Station chief warned for forging patient's signature

(Baonghean.vn) - The medical station chief was disciplined with a warning, while his subordinates were reprimanded.

On July 28, Ms. Nguyen Thi Huong - Director of Anh Son District Medical Center, said that this agency has just decided to issue a disciplinary warning to Mr. Le Trung Tien, Head of Tuong Son Medical Station, for allowing a number of violations in medical examination, treatment and provision of health insurance drugs. Meanwhile, the remaining 5 officers of this station were also disciplined by reprimand.

“This is just the initial form of discipline, because currently the working group is still re-evaluating the medical examination and treatment using health insurance at this station throughout 2016 and the first 3 months of 2017. When there is a conclusion, if there are more violations, we will have further measures to handle them,” Ms. Huong said, adding that the station’s staff have also reimbursed the amount of the violations.

In connection with the incident, the remaining 5 officers of Tuong Son Medical Station were also reprimanded. Photo: Huyen Trang.

Previously, after looking up the medical examination and treatment history of a number of patients through the health insurance appraisal information system, insurance officers suspected signs of fraud, so they established a verification team.

Checking nearly 1,300 health insurance payment request lists of Tuong Son Medical Station in less than 3 months (from the beginning of April to June 21, 2017), the working group determined that this station had created 153 lists of medical examination and treatment costs and prescriptions without any patients in reality.

This includes 55 statements in which station staff forged the signatures of health insurance card holders, and 98 cases where people did not directly go to the doctor but asked card holders to come to the station to request medicine.

In addition, the working group also discovered 15 statements without the patient's signature, 169 statements with one person signing on behalf of many people but without clearly stating the relationship, the patient was not confirmed about the content and quantity of services used during the examination and treatment process at the health station...

The statements have the same patient's signature. Photo: Tien Hung

Nghe An Provincial Social Insurance later refused to accept the settlement of all health insurance examination and treatment costs of 70 cases established by Tuong Son Medical Station with a total amount of more than 5 million VND, including 55 cases of forged signatures and 15 cases without patient signatures.

In addition to re-evaluating the health insurance examination and treatment work in 2016 and the first quarter of 2017, a working group is still checking 169 lists with one person signing on behalf of many people to determine how many people actually brought their health insurance cards to see a doctor, and how many people did not go directly to the doctor but asked someone else to bring their health insurance cards to the station to request medicine./.

Tien Hung