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发表于 2015-6-28 09:51:36 | 只看该作者 回帖奖励 |倒序浏览 |阅读模式
Medicare Notes taped to the wall seems clear, but in practice there are many problems. Chief reporter Wang Yuheng photo
Yuxi City Yimen a private hospital on suspicion of violating health insurance policy, insurance business was halted and subjected to administrative penalties. The hospital refused to accept the punishment, that is the relevant departments, "as chaos." After the administrative reconsideration is denied, the private medical center hospital paper petition to court, claims more than 30 million loss. Yesterday, the Yimen People's Court hearing of the case.
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It was stopped on suspicion of violation of the health insurance business
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Easy door rebirth Hospital (hereinafter referred to as "rebirth Hospital"),air jordan homme pas cher, six years ago in Yimen the establishment of the first private hospital.
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June 30 this year, Yimen urban basic medical insurance fund management center (hereinafter referred to as "medical center") to the hospital issued a "rebirth of the hospital designated medical institutions deal with violations of the notice" (hereinafter referred to as "processing notice"), make a decision on the rebirth of the hospital: deduction compliance fees; basic health care services during the cease three months for rectification,louboutin pas cher femme, rectification, for any reason shelter Medicare card, after the end of three months, depending on the rectification of the restoration of basic health insurance; rectification time July 1 to September 30.
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Yimen medical center,tiffany outlet italia, said on February 19, when the Medicare auditors for the rebirth of insured hospital for routine check and found that hospitals in the "hanging bed hospital," hospital charges to change the "blood therapy" costs and other irregularities, and asked the hospital for immediate rectification.
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From February 23 to March 10, Medicare auditors also took fourth spot checks of hospital, still find the same violations. Among them, the verification by insurance for urban workers found that 17 inpatient medical condition of the insured medical practices irregularities, illegal fees reached more than 57,000 yuan, of which 12 were found during verification of secondary untreated. Verification by insurance for urban residents found that a total of three cases hospitalization insured residents of irregularities medical practices,boutique louboutin paris, illegal cost more than 16,000 yuan.
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Apply for administrative reconsideration was rejected twice
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At the same time, personnel and labor bureau Yimen also to lower rebirth hospital issued a "labor and social security administrative punishment prior notice" (hereinafter referred to as "penalty notice"), after deducting the cost of 7.3 million yuan of non-compliance, to 10 million at the dollar fine. Reporters also Yimen Personnel and Labor Bureau issued a written material to see the rebirth of the hospital 20 people accused offenders.
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Rebirth hospital insisted that no violation of their own health insurance policy, that the punishment unreasonable grounds, on the "notification process" Yimen People's Government made to apply for administrative reconsideration. July 1, Yimen Government informed the book, that the behavior does not belong to the scope of Administrative Reconsideration Law is admissible, inadmissible.
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July 21, the rebirth of the hospital ED Yimen Personnel and Labor Bureau to apply for administrative reconsideration.
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Rebirth hospital in the application, said: "The fact is contrary to the applicant,http://www.ipdiusa.com/bbs/forum.php?mod=viewthread&tid=1070251, no serious investigation,http://www.kh.rim.or.jp/~goburin/cgi-bin/custombbs.cgi/, not to listen repeatedly to defend themselves and explain the applicant, the applicant has also ignored the fact that the rectification,tiffany outlet, bent, made sloppy" process notice "is extremely irresponsible. "
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August 20,air jordan pas cher, Personnel and Labor Bureau Yimen again for the same reason, rejected the application for administrative reconsideration.
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From August 27, the higher authorities multilateral coordination,tiffany milano,http://www.xiaodaima.com/thread-765540-1-1.html, medical center resumed operations rebirth Medicare hospital.
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V. Private hospital medical center "chaos as"
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After the rebirth of the hospital insurance business was stopped, fewer and fewer medical patients, many departments have shuttered. Lu Ping said Dean rule,http://jdtmproductions.com/network/profile.php?id=49988, there Yimen 170,000 population, of which nearly 14 million are rural. If no new rural cooperative medical designated qualified, it means the loss of the right to participation in rural health care. This hospital is indeed a fatal blow.
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In front of the hospital's cold, the rebirth of the hospital due to his medical center issued a "notification process", that is the health care center in "chaos as" Medicare is the name of the name to remediation hospital, seriously harm the interests of the hospital.
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September 10, the rebirth of the hospital to hire a lawyer,http://www.hsfbuy.com/bbs/forum.php?mod=viewthread&tid=108225, a paper administrative complaint will be reported to the medical center Yimen the court to nullify the "notification process" of labor administrative penalties; the return of the medical center of the detained more than 70,000 yuan of medical expenses and compensation for the economic loss is stopped during the health care business more than 30 million.
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Yesterday morning, Yimen the court hearing of the case.
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On the court, the hospital argued that the hospital's work that there are some medical institutions do not meet the requirements of the non-standard place, management operations also have inappropriate places. Occasionally individual patient treatment time is there not in the hospital, the hospital can not control this phenomenon,christian louboutin homme, but there is no "hanging bed hospital 'and hospital bills to change the" blood therapy "costs and other irregularities.
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The hospital believes that a major misunderstanding medical center for some aspects of the work of the hospital's existence, and this misconception is the existence for many years,hollister, the main medical center is discrimination against private hospitals, private hospitals and has not put the same treatment in public hospitals. So in the "process notice" to the process, not a serious investigation, not to listen repeatedly to defend themselves and explain the hospital, but also ignore the fact that the hospital has been rectification presence unclear facts, insufficient evidence, facts wrong.
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Called medical center,http://gotaware.com/forum.php?mod=viewthread&tid=38428&fromuid=569, the center of all urban residents in the basic medical insurance designated medical institutions and drugstore are treated equally in the management and services nor have discriminatory attitudes. The reason for the hospital to a "process," which is in many cases the verification, in the education, build a harmonious angle before making a "deal with the notification", there is a factual basis and in accordance with the agreement.
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Medical center argued that the hospital told it wrong
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In court yesterday, the medical center said in the reply, the hospital was "told it wrong." Because the relationship between the hospital and they just agreed to a contract,abercrombie pas cher, the rights and obligations of both parties are based on the service agreement signed by both parties arising,scarpe hogan donna, rather than enabling laws and regulations. Moreover, health care centers and institutions, does not have the power of administrative law enforcement,christian louboutin homme,http://www.danaobao.com/bbs/forum.php?mod=viewthread&tid=39991, "deal with notice" not have the effect of administrative punishment, it belongs to the scope of civil cases. Disputes between them, merely disputes the agreement on the contract. The rebirth of the hospital administrative litigation proceedings, the subject of proceedings there are significant deviations, so please the court dismissed the claims of the hospital.
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Hospital said the two sides signed a service agreement, in fact, form contract,http://bbs.wcxt.cn/forum.php?mod=viewthread&tid=135449, which will have provisions: service agreement and disagreement the disputes can be resolved through administrative proceedings. So the hospital side that "tell the wrong object," the problem does not exist.
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For this, the medical center court acknowledged that the provisions of the agreement because the terms of the contract, there are some flaws, especially to this article, complete with China's relevant laws breach the terms of the law is wrong, litigation provisions due to an error caused by an error of course litigation .
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The case will choose a sentencing date.
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□ correspondent Lei Xia body (Spring City Evening News)
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