7省部分医院违规收费等金额过亿元

Core Viewpoint - Recent audits across 26 provinces in China revealed significant violations in hospital billing practices and improper settlement of medical insurance funds, totaling approximately 150 million yuan [3][4]. Group 1: Audit Findings - In Hunan, 11 hospitals were found to have illegally charged a total of 46.84 million yuan through methods such as duplicate billing and excessive treatment [3]. - In Hubei, 8 hospitals improperly settled medical insurance funds by 23.78 million yuan, while 6 hospitals manipulated patient diagnoses to settle an additional 27.39 million yuan [3]. - The audit in Hebei identified 9 public hospitals that overcharged by 14.93 million yuan and improperly settled medical insurance funds by 2.38 million yuan [4]. - In Zhejiang, 31 out of 64 audited public hospitals were found to have misclassified self-paid special bed fees, resulting in an improper settlement of 17.52 million yuan [4]. - Black龙江 and Jiangxi audits also reported various violations, including inflated charges and improper fund settlements [4]. Group 2: Regulatory Response - The National Medical Insurance Administration has intensified oversight and enforcement against fraudulent practices in medical insurance fund usage, with a focus on high-risk areas [5]. - From January to June, 335,000 medical institutions were inspected, recovering 16.13 billion yuan in misused medical insurance funds [5]. - The implementation of intelligent regulatory systems has led to the rejection and recovery of 330 million yuan in fraudulent claims this year [5]. Group 3: Rectification Measures - Local authorities have initiated corrective actions in response to the audit findings, addressing the identified issues in hospital billing practices [6].