Recently, a dentist in a public hospital in Taiwan, China sent himself to prison for a series of "god" operations such as opening a clinic and defrauding health insurance funds.
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According to Taiwan media ETtoday news cloud, a dentist named Li Zongyi of Taiwan's General Hospital was arrested by the Taipei prosecutor for suspected of opening a clinic, defrauding tens of millions of yuan in health insurance funds and collecting kickbacks from dental merchants. Two colleagues who assisted Li in fraud were released on bail by by , and the dental merchants who bribed them were arrested.
It is understood that the Li Zongyi fraud case occurred because a person found when he was visiting Fujin Clinic in Taipei that the doctor looked very much like the attending physician Li Zongyi, who had met at the Sanjun General Hospital, but the doctor's name written on the treatment sheet was different, so he became suspicious.
After learning of the information, the police launched a search and found that Li was a working physician at the General Hospital of the Three Military Academy of Public Hospital. According to the law, he was a public official who had to report to the approved work. Nowadays, not only do you suspect that you can run Fujin Clinic privately, but you also have a false name in two other clinics (apply for health insurance payment in the name of other doctors) and earn the clinic's operating income.
As the investigation deepened, the police found that Li Zongyi was also suspected of colluding with the dental material merchants who signed a contract with the Third General Hospital, deliberately using the teeth molds of specific dental material merchants, and suspected of collecting kickbacks from them.
Then the police launched a raid to interview colleagues from Li Zai Sanjun General Hospital who was suspected of assisting in defrauding health insurance funds, and arrested tooth merchant Wang Jiali and others to clarify the case.
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So, can doctors in public hospitals open private clinics? is different from Taiwan's current regulations prohibiting regulations, and the mainland has loosened the restrictions.
information shows that as early as February 2018, Li Tianshi, deputy chief physician of plastic surgery at Peking University Shenzhen Hospital, established the Shenzhen Jian'an Medical Beauty Clinic in the Futian Agricultural and Forestry Area in Shenzhen through an individual investment of more than 7 million yuan.
This is the first personal clinic in Shenzhen that is funded by in-service doctors in public hospitals. Dr. Li Tianshi has become the first person to openly establish a private clinic in public hospitals in China.
It is understood that Dr. Li Tianshi's main practice institution is registered in Peking University Shenzhen Hospital, while Duodian practice institution is registered in Jian'an Medical Beauty Clinic. In terms of company registration, she served as the legal representative and investor of Shenzhen Jian'an Medical Beauty Clinic. Although she opened a private clinic, Dr. Li Tianshi did not resign from the hospital. From Monday to Friday, she worked normally at Peking University Hospital , and opened appointments for Jian'an clinic for two days on weekends.
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If the policies for working doctors in public hospitals are not the same in different countries and regions, then refusing dental diagnosis and treatment programs to enter medical insurance is a common practice in the world. In other words, it will be more difficult for dentists to defraud medical insurance funds than other specialized medical care.
The editor searched the China Judgment Documents Network and found that there are currently no cases where oral doctors were sentenced to commit fraud in medical insurance funds. Only the media has reported one related case: In 2011, Zhao Bingsheng, former director of the Dental Department of the Agricultural Seventh Division Hospital of the Xinjiang Production and Construction Corps, was sentenced to 13 years in prison and fined 200,000 for bribing the leaders of the Social Security Center to defraud huge medical insurance funds.
But the difficulty does not mean that there is absolutely nothing. Dutch dentists are so cruel to cheat medical insurance, which makes people feel tooth pain.
China News Network reported in 2016 that the Dutch dentist Van Nilopp, who practiced medicine in France, unauthorizedly removed the healthy teeth of more than 120 patients in order to defraud insurance money! This crazy behavior caused dozens of people to fracture their chins, repeatedly septic, and even suffer from sepsis.
In the end, the "terrifying dentist" was charged with serious injury and fraud, and was sentenced to 10 years in prison and a fine of 150,000 euros.
Another case of dental insurance fraud exposed by the media in the same year is even more shocking: a Dutch dentist claimed to have lost a finger in a car accident and applied for insurance claims for disability inappropriate work on the grounds of disability. As a result, the insurance company's investigation found that he had cut off his finger by himself...
China's dental implant procurement is being fully launched. It is a general trend to include more and more dental diagnosis and treatment projects in medical insurance. In the future, it is foreseeable that the connection between dentists and medical insurance will become closer. But a gentleman loves money and gets it well and is sent to jail for fraudulent medical insurance. For the dentist group who is difficult to get a teacher but has a high salary, it is not only contrary to medical ethics, but also not worth the loss.
st standardized practice, legal operation, pursuit of quality and perfect service are the necessary meanings of dentists and dental clinics.
