青海省医疗保障局于5月20日对外通报了该省今年首批违规使用医保基金的案例。通报显示,此次查出的违规行为主要涉及重复收费等问题。

青海省医保局表示,此次通报的案例是该局对医保基金使用情况进行严格审查后发现的。审查中发现,部分医疗机构存在重复收费、超标准收费等问题,导致医保基金被违规使用。这些违规行为不仅损害了医保基金的安全,也侵害了广大参保人员的合法权益。

青海省医保局已对涉及违规行为的医疗机构进行了严肃处理,要求其立即整改,并将追缴的违规资金全部退还给医保基金。同时,青海省医保局还要求各级医保部门加强对医保基金使用的监管,确保医保基金的安全、合规使用。

青海省医保局表示,将继续保持对医保基金违规使用行为的高压态势,严厉打击各类违规行为,切实保障医保基金的安全。同时,也欢迎广大参保人员和全社会对医保基金使用情况进行监督,共同维护医保基金的安全。

此次青海省通报的医保基金违规使用案例,是该省医疗保障局认真履行职责,加强对医保基金使用的监管的一个缩影。医保基金是人民群众的“保命钱”,保障医保基金的安全、合规使用,是每一级医保部门义不容辞的责任。希望各级医保部门都能够以青海省为榜样,切实加强对医保基金使用的监管,确保医保基金的安全、合规使用,为广大参保人员提供更好的服务。

英语如下:

**Title:** Qinghai Reports First Batch of Medicare Fund Violation Cases, Repeated Billing Issues Stand Out

**Keywords:** Qinghai, Medicare Fund, Violation Cases.

**News Content:** The Qinghai Provincial Medical Insurance Bureau reported the first batch of cases involving unauthorized use of medical insurance funds on May 20th. The announcement revealed that the violations mainly concerned issues such as repeated billing.

The Qinghai Provincial Medical Insurance Bureau stated that these cases were identified after a strict review of the use of medical insurance funds. The review found that some medical institutions engaged in repeated billing and charging above standard rates, leading to the unauthorized use of medical insurance funds. These violations not only compromise the security of medical insurance funds but also infringe upon the legal rights of the vast majority of insured individuals.

The Qinghai Provincial Medical Insurance Bureau has severely handled the medical institutions involved in these violations, demanding immediate rectification and the full repayment of the funds to the medical insurance fund. In addition, the bureau has requested all levels of medical insurance departments to strengthen the regulation of the use of medical insurance funds to ensure their safety and compliance.

The Qinghai Provincial Medical Insurance Bureau indicated that it will continue to maintain a high-pressure stance against the unauthorized use of medical insurance funds, vigorously cracking down on various violations to effectively safeguard the security of medical insurance funds. It also welcomes the supervision of all insured individuals and the public to ensure the safety of medical insurance funds together.

The reported cases of unauthorized use of medical insurance funds in Qinghai are a microcosm of the bureau’s serious performance of its duties and the strengthening of regulation over the use of medical insurance funds. Medical insurance funds are the “lifeblood” of the people, and ensuring their safety and proper use is an indispensable responsibility of every level of medical insurance department. It is hoped that all levels of medical insurance departments can take Qinghai as a model, strictly strengthen the regulation of the use of medical insurance funds, ensure their safety and compliance, and provide better services for the insured.

【来源】http://www.chinanews.com/sh/2024/05-20/10220365.shtml

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