2023-12-03 12:53:33
The doctor created an Excel spreadsheet to report to the government department that the hospital had overcharged medical bills. (Schematic diagram/pexels)
The Xinglin scandal broke out in Anhui, mainland China. A local public hospital was found by the family members of long-term hospitalized patients to have deliberately overcharged various fees during the seven-month stay of the patient, including non-existent treatment courses, medical fees, equipment fees, and even low-priced and over-billed public medical insurance funds. .
According to the “Economic Observer Network” report, the father of Dr. Yang was found comatose by his family in March 2022. After being admitted to the Wuhu Second People’s Hospital, it was confirmed that Yang’s father had a stroke and active treatment was given. Unfortunately, Yang’s father still passed away in October of the same year. . Unexpectedly, the doctor and his mother checked that Yang’s father had been hospitalized for 117 days, had a total of three craniotomy surgeries, long-term stay in the intensive care unit and other related expenses, and found that the hospital had overcharged him for medical expenses.
While her husband was hospitalized, Yang’s mother went to the hospital every day to confirm whether the medical staff had performed dialysis for her husband, who was suffering from diabetes and kidney disease. She used the spirit of a “skilled accountant” and asked the intensive care unit nurse to issue bills in addition to routine payment bills. , go home and make it into Excel. The doctor pointed out that it all started when my aunt was told by the hospital in June last year that “there was not enough money in the account and failure to pay would affect the treatment.” In July, she learned from her mother that following other family members complained regarding being overcharged, she received thousands of dollars from the hospital. For a refund, quickly go to the system to confirm the payment status, and then make an Excel review.
(Picture/reproduced from Weibo)
The doctor discovered that my father’s total insulin consumption at that time was as high as 138 tubes, with an average of 1.18 tubes per day, which was beyond medical common sense. Moreover, my father had been suffering from uremia for many years and had no urine for many years, but the expenses related to urinary catheters were recorded. After checking each expense on a daily basis with the mother’s chart, and following drawing the chart, it was confirmed that there were “obvious fluctuations” in kidney dialysis and antibiotics. I continued to compare the doctor’s order records, nursing records, and expense lists, and found that the kidney dialysis item alone was overcharged by 10,580. Yuan (approximately NT$46,000) in the non-existent medical category.
(Picture/reproduced from Weibo)
The doctor continued to investigate and confirmed that there were rehabilitation treatments and exercise treatments that did not exist, as well as high unit price items and drug use whose frequency and price did not comply with the disease course records and nursing records. Finally, following more than 2 months, it was calculated that the hospital overcharged 103,681.93 yuan ( Approximately NT$458,000) medical expenses.
But what made the Yang family dumbfounded was that the hospital “first admitted, then questioned and then denied” this. Even the local medical and law enforcement agencies were unable to determine whether there were overcharges until the Wuhu Medical Security Fund Supervision Affairs Center announced in September this year , told them that they had recovered 1,869,14.7 yuan (approximately NT$820,000) in medical insurance funds and asked the hospital to refund 31,287.29 yuan (approximately NT$190,000) in patients’ out-of-pocket expenses. However, the doctoral student still feels disdainful that the hospital that is supposed to save lives actually defrauded patients and overcharged patients, and is still in contact with relevant departments to confirm whether the hospital has been punished.
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