Huainan: Seven hospitals in Huainan city in East China’s Anhui province are suspected of misusing medical insurance funds by fabricating hospitalization and examination records, according to the National Healthcare Security Administration.
The administration released information about the case to the public in a circular on Wednesday as efforts aimed at cracking down on insurance scams have intensified in recent months.
According to the circular, a rural private hospital in Shouxian county in Huainan had colluded with two elderly care centers to coax patients into the hospital.
For each patient who checked in, the hospital paid 200 yuan ($28.10) to the center that facilitated the visit. It was also found that the hospital had forged imaging test results ordered by doctors who had either never worked there or who were out of office.
Some CT imaging reports were inconsistent with the actual services rendered or were completely fake.
Local authorities have so far retrieved defrauded funds, handed penalties to two medical workers involved and revoked their medical licenses.
An investigation group comprising public security, health and medical insurance officials has been dispatched to the hospital to further probe the problem.
In another case, a rural hospital in the city’s Liuwei village is suspected of issuing counterfeit diagnosis reports for 2,700 medical consultations. –The Daily Mail-China Daily news exchange item
