{"text_format":"3","workbook":"xlsx","n_sheets":4,"sheets":["附件3-医疗机构自查汇总表-非耗材","附件4-医疗机构医用耗材自查汇总表","附件5-专项治理汇总表（一）","附件6-专项治理统计表（二）"],"read":"whole","date_system":"1900"}

{"sheet":"附件3-医疗机构自查汇总表-非耗材","index":0,"n_rows":39,"n_cols":6,"rows_kept":39,"merged":[[1,0,1,5],[3,0,4,0],[36,0,36,5]]}
["附件3"]
["2020年定点医疗机构自查自纠情况汇总表"]
[null,"填报单位："]
["序号","涉嫌问题","例/次数","总费用\n（万元）","（拟）退回费用\n（万元）","备注"]
[null,"总计"]
[1,"一、不合理收费问题合计",{"$nulls":3},"包含诊疗、服务设施项目与药品，不包含医用耗材"]
[2,"1.重复收费"]
[3,"2.分解收费"]
[4,"3.超标准收费"]
[5,"4.自立项目收费"]
[6,"5.高套病种（病组）、规避入组"]
[7,"二、串换收费问题合计",{"$nulls":3},"包含诊疗、服务设施项目与药品，不包含医用耗材"]
[8,"1.目录外项目串换"]
[9,"2.低价项目高套"]
[10,"三、不规范诊疗问题合计",{"$nulls":3},"包含诊疗、服务设施项目与药品，不包含医用耗材"]
[11,"1.无指征检查、化验"]
[12,"2.无指征治疗"]
[13,"3.套餐式检查、化验"]
[14,"4.超医保支付政策范围"]
[15,"5.无指征住院"]
[16,"6.挂床住院"]
[17,"7.分解住院"]
[18,"四、虚构服务问题合计",{"$nulls":3},"包含诊疗、服务设施项目与药品，不包含医用耗材"]
[19,"1.虚假结算"]
[20,"2.人证不符（冒名就医）"]
[21,"3.诱导住院"]
[22,"五、其他问题合计"]
[23,"1.私自联网"]
[24,"2.资质不符"]
[25,"3.将临床试验项目违规纳入医保结算"]
[26,"4.其他1（以上不能涵盖的情形简述）",{"$nulls":3},"其他1问题的详细描述"]
[27,"5.其他2（以上不能涵盖的情形简述）",{"$nulls":3},"其他2问题的详细描述"]
[28,"6.……"]
["单位负责人：",null,"部门负责人：",null,"填表人：","联系方式："]
[]
["注：1.“填报单位”为各市（区）医疗保障部门"]
["    2.政策依据：国家、省的《基本医疗保险药品目录》《诊疗与服务设施目录》及江门市医疗服务价格管理文件、医保结算政策等文件"]
["    3.“涉嫌问题”各市(区)可根据本地具体情况增减相应条目"]
["    4.自查自纠相关数据的起止时间为2018年1月1日至2020年5月31日"]

{"sheet":"附件4-医疗机构医用耗材自查汇总表","index":1,"n_rows":21,"n_cols":9,"rows_kept":21,"merged":[[1,0,1,8],[2,0,2,1],[3,0,4,0],[3,1,4,1],[3,2,4,2],[3,3,3,7],[18,0,18,8]]}
["附件4"]
["2020年定点医疗机构自查自纠（医用耗材）情况汇总表"]
["填报单位："]
["序号","涉嫌问题","（拟）退回费用\n总计（万元）","材料费不同价格区间分别统计",{"$nulls":4},"备注"]
[{"$nulls":3},"<100元","≥100，<200","≥200，<500","≥500，<1000","≥1000元"]
[1,"项目内涵材料单独收费"]
[2,"未按规定加价"]
[3,"目录外材料串换为目录内"]
[4,"低价材料套用高价收费"]
[5,"一次性材料重复收费"]
[6,"违反物价规定收费"]
[7,"虚记多记材料费"]
[8,"其他进销存不符（以上不能涵盖的情形简述）",{"$nulls":6},"详细描述"]
[9,"其他耗材问题（以上不能涵盖的情形简述）",{"$nulls":6},"详细描述"]
[10,"……",{"$nulls":6},"详细描述"]
["单位负责人：",null,"部门负责人：",null,"填表人：",null,"联系方式："]
[]
["注：1.“填报单位”为各市（区）医疗保障部门"]
["    2.政策依据：国家、省《基本医疗保险药品目录》《诊疗与服务设施目录》及江门市医疗服务价格管理文件、医保结算政策等文件"]
["    3.“涉嫌问题”各市(区)可根据本地具体情况增减相应条目"]
["    4.自查自纠相关数据的起止时间为2018年1月1日至2020年5月31日"]

{"sheet":"附件5-专项治理汇总表（一）","index":2,"n_rows":26,"n_cols":25,"rows_kept":26,"merged":[[1,0,1,24],[2,3,2,4],[2,6,2,7],[2,20,2,24],[3,0,6,2],[3,3,5,3],[3,4,5,4],[3,5,3,19],[3,20,4,22],[3,23,5,23],[3,24,5,24],[4,5,5,5],[4,6,5,6],[4,7,5,7],[4,8,5,8],[4,9,5,9],[4,10,5,10],[4,11,5,11],[4,12,5,12],[4,13,5,13],[4,14,5,14],[4,15,4,19],[7,0,7,2],[8,0,16,0],[8,1,8,2],[9,1,9,2],[10,1,12,1],[13,1,13,2],[14,1,16,1],[17,0,19,0],[17,1,17,2],[18,1,18,2],[19,1,19,2],[20,0,20,3],[25,0,25,16]]}
["附件5"]
["2020年1月～*月打击欺诈骗取医疗保障基金专项治理情况表（一）"]
["填报单位：",{"$nulls":19},"填报时间：2020年  月  日"]
["项目",null,null,"统筹区内定点医药机构数（家）","检查定点医药机构数(家）","定点医药机构违法违规处理",{"$nulls":14},"举报奖励",null,null,"主动\n公开曝光（例）","备注"]
[{"$nulls":5},"小计","暂停\n医保（家）","解除\n医保（家）","移交司法机关（家）","拒付/追回资金（家）","行政\n罚款（家）","约谈\n（家）","限期\n整改\n（家）","通报\n批评（家）","其他\n（家）","金额（万元）"]
[{"$nulls":15},"小计","基金\n本金","违约金","行政\n罚款","其他","人次数\n（人次）","案例数\n（例）","金额\n（元）"]
[{"$nulls":3},1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21,22]
["总计"]
["定点医疗机构","合计"]
[null,"小计"]
[null,"公立医院","三级"]
[null,null,"二级"]
[null,null,"一级及以下"]
[null,"小计"]
[null,"民营医院","三级"]
[null,null,"二级"]
[null,null,"一级及以下"]
["定点\n药店","合计"]
[null,"单体药店"]
[null,"连锁药店"]
["单位负责人：",{"$nulls":4},"部门负责人：",{"$nulls":3},"填表人：",{"$nulls":7},"联系方式："]
[]
["注：1.“填报单位”为各市（区）医疗保障部门"]
["    2.一个定点医药机构有多种处理结果，3≤4+5+6+7+8+9+10+11+12"]
["    3.本表于次月第一周填报，填报1月1日至统计月的累计数据"]
["    4.2020年1月1日至2020年6月30日的累计汇总数据于7月8日前填报"]

{"sheet":"附件6-专项治理统计表（二）","index":3,"n_rows":24,"n_cols":16,"rows_kept":24,"merged":[[1,0,1,15],[2,5,2,7],[3,0,6,0],[3,1,3,10],[3,11,4,13],[3,14,5,14],[3,15,5,15],[4,1,5,1],[4,2,4,6],[4,7,4,10],[12,0,15,0],[12,1,12,9],[12,10,13,12],[12,13,14,13],[12,14,14,14],[13,1,14,1],[13,2,13,5],[13,6,13,9],[17,0,17,3],[23,0,23,16]]}
["附件6"]
["2020年1月～*月打击欺诈骗取医疗保障基金专项治理情况表（二）"]
["填报单位：",{"$nulls":12},"填报时间："]
["项目","参保人员违法违规处理",{"$nulls":9},"举报奖励",null,null,"主动\n公开曝光（例）","备注"]
[null,"违法违规\n例数\n（例）","违法违规参保人数（人）",{"$nulls":4},"金额（万元）"]
[null,null,"小计","约谈","暂停医保卡结算","移交司\n法机关","其他","小计","基金\n本金","行政\n罚款","其他","人次数\n（人次）","案例数（例）","金额\n（元）"]
[null,1,2,3,4,5,6,7,8,9,10,11,12,13,14,15]
["合  计"]
["城镇职工"]
["城乡居民"]
[]
[]
["项目","经办机构违法违规处理",{"$nulls":8},"举报奖励",null,null,"主动\n公开曝光（例）","备注"]
[null,"违法违规\n例数\n（例）","经办机构违法违规人数（人）",{"$nulls":3},"金额（万元）"]
[null,null,"小计","约谈","移交司\n法机关","其他","小计","基金\n本金","行政\n罚款","其他","人次数\n（人次）","案例数\n（例）","金额\n（元）"]
[null,1,2,3,4,5,6,7,8,9,10,11,12,13,14]
["合  计"]
["单位负责人：",{"$nulls":4},"部门负责人：",{"$nulls":3},"填表人：",null,null,"联系方式："]
[]
["注：1.“填报单位”为各市（区）医疗保障部门"]
["    2.参保人员违规处理有多种结果，2≤3+4+5+6"]
["    3.经办机构违规处理有多种结果，2≤3+4+5"]
["    4.本表于次月第一周填报，填报1月1日至统计月的累计数据"]
["    5.2020年1月1日至2020年6月30日的累计汇总数据于7月8日前填报"]