In the supervision of the medical insurance fund, illegal charges for surgery is a relatively common violation, mainly manifested in the decomposition of surgical charges, violating the price regulations charges, string of surgical items for charges, and so on.
Decomposition of surgical charges: a surgical procedure contains several separate surgical items that must be done, only the surgical fee for the operation can be charged, and the intraoperative charges shall not be decomposed.
Charges in violation of price regulations: The price policy stipulates that medical service items with "including" indicates the service content that should be provided in the service, and these service contents shall not be broken down and charged separately.
Charges for the exchange of surgical items: the name of the surgery in the surgical record is inconsistent with the name of the surgery uploaded to the medical insurance system, and the charges result in the loss of the medical insurance fund.