Another incident occurred. The photo shows the acupuncture procedure in oriental hospital. [중앙포토]
53 people, including Oriental Hospital doctors and oriental medicine doctors who false the government’s care expenses, were handed over to the prosecution in Mokpo -si, Jeonnam. The cost of nursing care is the money that medical institutions, including Oriental Medicine Hospital, claimed by the National Health Insurance Corporation.
On the 8th, the JoongAng Police Agency’s anti -corruption and economic crime investigation team recent suspicion of false patients after being admitted and treating false patients, and as if they were deceived by nursing care expenses (medical law violation and fraudulent fraud) 53 people, including 16 false inpatients, were sent to the prosecution for prosecution.
According to the police, Mr. B is accused of hiring or borrowing doctors and oriental doctors from December 2019 to March 2023. Some of B daily are accused of paying medical records by decorating medical records, as if an old oriental medicine doctor living in Gyeonggi -do is doing medical treatment at A hospital.
The police are also looking at whether the director B’s father, 70, was sent to the prosecution for the same charges and operated the so -called ‘Secretary Hospital’. Secretariat Hospital refers to a place where a person who is not eligible for medical care is opened in the name of his family, acquaintances, and specialists. Secretariat Hospital is illegal under the Medical Law, so it cannot be charged with the National Health Insurance Corporation. If the hospital is caught after claiming a care fee, the Corporation will return the full amount of care payments paid. Inside and outside the medical community in Mokpo, it is said that if A hospital is found to be a secretary hospital, the return will reach hundreds of millions of to billions.
In addition to the hospital A hospital, the police are expanding their investigations, as there will be more hospitals that receive false medical records and receive so -called ‘Nairong patients’. Insurance fraud and secretary hospitals of oriental hospitals with a high proportion of traffic accidents have been reported that they have been raising their heads again after a massive crackdown and caught three to four years ago.
Reporter Kim Young -ok
It is analyzed that insurance fraud at Honam Regional Oriental Hospital is due to the high proportion of oriental hospitals. According to the National Statistical Office, 155 oriental hospitals were opened in Gwangju (89), Jeonnam (29), and Jeonbuk (37) as of June this year, accounting for 25.8 % of the national oriental hospitals (600) nationwide. Given that Honam’s population is 9.6%(491,2824 people) in the country, oriental hospitals are 2.5 times more than the population. Compared to Seoul (90), which has a population of 932 million, Honam’s oriental medicine hospital is 72.2%(65).
Gwangju also has 6.4 oriental hospitals per 100,000 population, more than 5 times more than the national average (1.17), and more than 42 times more oriental hospitals than Jeju (0.15) with the lowest number of oriental hospitals.
As there are many oriental hospitals, Honam’s Oriental Hospital’s care expenses in 2023 accounted for 35.6%(140.4 billion won) of the national total (3948 billion won). Among them, the cost of nursing care for oriental hospitals per person in Gwangju was 6,1612 won, eight times the national average (7718 won). Gwangju’s per capita oriental hospital care expenses are 50 times that of Gyeongbuk (1243 won).
Experts categorize the cause of the crowd of oriental hospitals in Honam, with the characteristics of older population that trusts oriental hospitals than both areas and oriental hospitals. “There are oriental medical schools in Jeonnam and Jeonbuk, and there are many elderly people who prefer hospitalization treatment, and they often open oriental hospitals in their hometowns in other areas.”
