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作为江苏省数据监控系统项目首批试点城市之一,盐城市在医保监管上不断更新观念和发掘潜力,至2014年底,监控系统在市、县所有医保统筹区均实现上线运行,数据挖掘系统已覆盖全市878家定点医疗机构、982家定点药店,配套实施相关机制,全天候、全方位的智能化医保监控网络自此建立。2014年,仅市直就查处违规行为57例,追回医保基金90万元,扣除违约金50万元,2家两定单位被取消定点资格,7
As one of the first pilot cities of data monitoring system project in Jiangsu Province, Yancheng constantly updated its concept and potential in health care supervision. By the end of 2014, the monitoring system had been put on-line in all medical and insurance pooling districts in cities and counties. The data mining system Covering the city’s 878 designated medical institutions, 982 designated pharmacies, supporting the implementation of relevant mechanisms, all-weather, all-round intelligent Medicare monitoring network has been established since. In 2014, 57 cases of violations were investigated and dealt with on a straight-line basis, with the recovery of 900,000 yuan of medical insurance fund, 500,000 yuan of liquidated damages deducted, 2 fixed units being canceled and 7