In order to thoroughly implement the Implementation Opinions of the General Office of the State Council on Strengthening the Normalization Supervision of the Use of Medical Security Funds, and to strengthen the self-management main responsibility of designated medical institutions for the rational and standardized use of medical insurance funds, the National Medical Insurance Administration recently launched a nationwide self-examination and self correction work for the illegal and irregular use of medical insurance funds by designated medical institutions in 2025. This year, the scope of self inspection and self correction work for designated medical institutions is broader. The subject of self-examination and self correction has extended from designated medical institutions to designated medical institutions and designated retail pharmacies. The scope of self-examination and self correction in designated medical institutions includes six areas: cardiovascular medicine, orthopedics, hemodialysis, rehabilitation, medical imaging, and clinical laboratory. Three new areas, namely oncology, anesthesia, and critical care medicine, have been added to form a list of nine areas for self inspection. Starting from April 2025, the National Healthcare Security Administration will conduct self inspection and self correction of designated medical institutions nationwide, carry out flight inspections through the "four no's and two direct" method, and continue to carry out follow-up disposal in accordance with the principle of balancing leniency and strictness. Designated medical institutions that fail to take self-examination and self correction seriously, are perfunctory in their responsibilities, or conceal and falsify information shall be given severe punishment and publicly exposed; Strengthen information communication with disciplinary inspection and supervision agencies in accordance with relevant requirements; According to the requirements of the "Guiding Opinions on Establishing a Medical Insurance Payment Qualification Management System for Personnel in Designated Medical Institutions", payment qualification score management shall be carried out for relevant personnel. (New Society)
Edit:Chen Jie Responsible editor:Li Ling
Source:People's Daily
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