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Case 1: Beijing Tiantong Kuanjie Traditional Chinese Medicine Hospital lacks a surgical record
During the inspection, the medical insurance department found that some outpatient surgery items of Beijing Tiantong Kuanjie Traditional Chinese Medicine Hospital did not have surgical records, involving an amount of 16,411 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
02
Case 2: The traditional Chinese medicine plaster of Beijing Sunshine Lutong Traditional Chinese Medicine Hospital does not meet the connotation of the project
During the inspection, the medical insurance department found that the actual operation of the traditional Chinese medicine ointment of Beijing Sunshine Lutong Traditional Chinese Medicine Hospital did not match the connotation of the project, involving an illegal amount of 4,884 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
03
Case 3: The declared project of Beijing Yusheng Jiahe Stomatological Hospital is inconsistent with the actual application
During the inspection, the medical insurance department found that Beijing Yusheng Jiahe Dental Hospital charged minimally invasive complex tooth extraction, which was actually impacted tooth extraction, and the declared items were inconsistent with the actual application, involving a violation amount of 1,560 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
04
Case 4: Unreasonable drug use in Beijing Hope Hospital
During the inspection, the medical insurance department found that Beijing Hope Hospital lacked relevant diagnostic basis to prescribe calcium carbonate D3 tablets, and used drugs irrationally, involving an illegal amount of 108.16 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
05
Case 5: The number of declarations from Beijing Huangcheng Femoral Head Necrosis Specialized Hospital is inconsistent with the actual application
During the inspection, the medical insurance department found that the number of Chinese medicine hot bags (extra-large) declared by Beijing Huangcheng Femoral Head Necrosis Specialist Hospital was inconsistent with the actual application, involving a violation amount of 1,344 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
06
Case 6: The Chinese herbal medicine used in Shahe Hospital of Integrated Traditional Chinese and Western Medicine, Changping District, Beijing exceeded the dose of the pharmacopoeia and did not double-sign
During the inspection, the medical insurance department found that the Shahe Hospital of Integrated Traditional Chinese and Western Medicine in Changping District, Beijing had the problem of using Chinese herbal medicines in excess of the pharmacopoeia dose without double signing, involving a violation amount of 1,159.66 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
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Case 7: The Chinese herbal medicine in Beijing Longxi Hospital was used in excess of the pharmacopoeia dose and was not double-signed
During the inspection, the medical insurance department found that Beijing Longxi Hospital had the problem of using Chinese herbal medicines in excess of the pharmacopoeia dose without double signing, involving a violation amount of 1,630.46 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
08
Case 8: The treatment order registration of Guangming Orthopedic Hospital in Changping District, Beijing was incomplete
During the inspection, the medical insurance department found that some of the treatment orders of Guangming Orthopedic Hospital in Changping District, Beijing were incomplete, involving an amount of 5,562 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
09
Case 9: Beijing Kaisheng Hospital irrational drug use
During the inspection, the medical insurance department found that Beijing Kaisheng Hospital lacked relevant diagnostic basis to prescribe Naoxintong capsules, and used drugs irrationally, involving an illegal amount of 405.3 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
10
Case 10: The Chinese herbal medicine in Beijing David Hospital of Traditional Chinese Medicine exceeded the dose of the pharmacopoeia and was not double-signed
During the inspection, the medical insurance department found that Beijing David Traditional Chinese Medicine Hospital had the problem of using Chinese herbal medicines in excess of the pharmacopoeia dose without double signing, involving a violation amount of 842.06 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
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Case 11: There are more than 4 TCM treatments in Beijing Taishen Xianghe Traditional Chinese Medicine Hospital
During the inspection, the medical insurance department found that Beijing Taishen Xianghe Traditional Chinese Medicine Hospital had more than 4 problems with traditional Chinese medicine treatment, involving an illegal amount of 225 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
12
Case 12: Some patients in the Tiantongyuan Outpatient Department of the Aviation General Hospital did not sign the treatment order
During the inspection, the medical insurance department found that some patients in the Tiantongyuan outpatient department of the Aviation General Hospital did not sign the treatment orders, involving an illegal amount of 320 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
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Case 13: Unreasonable use of drugs in Beijing Suncity Hospital
During the inspection, the medical insurance department found that Beijing Suncity Hospital lacked the relevant diagnostic basis to prescribe ezetimibe tablets and used drugs irrationally, involving an illegal amount of 572.04 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
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Case 14: Part of the physiotherapy orders in the outpatient department of Tiantong Yikang Traditional Chinese Medicine in Changping, Beijing were incomplete
During the inspection, the medical insurance department found that the acupuncture of special acupuncture points in the outpatient department of Tiantong Yikang Traditional Chinese Medicine in Changping, Beijing did not indicate the acupuncture points, involving an illegal amount of 918 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
15
Case 15: Treatment at Shahe Community Health Service Center that exceeds the scope of medical insurance coverage
During the inspection, the medical insurance department found that the repeated operation of cervical spondylosis massage treatment and cervical facet joint disorder massage treatment in Shahe Community Health Service Center, Changping District, Beijing, Shahe Town Health Center, Changping District, Beijing, belonged to the treatment beyond the scope of medical insurance payment, involving an illegal amount of 129 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
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Case 16: Yangfang Community Health Service Center irrational drug use
During the inspection, the medical insurance department found that the Yangfang Community Health Service Center of Changping District, Beijing, and the Yangfang Town Health Center of Changping District, Beijing lacked the relevant diagnostic basis to prescribe amlodipine besylate tablets, and the drug was used irrationally, involving an illegal amount of 34.62 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
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Case 17: Unreasonable drug use at Machikou Community Health Service Center
During the inspection, the medical insurance department found that the Machikou Community Health Service Center of Changping District, Beijing Municipality lacked the relevant diagnostic basis to prescribe Liuwei Dihuang pills and irrational drug use, involving an illegal amount of 46 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
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Case 18: Unreasonable drug use at Nankou Community Health Service Center
During the inspection, the medical insurance department found that the Nankou Community Health Service Center in Changping District, Beijing lacked the relevant diagnostic basis to prescribe atorvastatin calcium tablets, and used drugs irrationally, involving an illegal amount of 327.18 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
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Case 19: Unreasonable use of drugs in Liucun Community Health Service Center
During the inspection, the medical insurance department found that the Liucun Community Health Service Center of Changping District, Beijing, and the Liucun Town Health Center of Changping District, Beijing, lacked the relevant diagnostic basis to prescribe calcium carbonate D3 tablets, and used drugs irrationally, involving an illegal amount of 81.12 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
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Case 20: Unreasonable drug use in the community health service center of Shahe Higher Education Park
During the inspection, the medical insurance department found that the Community Health Service Center of Shahe Higher Education Park, Changping District, Beijing, lacked relevant diagnostic basis to prescribe metformin hydrochloride tablets, which was irrational in the use of drugs, involving an illegal amount of 248.95 yuan.
In accordance with the relevant provisions of the "Service Agreement for Designated Medical Institutions for Basic Medical Security in Beijing", the medical insurance department shall recover the relevant illegal fees.
END
Source: Changping Medical Insurance
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