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Within five months, Zhou and others to set up a company, and then the acquisition of Medicare drugstore, followed by air brush Medicare card,http://www.dsafw.com/home.php?mod=space&uid=7550, has defrauded the basic medical insurance pool fund total 195,000 yuan. Recently, Suzhou City Court heard the case, fraud, ruling Zhou 3 years and 4 months imprisonment and fined 40,000 yuan; sentenced to 6 people Yin imprisonment for 1 year 9 months to 1 year ranging from six months and a fine ranging from 10,chaussure louboutin femme,000 to 3000 yuan. & Nbsp; & nbsp; Modern Express Reporter Correspondent Ma Li Jie
Social Security Monitor found abnormal pharmacy
May 2013, the social security fund center in Suzhou by masses and view in-store monitoring, found Ann pharmacy Wuzhong District (a pseudonym), five card dispensing pharmacies abnormal: a group of people often take batches into the pharmacy packaged medicines, by credit card cashier checkout bag outside the label affixed to enter the drug name, but does not check the bag of drugs, cash should not pay the fee. After examination, the Social Security Fund Center believes that the presence of these pharmacies dispensing process disguise fraud MBF case, then reported to the police.
It is understood that basic health insurance card accounts contain gold,http://blog.vanghe.cn/?action-viewcomment-type-news-itemid-10, gold and supplementary medical expense gold three parts, basic medical insurance payment is based on the actual percentage of people pay health insurance hit the amount on the card, after the basic health-Au,http://www.menqiu.com/home.php?mod=spacecp&ac=blog&blogid=, enter at their own expense , the insured person pays 600 yuan after the 2500 yuan will produce Supplementary Fund, part of the amount in the actual purchase of medicines, individuals pay only 40%, and the remaining 60% by the state subsidies to pharmacies. But many people do not know the existence of supplementary funds.
Taking advantage of loopholes in the health insurance fund
It is understood that,http://me.ujn.edu.cn/article/Review.asp?NewsID=1617,polo ralph lauren femme, in September 2010, Zhou involved in pharmacy industry, business aside, he discovered the flaw, as long as the basic health cash compensation in the card to the cardholder, get health insurance card, pharmacies can not sell any drugs in The case empty card,http://my.5754.cn/home.php?mod=spacecp&ac=blog&blogid=, taking 60 percent of the state subsidies, a card can cover 1,500.
When the end of the year, Zhou funded Ann Drugstore Ltd.,http://qkwenyi.com/home.php?mod=space&uid=50479, until December 2012,christian louboutin homme, he has acquired five Medicare drugstore to drugstore Ann headquarters and employs Yin, Lee 6 people.
Is receiving more Medicare card,http://www.jrkz.cc/forum.php?mod=viewthread&tid=192570, beginning in 2012, the drugstore of the membership card system, to become a member of the customer, pharmacy Medicare card balance back to the customer, and there is 600 yuan subsidy a balance of membership card,http://xuanbiao.com.cn/home.php?mod=space&uid=71718, membership card in in-store purchase of non-insured medicines, daily necessities. Provided that the Medicare card must be stored in the pharmacy.
Members left the Medicare card, the cashier put the balance of air brush, then brush pays part of the last SWIPE supplementary fund, remove the compensation to the customer 600 yuan per card up to a net profit of 900 yuan.
Hired "extras" to cope with the social security monitor
By the end of 2012,piumini moncler, NII has increased the designated medical institutions supervision, the installation of cameras in the pharmacy cashier, former cashier swipe method will not work without permission. In January 2013,nike tn pas cher, the pharmacy began to hire "extras", "one person, one card," turn card, social security payable monitor.
Zhou, who lease the five vans, recruiting social workers back and forth between five pharmacies. To speed up the credit card rate, the gang sold drugs to fight the false packaging, labeling, convenient cashier entry. These drugs wrapped in recycled between five pharmacies without physical access.
In December 2012-April 2013 period, just five months, five pharmacies to defraud the basic medical insurance pool fund total 195,000 yuan. |
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發表於 2015-7-4 11:18:38
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