7省部分医院违规收费等金额过亿元
Di Yi Cai Jing·2025-10-10 03:18

Core Insights - Recent audits across 26 provinces in China revealed that hospitals have engaged in illegal charging and overbilling of medical insurance funds, totaling approximately 150 million yuan [1][2] Group 1: Audit Findings - In Hunan province, 11 out of 20 audited hospitals were found to have illegally charged a total of 46.84 million yuan through methods such as duplicate billing and excessive treatment [1] - The audit in Hubei province identified 8 hospitals that overbilled medical insurance funds by 23.78 million yuan through false quantity reporting and other deceptive practices, while 6 hospitals were found to have overbilled by 27.39 million yuan through patient diagnosis manipulation [1] - In Hebei province, 9 public hospitals, including Hebei Medical University Fourth Hospital, were reported to have overcharged by 14.93 million yuan and overbilled medical insurance funds by 2.38 million yuan through various violations [1] Group 2: Regulatory Response - The National Medical Insurance Administration has intensified oversight and enforcement against fraudulent practices in medical insurance, with a focus on high-risk areas and institutions [2] - From January to June of this year, 335,000 medical institutions were inspected nationwide, resulting in the recovery of 16.13 billion yuan in medical insurance funds [2] - The implementation of intelligent regulatory systems has led to the rejection and recovery of 330 million yuan in medical insurance funds this year [2]