Core Points - A private hospital in Shanxi has transformed from a healthcare provider into a fraudulent entity, embezzling 9.7 million in medical insurance funds over three years [1][3] - The hospital's director organized a meeting to instruct staff on how to inflate medical claims, leading to widespread participation in the fraud [1][3] - The fraudulent practices included misdiagnosing patients and creating false medical records, which were eventually uncovered by the insurance bureau [1][3] Summary by Sections - Fraudulent Activities: The hospital engaged in blatant fraud by falsely diagnosing patients and inflating medical claims, treating patients as sources of income rather than individuals needing care [1][3] - Involvement of Staff: The scheme involved all levels of hospital staff, from nurses to financial personnel, indicating a systemic issue within the institution [3] - Consequences: The fraud was exposed in late 2020, resulting in the recovery of 9.7 million in embezzled funds, a 13.5-year prison sentence for the director, and the revocation of the hospital's medical insurance qualifications [3]
山西医院骗保970万,从院长到护士,全员“演戏”套医保
Sou Hu Cai Jing·2025-11-18 06:38