Deputy Director of Thai An Hospital and 6 nurses were prosecuted for creating fake medical records and taking advantage of insurance.
(Baonghean.vn) - On July 31, the Investigation Police Agency, Vinh City Police issued a decision to prosecute the case and prosecute the defendants for the crime of "Health insurance fraud" as prescribed in Article 215 of the Penal Code.
Previously, through the work of grasping the situation, Vinh City Police discovered a group of subjects who regularly colluded with medical staff of hospitals in the province to create fake medical records to profit from commercial insurance and health insurance. Under the direction of the Provincial Police Department, Vinh City Police established a special project to combat and destroy.
After a period of focused fighting, the police agency identified a number of subjects in Vinh city and neighboring areas who intended to profit from health insurance and commercial insurance, so they colluded with nurses: Nguyen Thi Hang (born in 1991), Dang Thi Anh Tu (born in 1984), Le Thi Thanh Tam (born in 1986), Luong Thi Be (born in 1982), Tran Thi Hue (born in 1988) and doctors: Hoang Dang Thanh (born in 1986), Dinh Thi My Dung (born in 1959) of Thai An General Hospital to create fake records.
The subjects participating in health insurance or commercial insurance are not sick, do not need medical examination or treatment, but when the "brokers" connect them to Thai An General Hospital for the purpose of taking advantage of health insurance. Here, the subjects provide their citizen identification and health insurance card to nurse Nguyen Thi Hang or nurse Dang Thi Anh Tu to complete the admission procedures and take them to the Interdisciplinary Department to meet with doctor Hoang Dang Thanh or Dinh Thi My Dung to sign the legalization of examination and treatment procedures.
Every day, although the patients are not treated at the hospital, doctors Hoang Dang Thanh or Dinh Thi My Dung and nurses: Nguyen Thi Hang, Dang Thi Anh Tu, Le Thi Thanh Tam, Luong Thi Be, Tran Thi Hue all participate in signing falsely on the medical records. When the number of days to create the medical records is sufficient, the administrative nurse notifies the subject whose name is in the medical records to come and sign the procedures and pay the hospital fees according to the established medical records. Some subjects do not directly come to the hospital to sign the admission and discharge procedures, take photos of their citizen identification cards and health insurance cards and send them via phone so that the nurses and doctors can create the records and have someone else sign on their behalf in the records section of the medical records.
Initially, the Investigation Police Agency of Vinh City Police clarified: From 2021 to early 2023, Thai An General Hospital created 153 fake medical records. Of which, 59 records were created by subjects using health insurance cards when creating medical records, so Thai An General Hospital was paid by Nghe An Provincial Social Insurance for health insurance examination and treatment costs with an amount of more than 100 million VND. The subjects named in the medical records paid hospital fees to Thai An General Hospital with an amount of more than 200 million VND. The subjects who took advantage of insurance after Thai An General Hospital falsified medical records paid (resolved benefits for hospital cost support) to commercial insurance companies with an amount of more than 2 billion VND.
At the investigation agency, doctors, nurses, related subjects and subjects whose medical records were recorded all confessed to their participation in creating fake medical records. The actions of the above subjects caused losses to the health insurance fund and the reputation of hospitals and medical examination and treatment facilities.
Currently, the Investigation Police Agency of Vinh City Police has issued a decision to prosecute the case, prosecuting 7 defendants who are nurses and doctors of Thai An General Hospital for the crime of "Health insurance fraud" stipulated in Article 215 of the Penal Code, including: Dinh Thi My Dung (born in 1959) - Deputy Director, concurrently Head of the Interdisciplinary Department); Tran Thi Hue (born in 1988) - Head of Nursing Department; Hoang Dang Thanh (born in 1986), Nguyen Thi Hang (born in 1991), Dang Thi Anh Tu (born in 1984), Le Thi Thanh Tam (born in 1986), Luong Thi Be (born in 1982).
The police are continuing to clarify the actions of other related subjects./.
