中国医疗保险
中國醫療保險
중국의료보험
CHINA HEALTH INSURANCE
2014年
8期
39-41
,共3页
医疗保险卡%聚集性%模型%监督
醫療保險卡%聚集性%模型%鑑督
의료보험잡%취집성%모형%감독
medical insurance card%consistence%model%supervision
针对多卡虚假就医开药并非法出售牟利的骗保行为，建立多卡就医聚集模型，搭建监督系统，有助于及时发现多卡异常使用情形，为冒用、盗用、收购医保卡购药贩卖现象提供预警支持，提高监督检查的成效。
針對多卡虛假就醫開藥併非法齣售牟利的騙保行為，建立多卡就醫聚集模型，搭建鑑督繫統，有助于及時髮現多卡異常使用情形，為冒用、盜用、收購醫保卡購藥販賣現象提供預警支持，提高鑑督檢查的成效。
침대다잡허가취의개약병비법출수모리적편보행위，건립다잡취의취집모형，탑건감독계통，유조우급시발현다잡이상사용정형，위모용、도용、수구의보잡구약판매현상제공예경지지，제고감독검사적성효。
To deal with fraud in medical insurance, which means a insured patient uses multiple insurance cards to seek false medical service and make profits by selling the medicine, constructing a model of multiple insurance cards to build a monitor system is of signifi cant importance to detect the fraud in utilizing medical service, to prevent the risk of the fraud in using medical service and to improve the effi ciency of the supervision on insurance fund expenditure.
