in a loss of 27,826.70 yuan to the medical insurance fund [1] - The hospital has faced multiple penalties for various violations, totaling 131,500 yuan in fines this year [3][4] Group 1: Fraudulent Activities - The Xiangshan Eye Hospital was reported for switching a non-covered medical procedure (meibomian gland examination) to a covered procedure (corneal topography examination) to receive insurance payments [1] - The hospital's fraudulent billing practices were confirmed to have occurred between November 2023 and May 2025, involving a total of 45,100 yuan in improper charges [1] - The hospital was fined 44,522.72 yuan by the Xiangshan Medical Security Bureau for its fraudulent activities [4] Group 2: Regulatory Actions - The Xiangshan Eye Hospital has received two administrative penalties this year, with a total fine amount of 131,500 yuan [3] - The Xiangshan Health and Wellness Bureau issued a warning and fined the hospital 87,000 yuan for employing unqualified personnel in prescription dispensing [3] - The hospital's actions have prompted ongoing scrutiny and reporting from medical professionals, aiming to ensure compliance with regulations and protect the integrity of the medical insurance fund [1]