可乐终结者 发表于 2023-1-11 17:05:14

@绵阳人注意!2月1日正式施行,举报这些行为最高可奖20万,涉及违规使用医保基金等。

<p style="margin: 0px;padding: 0px;clear: both;min-height: 1em;outline: 0px;max-width: 100%;color: rgb(62, 62, 62);font-family: 微软雅黑;font-size: 17px;font-style: normal;font-variant-ligatures: normal;font-variant-caps: normal;font-weight: 400;letter-spacing: 0.544px;orphans: 2;text-align: justify;text-indent: 0px;text-transform: none;white-space: normal;widows: 2;word-spacing: 0px;-webkit-text-stroke-width: 0px;text-decoration-style: initial;text-decoration-color: initial;vertical-align: inherit;line-height: 2em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="margin: 0px;padding: 0px;outline: 0px;max-width: 100%;color: rgb(63, 63, 63);font-size: 18px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"></span></p><p style="margin: 0px;padding: 0px;clear: both;min-height: 1em;outline: 0px;max-width: 100%;color: rgb(62, 62, 62);font-family: 微软雅黑;font-size: 17px;font-style: normal;font-variant-ligatures: normal;font-variant-caps: normal;font-weight: 400;letter-spacing: 0.544px;orphans: 2;text-align: justify;text-indent: 0px;text-transform: none;white-space: normal;widows: 2;word-spacing: 0px;-webkit-text-stroke-width: 0px;text-decoration-style: initial;text-decoration-color: initial;vertical-align: inherit;line-height: 2em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></p><p><section style="text-align: center;margin-bottom: unset;"><section>近日</section><p>四川省医疗保障局、四川省财政厅</p><p>联合印发《四川省违法违规使用医疗保障基金举报奖励办法》</p><p>(以下简称《奖励办法》)</p><p><br/></p><p></p><p><br/></p>《奖励办法》提到<h1 style="font-weight: bold;line-height: 1.6em;"><span style="font-size: 17px;color: rgb(123, 12, 0);"><strong>举报违法违规使用医保基金</strong></span></h1><h1 style="font-weight: bold;line-height: 1.6em;"><span style="font-size: 17px;color: rgb(123, 12, 0);"><strong>最高奖励20万</strong></span></h1><span style="color: rgb(123, 12, 0);"><strong>《办法》将于2023年2月1日正式施行</strong></span></section><section data-support="96编辑器" data-style-id="41402" style="margin-bottom: unset;"><section data-align="title" style="display: flex;margin-top: 10px;margin-bottom: 10px;justify-content: center;align-items: flex-end;"><section style="width: 6px;height: 23px;border-width: 1px;border-style: solid;border-color: rgb(52, 72, 208);margin-bottom: 3px;margin-right: -3px;box-sizing: border-box;"><br/></section><section style="z-index:1;"><section style="width:21px;margin-left:7px;margin-bottom:-3px;"><br/></section><section style="background-color: rgb(242, 246, 255);padding-bottom: 3px;box-sizing: border-box;"><section style="border-bottom: 1px solid rgb(52, 72, 208);padding: 7px 26px;box-sizing: border-box;"><section style="font-size:16px;color:#3448d0;letter-spacing:2px;"><p style="text-align: center;"><span style="font-size: 17px;"><strong>奖励标准</strong></span></p><p style="text-align: center;"><span style="font-size: 17px;"><strong>最低200元最高20万元</strong></span></p></section></section></section></section><section style="width: 6px;height: 23px;border-width: 1px;border-style: solid;border-color: rgb(52, 72, 208);margin-bottom: 3px;margin-left: -3px;box-sizing: border-box;"><br/></section></section></section><section><p><br/></p><p style="margin-bottom: 16px;outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);caret-color: rgb(34, 34, 34);text-size-adjust: inherit;text-indent: 2em;line-height: 1.6em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="letter-spacing: 0.5px;font-size: 17px;text-indent: 0em;outline: 0px;max-width: 100%;caret-color: red;box-sizing: border-box !important;overflow-wrap: break-word !important;">按照《奖励办法》,自然人、法人或者其他组织(简称举报人)向医保行政部门</span><span style="letter-spacing: 0.5px;font-size: 17px;text-indent: 0em;outline: 0px;max-width: 100%;color: rgb(123, 12, 0);box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">反映涉嫌违法违规使用医保基金行为并提供相关线索</strong></span><span style="letter-spacing: 0.5px;font-size: 17px;text-indent: 0em;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;caret-color: red;">,经查实后应予以奖励。同时,违法违规使用居民大病保险、生育保险、医疗救助、职工大额医疗费用补助、公务员医疗补助等医疗保障资金的,也参照《奖励办法》规定给予相应奖励。</span>举报人要获得奖励还需符合相关条件:</span></p><section data-role="outer" label="edit by 135editor" style="margin-bottom: 0px;outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);caret-color: rgb(34, 34, 34);text-size-adjust: inherit;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section data-role="paragraph" style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section data-tools="135编辑器" data-id="121441" style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="margin: 10px auto;outline: 0px;max-width: 100%;transform-style: preserve-3d;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="padding: 25px 15px 15px;outline: 0px;max-width: 100%;border-width: 1px;border-style: solid;border-color: rgb(82, 178, 166);border-radius: 8px;transform: translateZ(5px);box-sizing: border-box !important;overflow-wrap: break-word !important;"><section data-autoskip="1" style="outline: 0px;max-width: 100%;line-height: 1.75em;letter-spacing: 1.5px;font-size: 14px;color: rgb(82, 178, 166);box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="max-width: 100%;cursor: text;color: rgb(0, 0, 0);font-size: 17px;caret-color: rgb(255, 0, 0);font-family: 微软雅黑, sans-serif;text-indent: 0em;max-inline-size: 100%;line-height: 1.6em;outline: none 0px !important;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;letter-spacing: 0.5px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;cursor: text;color: rgb(61, 167, 66);max-inline-size: 100%;">▲</span><span style="max-width: 100%;cursor: text;max-inline-size: 100%;">&nbsp;有明确的被举报对象和具体违法违规线索,并提供了有效证据;</span></span></section><section style="max-width: 100%;cursor: text;color: rgb(0, 0, 0);font-size: 17px;caret-color: rgb(255, 0, 0);font-family: 微软雅黑, sans-serif;text-indent: 0em;max-inline-size: 100%;line-height: 1.6em;outline: none 0px !important;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 17px;max-width: 100%;cursor: text;max-inline-size: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></span></section><section style="max-width: 100%;cursor: text;color: rgb(0, 0, 0);font-size: 17px;caret-color: rgb(255, 0, 0);font-family: 微软雅黑, sans-serif;text-indent: 0em;max-inline-size: 100%;line-height: 1.6em;outline: none 0px !important;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;letter-spacing: 0.5px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;cursor: text;color: rgb(61, 167, 66);max-inline-size: 100%;">▲</span><span style="max-width: 100%;cursor: text;max-inline-size: 100%;">&nbsp;举报的主要事实、证据事先未被医保部门掌握;</span></span></section><section style="max-width: 100%;cursor: text;color: rgb(0, 0, 0);font-size: 17px;caret-color: rgb(255, 0, 0);font-family: 微软雅黑, sans-serif;text-indent: 0em;max-inline-size: 100%;line-height: 1.6em;outline: none 0px !important;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 17px;max-width: 100%;cursor: text;max-inline-size: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></span></section><section style="max-width: 100%;cursor: text;color: rgb(0, 0, 0);font-size: 17px;caret-color: rgb(255, 0, 0);font-family: 微软雅黑, sans-serif;text-indent: 0em;max-inline-size: 100%;line-height: 1.6em;outline: none 0px !important;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;letter-spacing: 0.5px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;cursor: text;color: rgb(61, 167, 66);max-inline-size: 100%;">▲&nbsp;</span><span style="max-width: 100%;cursor: text;max-inline-size: 100%;">被举报行为已造成医保基金损失并查证属实;</span></span></section><section style="max-width: 100%;cursor: text;color: rgb(0, 0, 0);font-size: 17px;caret-color: rgb(255, 0, 0);font-family: 微软雅黑, sans-serif;text-indent: 0em;max-inline-size: 100%;line-height: 1.6em;outline: none 0px !important;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 17px;max-width: 100%;cursor: text;max-inline-size: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></span></section><section style="max-width: 100%;cursor: text;color: rgb(0, 0, 0);font-size: 17px;caret-color: rgb(255, 0, 0);font-family: 微软雅黑, sans-serif;text-indent: 0em;max-inline-size: 100%;line-height: 1.6em;outline: none 0px !important;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;letter-spacing: 0.5px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;cursor: text;color: rgb(61, 167, 66);max-inline-size: 100%;">▲</span><span style="max-width: 100%;cursor: text;max-inline-size: 100%;">&nbsp;举报人愿意得到举报奖励,并提供相关真实有效信息;</span></span></section><section style="max-width: 100%;cursor: text;color: rgb(0, 0, 0);font-size: 17px;caret-color: rgb(255, 0, 0);font-family: 微软雅黑, sans-serif;text-indent: 0em;max-inline-size: 100%;line-height: 1.6em;outline: none 0px !important;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;letter-spacing: 0.5px;font-size: 17px;max-width: 100%;cursor: text;max-inline-size: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></span></section><section style="max-width: 100%;cursor: text;color: rgb(0, 0, 0);font-size: 17px;caret-color: rgb(255, 0, 0);font-family: 微软雅黑, sans-serif;text-indent: 0em;max-inline-size: 100%;line-height: 1.6em;outline: none 0px !important;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;letter-spacing: 0.5px;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="max-width: 100%;cursor: text;color: rgb(61, 167, 66);max-inline-size: 100%;">▲&nbsp;</span><span style="letter-spacing: 2px;max-width: 100%;cursor: text;max-inline-size: 100%;">其他依法依规应予以奖励的必备条件。</span></span></section></section></section></section></section></section></section><p><br/></p><p style="margin-top: 16px;margin-bottom: 8px;outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);caret-color: rgb(34, 34, 34);text-size-adjust: inherit;text-indent: 2em;line-height: 1.6em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;letter-spacing: 0.5px;box-sizing: border-box !important;overflow-wrap: break-word !important;">按照规定,对符合奖励条件的举报人,由医保部门按照案值的一定比例给予一次性资金奖励。案值10万元(含10万元)以下部分奖励2%,10万元至100万元(含100万元)部分奖励1.5%,100万元至1000万元(含1000万元)部分奖励1%,1000万元以上部分奖励0.5%。</span><span style="outline: 0px;max-width: 100%;font-size: 17px;letter-spacing: 0.5px;color: rgb(123, 12, 0);box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">奖励金额最高不超过20万元,最低不少于200元。</strong></span></p><p style="margin-top: 16px;margin-bottom: 8px;outline: 0px;max-width: 100%;color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;letter-spacing: 0.544px;white-space: normal;background-color: rgb(255, 255, 255);caret-color: rgb(34, 34, 34);text-size-adjust: inherit;text-indent: 2em;line-height: 1.6em;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;letter-spacing: 0.5px;box-sizing: border-box !important;overflow-wrap: break-word !important;">各地医保部门将依法保护举报人的合法权益,</span><span style="outline: 0px;max-width: 100%;font-size: 17px;letter-spacing: 0.5px;color: rgb(123, 12, 0);box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="letter-spacing: 2px;font-size: 17px;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;">不得泄露举报人相关信息</span></strong>。</span><span style="outline: 0px;max-width: 100%;font-size: 17px;letter-spacing: 0.5px;box-sizing: border-box !important;overflow-wrap: break-word !important;">如果泄露举报人信息,将按相关规定处理。</span></p></section><section data-support="96编辑器" data-style-id="41402" style="margin-bottom: unset;"><section data-align="title" style="display: flex;margin-top: 10px;margin-bottom: 10px;justify-content: center;align-items: flex-end;"><section style="width: 6px;height: 23px;border-width: 1px;border-style: solid;border-color: rgb(52, 72, 208);margin-bottom: 3px;margin-right: -3px;box-sizing: border-box;"><br/></section><section style="z-index:1;"><section style="width:21px;margin-left:7px;margin-bottom:-3px;"><br/></section><section style="background-color: rgb(242, 246, 255);padding-bottom: 3px;box-sizing: border-box;"><section style="border-bottom: 1px solid rgb(52, 72, 208);padding: 7px 26px;box-sizing: border-box;"><section style="font-size:16px;color:#3448d0;letter-spacing:2px;"><p style="text-align: center;"><span style="font-size: 17px;"><strong>如何举报?</strong></span></p><p style="text-align: center;"><span style="font-size: 17px;"><strong>向所在地或上级医保部门举报</strong></span></p></section></section></section></section><section style="width: 6px;height: 23px;border-width: 1px;border-style: solid;border-color: rgb(52, 72, 208);margin-bottom: 3px;margin-left: -3px;box-sizing: border-box;"><br/></section></section></section><section style="margin-bottom: unset;"><p><br/></p><p style="text-indent: 2em;line-height: 1.6em;"><span style="color: rgb(34, 34, 34);font-family: system-ui, -apple-system, BlinkMacSystemFont, Helvetica Neue, PingFang SC, Hiragino Sans GB, Microsoft YaHei UI, Microsoft YaHei, Arial, sans-serif;caret-color: rgb(255, 0, 0);background-color: rgb(255, 255, 255);font-size: 17px;letter-spacing: 0.5px;">举报人可以直接向涉嫌违法违规使用医疗保障基金行为发生地或机构(人员)所在地医疗保障部门举报,也可以向上级医疗保障行政部门进行举报。</span></p><p><br/></p></section><section style="margin-bottom: unset;"><p></p></section><section style="margin-bottom: unset;"><p><br/></p></section><section style="margin-bottom: unset;"><p style="text-indent: 2em;">注意:举报人在接到领取奖励或复核结果通知起60天内领取奖励,逾期视为主动放弃奖励。同时,如果举报人是医疗保障部门工作人员或者受医疗保障部门委托履行基金监管职责的第三方机构工作人员的,不适用本办法。</p></section><section style="margin-bottom: unset;"><p><br/></p></section><section style="margin-bottom: unset;"><p style="text-align: center;"><strong><span style="color: #7a4442;">扩散周知~</span></strong></p></section><section style="margin-bottom: unset;"><p><br/></p></section><section style="margin-bottom: unset;outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><p style="outline: 0px;max-width: 100%;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;color: rgb(136, 136, 136);box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 14px;box-sizing: border-box !important;overflow-wrap: break-word !important;">来源:四川医保</span></strong></span><span style="outline: 0px;max-width: 100%;letter-spacing: 0.544px;box-sizing: border-box !important;overflow-wrap: break-word !important;"></span></p></section><section data-role="outer" label="edit by 135editor" style="margin-bottom: 24px;outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><p style="outline: 0px;max-width: 100%;line-height: normal;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br/></p></section></p><link rel="stylesheet" href="http://bbs.xishuw.com/source/plugin/wcn_editor/public/wcn_editor_fit.css?v133_spN" id="wcn_editor_css"/>

最爱西瓜 发表于 2023-1-11 17:16:58

刷他人医保卡这种算不算不对

多肉桃桃 发表于 2023-1-11 17:18:40

有明确的被举报对象和具体违法违规线索,并提供了有效证据;

偷心盗贼 发表于 2023-1-11 17:18:54

多肉桃桃 发表于 2023-1-11 17:18
有明确的被举报对象和具体违法违规线索,并提供了有效证据;

那种证据算有效

小吴要长高 发表于 2023-1-11 17:35:07

不得泄露举报人相关信息这才是最主要的

收集快乐 发表于 2023-1-11 17:38:28

没有关注这些

星星口袋 发表于 2023-1-11 17:41:35

举报人愿意得到举报奖励,并提供相关真实有效信息;

Anonymous 发表于 2023-1-15 21:17:15

过度检查可以举报吗?
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查看完整版本: @绵阳人注意!2月1日正式施行,举报这些行为最高可奖20万,涉及违规使用医保基金等。