索 引 号 | MB1846817/2019-00013 | 分 类 | 基金监督 |
发布机构 | 江苏省医疗保障局 | 发文日期 | 2018-04-03 |
标 题 | 江苏省医疗保障局关于开展打击欺诈骗取医疗保障基金专项治理工作的通知 | ||
文 号 | 苏医保发〔2019〕24号 | ||
时 效 |
jiangsushengyiliaobaozhangjuguanyukaizhandajiqizhapianquyiliaobaozhangjijinzhuanxiangzhiligongzuodetongzhi
AG真人国际厅官网geshequshiyiliaobaozhangju,kunshanshi、taixingshi、shuyangxianyiliaobaozhangju:
AG真人国际厅官网dajiqizhapianbao,weihujijinanquanshiyibaogongzuodetoudengdashi。weiguancheluoshi《guojiayiliaobaozhangjuguanyuzuohao2019nianyiliaobaozhangjijinjianguangongzuodetongzhi》(yibaofa〔2019〕14hao)wenjianhesheng“yiliaobaozhangjijinjianguannian”(yixiajiancheng“jijinjianguannian”)gongzuoanpai,zaiquanshengfanweineikaizhandajiqizhapianquyiliaobaozhangjijinzhuanxiangzhiligongzuo(yixiajianchengzhuanxiangzhili),xianjiuyouguanshixiangtongzhiruxia:
AG真人国际厅官网yi、jinyibumingquezhuanxiangzhiligongzuomubiao。zai2018niandajiqizhapianquyiliaobaozhangjijinzhuanxiangxingdongjizhuanxiangxingdong“huitoukan”dejichushang,jinnian4-11yuezaiquanshengkaizhandajiqizhapianbaozhuanxiangzhiligongzuo,gediyaojieheshiji,zhenduiboruohuanjie,jiangdingdianyiyaojigouzuoweizhongdian,shenrudajiqizhapianbaoxingwei,gonggujijinjianguangaoyataishi,fangfanweifaweiguixingweizaidutaitou。
AG真人国际厅官网er、gengjiatuchuzhuanxiangzhiligongzuozhongdian。gediyaojiehequniandajiqizhapianbaozhuanxiangxingdongji“huitoukan”guochengzhongfaxiandeqizhapianbaoxinxingwei、xinxingshi,jixujiadadajilidu,youzhenduixingdiquedingdajizhongdian。zhongdiandajierjijiyishangdingdianyiliaojigouxujiduojiyaopin、zhenliaoxiangmuhehaocaifeiyong,weifanwujiashoufeiguiding,zhenduanshengjihebuhelizhenliaodengxingwei;jicengdingdianyiliaojigoudibiaozhunyoudaozhuyuan、guachuangzhuyuandengxingwei;dingdianlingshouyaodianliucun、daoshua、maoyongcanbaorenyuanshebaokadengxingwei。yibaojingbanjigouzhongdianchachuneishenzhidubujianquan、jijinjihebuquanmian、lvyuejianchabudaowei、weiguibanliyibaodaiyu、weiguizhifuyibaofeiyongdengxingwei。
san、yangezhixingzhuanxiangzhiligexianggongzuoyaoqiu。gediyaozai4yuechugenjushengju“jijinjianguannian”shishifangan,jiehebendishiji,jinyibuxihuazhuanxiangzhiligongzuofangan,anzhaoshixujindutuijingexianggongzuo。4-8yuegediyaojiadajianchalidu,tigaotujijiancha、jiaochajianchapinlv,jianchayiyaojigouweifaweiguixingwei,shixiandingdianyiyaojigouxianchangjianchaquanfugai;yaoyonghaoxiandaixinxijishu,tebieshidashuju,shixianyiliaofeiyongchushenquanfugai;yonghaodisanfangliliang,jiadaxiechalidu,zhongdianduizhuyuanyiliaofeiyongheshougongbaoxiaodedaefeiyongjiadafushenlidu,fushenbilibudediyu5%。yaoluoshijubaojianglizhengce,jifaqunzhongcanyujiandureqing,tigaoqunzhongcanyudu。10yuediqianshengyibaojujiangtongguochaguocheng、chataizhang、chaguangdu、chashendu,kaizhanchouchafuchagongzuo。
AG真人国际厅官网si、jishifankuizhuanxiangzhiligongzuodongtai。gediyaoyangeluoshiyaoqingbaogaozhidu,duiyichachudesheanjine5wanyuanyishangde,huoyijiaogonganjiguande,huokenengyinqiyulunguanzhudezhongdaanjiande,gediyaozaianjianbanjiehuoyijiaogonganjiguanhou2gegongzuorinei,jiangyouguanqingkuangjishibaoshengyiliaobaozhangju。geshequshiyu4yue15riqianshangbaobendi“jijinjianguannian”shishifangan,bingquedinglianxiren;meijidiyigeyue6riqianshangbaoshangjiduzhuanxiangzhiligongzuojinzhan,zhongdianmubiaojianchaqingkuangdeng;10yue20riqianshangbaozhuanxiangzhilizongjie,binganjidu(nian)tianxie《dajiqizhapianquyiliaobaozhangjijinzhuanxiangzhiliqingkuangtongjibiao》。
wu、zhengquerenshikaizhan“jijinjianguannian”huodongyuzhuanxiangzhililiangzhedeguanxi。zhuanxiangzhilishiduiqizhapianbaoxingweijizhongliliang、jizhongshijianjinxingdajideyixiangjutigongzuo,shigonggugaoyataishidezhongyaojucuo,yeshishishi“jijinjianguannian”deyixiangzhongyaogongzuo,qizhongzaizhibiao;kaizhan“jijinjianguannian”huodong,zhelijianlijianquanjijinjianguantixi,goujian“buganwei、bunengwei、buyuanwei”dezhangxiaojianguanjizhi,qizhongzaizhiben。liangzhezhijianbiaobenjianzhi,mubiaoyizhi,queyibuke,xianghucujin。gediyaoliangshouzhua,liangshoudouyaoying,qieshibazhuanxiangzhiligongzuozhuashizhuaxi,zhuachuchengxiao;zuzhishishihao“jijinjianguannian”gexianggongzuo,weihujijinanquan,tigaojijinxiaoyi,baozhangyiliaobaozhangshiyekechixufazhan。
shengyiliaobaozhangjujijinjianduchulianxiren: chenzhang;lianxidianhua(chuanzhen): 。
AG真人国际厅官网fujian: 1. dajiqizhapianquyiliaobaozhangjijinzhuanxiangzhiliqingkuangtongjibiao(chulijieguobiao)
AG真人国际厅官网 2.dajiqizhapianquyiliaobaozhangjijinzhuanxiangzhiliqingkuangtongjibiao(weiguixingweibiao)
jiangsushengyiliaobaozhangju
2019nian4yue3ri