In 2023, the Hohhot Municipal Medical Security Bureau will carry out a special rectification work to combat fraud and insurance fraud in the field of medical insurance throughout the city. The on-site inspection of Hohhot's full coverage of fund supervision covers public and non-public unclassified hospitals, first-class hospitals, second-level hospitals and third-level hospitals, and the problems found in the process of the 2023 Hohhot fund supervision full coverage inspection and the handling decisions are hereby notified as follows:
01 Non-public unclassified medical institutions
(1) A traditional Chinese medicine hospital in Wuchuan County
In the full-coverage inspection, it was found that a traditional Chinese medicine hospital in Wuchuan County had three types of violations such as excessive diagnosis and treatment, involving illegal fees of 5629.5 yuan.
02 Non-public first-class medical institutions
(1) A hospital in Inner Mongolia
In the full-coverage inspection, it was found that a hospital in Inner Mongolia had 4 other types of violations, involving 6,411 yuan of illegal fees.
(2) A traditional Chinese medicine hospital in Wuchuan County
In the full-coverage inspection, it was found that a traditional Chinese medicine hospital in Wuchuan County had three types of violations such as excessive inspections, involving illegal fees of 5994.9 yuan.
(3) A hospital in Hohehao
In the full coverage inspection, it was found that a hospital in Hohhot had 22 types of violations such as excessive standard charges, repeated charges, overcharges, over-restricted medications, excessive inspections, excessive diagnosis and treatment, and others, involving illegal fees of 279,471.99 yuan.
(4) A traditional Chinese medicine hospital in Helinger County
In the full coverage inspection, it was found that a traditional Chinese medicine hospital in Helinger County had 7 types of violations such as excessive standard charges, excessive inspections, and others, involving illegal fees of 48,519.41 yuan.
03 Non-public secondary medical institutions
(1) A hospital in Hohhot
In the full-coverage inspection, it was found that a hospital in Hohhot had 10 types of violations such as excessive standard charges, overcharges, excessive inspections, and excessive diagnosis and treatment, involving illegal fees of 23,752 yuan.
(2) A hospital limited liability company in Hohhot
In the full-coverage inspection, it was found that a hospital limited liability company in Hohhot had two types of violations such as excessive inspections, involving illegal fees of 13,709 yuan.
(3) A hospital in Hohhot
In the full-coverage inspection, it was found that a hospital in Hohhot had 8 types of violations such as duplicate charges, excessive inspections, and others, involving illegal fees of 24,143.5 yuan.
(4) A dental hospital in Hohhot
In the full coverage inspection, it was found that there were other two types of violations in a dental hospital in Hohhot, involving 2,260 yuan of illegal fees.
(5) A hospital in Hohhot
In the full-coverage inspection, it was found that a hospital in Hohhot had 4 types of violations, such as bundled charges, over-standard charges, and overcharges, involving illegal fees of 31,384.8 yuan.
(6) A skin disease hospital in Hohhot
In the full-coverage inspection, it was found that a skin disease hospital in Hohhot had three types of violations, such as excessive diagnosis and treatment, and others, involving illegal fees of 3,982 yuan.
(7) An anorectal hospital limited liability company in Hohhot
In the full-coverage inspection, it was found that a certain anorectal hospital limited liability company in Hohhot City had 1 type of violations such as duplicate charges, involving illegal fees of 2,535 yuan.
04 Public secondary medical institutions
(1) A hospital in Yuquan District, Hohhot City
In the full-coverage inspection, it was found that a hospital in Yuquan District, Hohhot City, had 4 types of violations such as excessive inspection and others, involving 11,986 yuan of illegal expenses.
(2) A hospital in Hohhot
In the full-coverage inspection, it was found that a hospital in Hohhot City had 5 types of violations such as over-standard charges, over-restricted drug use, and excessive inspection, involving illegal fees of 20,492.6 yuan.
(3) Takekawa Clinic
In the full-coverage inspection, it was found that a hospital in Wuchuan County had 4 types of violations such as overcharging, excessive inspection, and excessive diagnosis and treatment, involving illegal fees of 11,211.5 yuan.
(4) A certain Takekawa clinic
In the full-coverage inspection, it was found that a hospital in Wuchuan had 10 types of violations, such as excessive standard charges, repeated charges, over-restricted medication, excessive inspection, excessive diagnosis and treatment, and others, involving illegal fees of 291,818.15 yuan.
(5) A hospital in Tuoketuo County
In the full-coverage inspection, it was found that a hospital in Tuoketuo County had 7 types of violations, such as overcharging, excessive inspection, excessive diagnosis and treatment, and others, involving 30,476 yuan of illegal fees.
(6) A hospital in Tuoketuo
In the full-coverage inspection, it was found that a hospital in Tuoketuo had 11 types of violations such as over-standard charges, over-charges, over-restricted drugs, and excessive inspections, involving illegal fees of 629,649.44 yuan.
(7) A hospital in Hohhot
In the full-coverage inspection, it was found that a hospital in Hohhot City had 6 types of violations such as overcharging and excessive diagnosis and treatment, involving illegal fees of 23,976.89 yuan.
(8) A second hospital in Hohhot
In the full-coverage inspection, it was found that a second hospital in Hohhot City had 6 types of violations such as overcharging, excessive inspection, and others, involving illegal fees of 18,752.42 yuan.
(9) A hospital in Qingshuihe County
In the full coverage inspection, it was found that a hospital in Qingshuihe County had 9 types of violations such as overcharging, excessive inspection, collusion charges, and others, involving illegal fees of 69,666.28 yuan.
(10) A hospital in Qingshuihe
In the full-coverage inspection, it was found that a hospital in Qingshuihe had 13 types of violations such as over-restricted drug use, excessive inspection, excessive diagnosis and treatment, and others, involving illegal expenses of 212,142.8 yuan.
(11) A hospital in Inner Mongolia
In the full coverage inspection, it was found that a hospital in Inner Mongolia had 8 types of violations such as over-restricted drug use and excessive inspection, involving illegal fees of 15,942.75 yuan.
(12) A hospital in Helinger County
In the full-coverage inspection, it was found that a hospital in Helinger County had 10 types of violations such as excessive standard charges, repeated charges, over-restricted medication, and excessive inspections, involving illegal fees of 93,437.85 yuan.
(13) A hospital in Helinger
In the full-coverage inspection, it was found that there were 10 types of violations such as excessive standard charges, repeated charges, overcharges, excessive inspections, and excessive diagnosis and treatment, involving 236148 yuan of illegal fees.
05 Non-public tertiary medical institutions
(1) A traditional Chinese medicine hospital limited liability company in Inner Mongolia
In the full-coverage inspection, it was found that a traditional Chinese medicine hospital limited liability company in Inner Mongolia had 7 types of violations, including excessive standard charges, repeated charges, over-restricted drugs, excessive inspections, and others, involving illegal fees of 27,636.02 yuan.
(2) An eye hospital limited company
In the full-coverage inspection, it was found that an eye hospital Co., Ltd. had 7 types of violations such as overcharging and excessive inspection, involving illegal fees of 41,080 yuan.
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