What is the meaning of cheating medical insurance

Legal analysis:

Fraudulent insurance means fraudulent use of health insurance funds, is the problem of internal and external collusion between hospitals and patients, fraudulent use of health insurance costs. For example:Violation of overcharging, replacement of items set charges, decomposition of hospitalization; alteration of medical documents, set the social security card on behalf of the prescription of drugs, no qualification personnel on duty; fictitious records of medical consultations, the private share of fraudulent health insurance funds; participants in the forgery of bills, holding multiple social security card repeat prescription of drugs and other ways to fraudulent health insurance funds. Fraud, falsification of documents or other means of obtaining social insurance benefits, does not constitute a crime, the social insurance administrative department shall order the return of fraudulent social insurance benefits, and impose a fine of not less than two times and not more than five times the amount of fraud; if the amount is large, shall be sentenced to not more than five years' fixed-term imprisonment or detention, and shall be sentenced to not less than 10,000 yuan and not more than 100,000 yuan in fine; if the amount is huge or there are other serious circumstances, shall be sentenced to not less than five years and not more than 10 years The amount is huge or there are other serious circumstances, shall be sentenced to five to ten years of fixed-term imprisonment, and impose a fine of 20,000 yuan or more than 200,000 yuan; the amount is particularly large or there are other particularly serious circumstances, shall be sentenced to ten years of fixed-term imprisonment and impose a fine of 20,000 yuan or more than 200,000 yuan or confiscate property.

Legal basis:

Article 87 of the Social Insurance Law of the People's Republic of China and the social insurance agencies and medical institutions, pharmaceutical companies and other social insurance service institutions to fraud, falsification of documents or other means to cheat the social insurance fund expenditure, the social insurance administrative department shall order the return of fraudulent social insurance payments, and impose a fraudulent amount of more than two times the amount of a fine of five times the amount of the following ; belonging to the social insurance service organization, the termination of the service agreement; directly responsible for the supervisors and other directly responsible personnel have a license to practice, according to the law to revoke their license to practice. Accordingly, the medical institutions by means of false treatment items and treatment costs and other means of fraudulent expenditure of the basic medical insurance fund, shall bear the following legal responsibilities:

First, the social insurance administrative department shall order the return of fraudulent basic medical insurance premiums.

Secondly, the administrative department of social insurance shall impose an administrative penalty of a fine of not less than two times and not more than five times the amount of the fraud.

Third, the termination of the service agreement.