The National Healthcare Security Administration (NHSA) has released its 2023 Basic Medical Insurance (BMI) Fund Flying Inspection Plan, following a report on the impact of such efforts in hospitals during 2022. This year’s inspections will concentrate on medical imaging, clinical examination, and rehabilitation services, focusing on the use and management of the BMI fund from January 1, 2021, to December 31, 2022, with the possibility of extending the timeframes.<\/p>\n\n\n\n
Random Selection Process and Targeted Inspections<\/strong>
The NHSA, in collaboration with relevant departments, will randomly select provinces to participate in the inspection process by drawing lots. Cities with significant fund usage, typically at the prefecture-level, will be targeted within each selected province. Two hospitals and one pharmacy will be chosen from the top-ranked designated medical institutions in terms of medical insurance payment within the inspected city, along with the municipal medical insurance agency, as the units under scrutiny. Inspections may also be directed based on reported clues and intelligent monitoring of suspicious activities. Institutions previously inspected will not be re-inspected in principle.<\/p>\n\n\n\n