Auditors swear away and unveil the collusion of medical equipment collusive bidding

Medical Network November 24 hearing in recent years, 'medical treatment is difficult to see a doctor' has become the most concerned about the current people's topic one of the high cost of medicines, medical equipment manufacture and sale quite a mixed bag, medical charges and other phenomena affecting the people's livelihood policy Effective implementation.
To perfect the medical security system and deepen the reform of the health care system in an all-round way is an urgent task at present. The medical price reform is an important part of deepening the reform of the medical and health system. drug In the procurement of medical equipment and consumables, the bidding and tendering should be fair, just and open. However, driven by the huge profits, some unscrupulous elements take the secret operation, the transfer of benefits, etc. in the name of bidding and bidding for allegations. Illegal means to infringe the state-owned assets, resulting in the loss of medical insurance funds, exacerbated the problem of expensive medical treatment.
Audit Office of Hainan Province in 2016, the national unified organization of the medical insurance fund audit, Hainan Agriculture and Hospitals ('Nong Hong Hospital') medical equipment procurement many doubts, the use of big data to assist the audit, the investigation of the transfer, extension Investigated a number of units to verify the hospital medical equipment procurement in the presence of dereliction of duty and collusive bidding and other acts, involving loss and waste of more than 1.3 million yuan of funds, the hospital equipment Branch responsible for the two responsible persons were transferred to the judiciary.
Difficulties, to determine the focus
According to the audit arrangement of this medical insurance fund, Hainan Audit Department Provincial Audit Team divides into several groups such as Comprehensive Audit Team and Hospital Audit Team. The audit team of the hospital divides into audit purchasing group and equipment consumables procurement Audit team, common to Nong Hong Hospital medicine Price reform audit.
By screening and extending audits of suspected pharmaceuticals, medical equipment and consumables suppliers, it has discovered and disclosed major violations of laws and regulations. Wang Fei and Lao Zeng, who were responsible for auditing the procurement of medical equipment consumables,
After many points of communication between the audit team and the department, Nongkang Hospital finally provided the equipment purchase data of the hospital for nearly a year and a half in accordance with the requirements. The newly-built outpatient and inpatient building of the hospital in 2014 changed a lot of equipment and materials Procurement into medical equipment, high-value supplies, low-value supplies three categories, which are divided into consumables according to the use of more than 20 sub-categories, suppliers have nearly 300. The face of tens of thousands of medical equipment and messy supplies Purchasing data, Wang Fei and the old have done nothing.
'So many procurement data, to find out the doubt point to be analyzed, too difficult, right? If a look down, we must have halo here!'
'There is no way, I am not a computer audit professional, so that we first request support from the Office of Large Data Audit, through their help, we then scramble for doubt.'
In this way, under the guidance of remote management of real-time data in the Big Data Audit Office, Wang Fei uses the data screening function of Excel software and the assistance of multiple functions such as VLOOKUP to classify and collect the purchasing data of Nongkang Hospital and sort them according to the purchase amount size , The same product according to the supplier order, and then one by one analysis.
Wang Fei selected the health supplies of the top three suppliers of equipment for Internet search, check the three enterprise Business registration information.
Soon, Hainan Mingtong Medical Devices Co., Ltd. ("Mingtong") entered the auditor's field of vision: The company supplied a set of 'auditory and balance medical center' equipment to the Hongkang Hospital with the total contract price of 346 Million.
Wang Fei through the Internet inquiries and found that Ming Tong Company in this audit before the cancellation of its medical equipment business license. He also through the corporate credit information publicity system of the company's basic situation and found Ming Tong company registered in 2013 4 The end of March 2016, just finished the annual review and approval of the existence of the registered capital of 5 million yuan, as of the date of the audit, the company still has 5 million shares of quality registration information.
It stands to reason that the company's business scope is the sales, maintenance and technical services of medical devices. Why the company canceled the medical device business license if the pledge of equity has not yet been paid?
Is the company aware that it belongs to the illegal business, so it canceled the permit?
With questions, Wang Fei invited Nongkang Hospital Equipment Section Liao Hui, asked about the purchase of hospital equipment and supplies.
'We are all through the bidding procurement, the first demand by the departments, the Institute passed and reported to the higher authorities, commissioned by the tender proxy Institutions to carry out bidding.
'Do you have the bidding information, please keep it?
'I just did not take charge of the equipment department. Before I was in charge of the chief, the information of the suppliers was also collected by him. I did not know whether there was any preservation or not. What information, I can go back and find it.
'Well, can you tell us about the division of equipment?
'Our equipment department according to the procurement process, procurement and warehousing and registration points such as the implementation of the implementation of a person responsible for several links .If it is introduced, time may be longer.' Liao Kechang seems to be avoiding anything, he raised his wrist from time to time Looked at the watch, a restless look, 'Sorry, I'm going to a bidding meeting right now, can I talk about it today?
Wang Fei see this scene, I know can not ask what, they got up and sent, went to the door when specifically remind him: 'You help us to find some hospitals to purchase' auditory and balancing medical center 'information, including the pre-demonstration , Approval information and bidding information.
Liao Section Chang mouth promised, they hurriedly left.
'Why is he so anxious? Do he have anything inconvenient to say?' Fei asked doubts puzzled.
'Maybe, let's wait and see, let's wait for the data to come out for a serious study,' Old once said.
Many doubts, clarify ideas
After a few days of dragging, under the repeated communication of the audit team, Nong Hong Hospital finally sent Mentor to the audit team office for attending the hearing and balance medical center equipment purchase demonstration materials and meeting minutes.
'I just took charge of the equipment department did not take long before the bidding materials are the last chief of the history of the military custody, he did not turn the information after the transfer to me, but as far as I know, he only collect and keep the winning unit Relevant bidding materials, bidding materials of other bidders, you have to go there to consult the bidding agency. 'Liao Hui bluntly said.
According to the relevant provisions of the Audit Law, you should support and assist the auditing organs in their work, truthfully report the situation to the auditing agencies and provide relevant supporting materials, and you are invited to bid for the tender as soon as possible The agency lends back the bidding information of the 'Auditory and Balance Medical Center' and we first review the information you have provided. '
Sent away Liao Hui, Wang Fei and Lao Zeng immediately proceed with the information provided by the Hong Nong Hospital, they found one of the doubts at a glance:
The hospital to apply for the purchase of 'auditory and balanced medical center' estimated price, the budget price and Ming Tong's bidding price, the same bid price, are 3.46 million, and Nongkang Hospital open tender before the equipment in the hospital office At the meeting, it was clarified that the auditory and balance medical center purchased by Wheatfield Hearing Company was clarified. In the open tender, only Mingtong provided the equipment produced by Wheatfield Hearing Company.
In addition, according to the only bid evaluation report, Wang Fei also found that Mingtong's bid was much higher than the other two bidding companies (95 for Mingtong and 69.96 for the other two companies, 68.14) .
'Wang Fei, Ming Tong's bid price, and the hospital's budget exactly the same, and the bid evaluation results show that the company's score is much higher than the other two companies and I think this company either is the level is very high, the management is very In place, or is it ??
'Is engaged in collusive bid!' Wang Fei rushed to say!
'Ha, we both thought of going together, but we have to audit according to law, and we must speak in evidence!'
By combing the estimated prices found, the budget price and Mingtong's bidding price, the bid price exactly the same, the successful bidder's comprehensive rating is much higher than other bidding companies and bidding before the designated brand and many other doubts, Lao Zeng and Fei more I think there is a countless number of connections between the company and the company. Although there is not enough evidence, what is certain is that there is a great deal behind the bidding for the Auditory and Balance Medical Center.
Wang Fei, I think this is a valuable clue, before they send other information, we report to the leader of the Department of gold first, listen to his ideas. 'Old, after all, is an old comrade, the old experience .
After listening to Wang Fei's report and careful analysis of the relevant circumstances, Director Kim believes that the current must be purchased from the company Mingtong check the device, with the flow of equipment as soon as possible to achieve a breakthrough.In addition, to verify whether it is enclosed, we must take To the bidding all the information.The audit team's mentality has become clear, so there will be the first confrontation with the company.
Chase dismay, check out the tune
Wang Fei and his wife had boldly assumed the existence of "auditory and balance medical center" after the purchase of collusion with each other and the possible existence of commercial bribery behavior.To this end, they take the combination of internal and external inspection, the Ming Tong company issued a sales invoice authenticity Was verified to see if there is a big tail, etc. illegal invoices.However, the tax department feedback, Mingtong invoices issued by the company is true.
They again through the Internet query Ming Tong company to provide 'auditory and balanced medical center' in other places the true sales price, of course, Wang Fei found the same model of equipment, Chengdu, a hospital purchase price is 450,000 yuan, but the Hong Nong Hospital It took more than 90 million.
Wang Fei and the old have decided to understand the company for a while.
Through the connection of Nongkang Hospital, Wang Fei and Lao Zeng went out to Mingtong Company. Their purpose of this time is to know the true price of the company's purchase of the Hearing and Balance Medical Center. The company provides accounting documents.
At that time, the chief executives of Ming Tong Company were fairly cooperative and provided some information to the auditors proactively.With the chance of looking over the vouchers, the person in charge of Mingtong Company Mo Wen complained to Wang Fei: 'Now the business is really difficult to do We do medical equipment, very little profit, I have put this company medical instruments Business license canceled, the next step to cancel the business license.
'You still have 500 million shares of the company out of quality, how to write off so quickly it?
'The business is hard to do, the company can not afford to go anymore. When we finish raising the loan, we cancel it.'
'The price that your company purchased this equipment is 1,638,000 Yuan, the price that sold to the hospital is more than double!' The old handed the certificate to Wang Fei.
Do not always, you also say little profit medical equipment, you look at this' auditory and balancing medical center 'equipment, you are a hundred percent profit transfer ah!' Said Wang Fei.
'This set of equipment is absolutely legal for us to be provided to Nongkang Hospital through formal tendering and bidding. You do not feel that the benefits are high. Our operating costs are so great and we have all kinds of miscellaneous costs. Oh, it is really hard to do business now. Mo Wen obviously a little nervous, and soon, he excused to go out on the phone.
Wang Fei quietly, after obtaining the presence of the financial company responsible for the consent of Mingtong Mingtong company purchased the relevant information on the equipment copy.
Sudden change, deadlocked
When the nervous audit, Wang Fei suddenly fell ill.It turns out that Wang Fei's children under the age of one year, the night at night are the children to take care of Wang Fei, rest at night is not good, plus a few days no overtime overtime work He had acute appendicitis and had surgery indications. On Saturday afternoon, he was pushed into the operating room.
Wang Fei as the third day after surgery to report on the progress of the auditory hallucinations, suppurative inflammation of the wound, the doctor asked him to bed rest.
During his illness, Wang Fei, accompanied by Lao Peng from the audit team of Nongkang Hospital, accompanied by Liao Hui, chief of equipment department of Nongkang Hospital, found the bidding agency of Nongkang Hospital and asked him to provide 'auditory and balance Medical Center 'tender information, but the company too much information, need to go to the warehouse and other reasons, shirk not to provide.
Old report to the Director of the situation after the Golden, Director Kim decided to Nongkang Hospital Equipment Section Chief Shi Jun, now responsible person Liao Hui and ENT director Feng Bo were interviewed, the focus of the interview is about purchasing equipment The budget price is how to determine, there is no market research.
The audit team talked about Feng Bo first, in the conversation room, Feng Bo was very calm and provided very limited information.
'Our hospital procurement of large equipment are through bidding process, the absolute compliance, the general requirements of our business departments, will need to purchase the equipment parameters and estimated prices reported to the equipment section, they are responsible for open bidding.' Feng Bo Talking slowly.
'Then how do you determine the estimated price?' Old interrupted Feng Bo.
'I do not know about other departments, I know the price of equipment when communicating with industry peers.'
'After the equipment department received your purchase request and estimated the price, did you make a market inquiry to determine the budget price?'
'This ?? I do not know how to operate the equipment department, our department just make demands.'
From Feng Bo there can only get these messages, and he was not talking about anything else, the old had only let Feng Bo go back, by the way, with him outside the door waiting for the arrival of the history of the army.
Sharp-eyed old had found that in Feng Bo and Shi Jun look at the time, Feng wave gently shook his head.
Old had a single knife straight into: 'Chief Scientist, your equipment department in the purchase of' hearing and balance medical center 'this set of equipment, the budget price is how to set?
'We use the equipment parameters and estimated prices provided by otolaryngology.'
'At their estimated price as the budget price reported to the hospital for approval? Your equipment section has not been market inquiry?'
'Yes, this equipment is imported, domestic agent, so we did not conduct market inquiry.'
Shi Jun answered every question is very cautious, always thinking for a long time before answering, but he insisted that this equipment is imported, did not conduct a market survey on the set of equipment.
The last one to be transcribed was Liao Hui. He did not pay any attention to the glare given to him by the Shi Jun's departure. He repeatedly stressed that he was just taking over the work of the equipment department. The original purchases were all made by the Shi Jun, purchasing the Hearing and Balance Medical Center This set of equipment, he had with the history of the military equipment sales price of a market survey.
'Can not remember a few, it should be four, some telephone contact, some fax inquiry.' Liao Hui said.
One person said that he did not conduct market research, one said that he had done a market survey, and the other said that the budget was set based on the price learned in academic exchanges.
According to the provisions of the Nong Can hospital equipment procurement, before they purchase equipment to shop around, the market survey to determine the budget price, and now the three chiefs contradict each other, apparently did not conduct market research, alleged dereliction of duty. After finishing the transcript, Wang Fei had sent a text message to the old.
Wits, face confrontation
Three weeks later, Wang Fei ended his illness and returned to the audit site.He took the unit letter of introduction and related laws and regulations and Lao Zeng once again came to the tender agency.
According to the provisions of the Audit Law, the audited entity shall support and assist the auditing organ in its work, truthfully report the situation to the auditing organ and provide it Relevant proof materials. 'Wang Fei Zhang Li, head of the bidding agency, said.
The audit law also stipulates that if the audited entity refuses or delays the provision of materials related to the audit matters, or if the information provided is untrue or incomplete, or refuses or impedes the examination, the auditing organ shall order it to make corrections and may notify and criticize and give Warning, refuse to correct, according to the law be held accountable.Therefore, please also provide you as soon as possible the information related to the bidding information of the company, otherwise, we will be based on the audit, archival law and other related files management laws and regulations, to the relevant departments Processing. "Fei added.
In the meantime, Wang Fei issued a list of information submitted by the auditee to Nong Hong Hospital, requesting it to provide bidding information within a specified period of time, and in a two-pronged approach, bidding information was 'found' in less than a day.
Hard work pays off, auditors access to the bidding information of the three bidding companies and Internet search, we found a major clue!
The three companies participating in the bidding were Mingtong, Hainan Kangneng Medical Devices Co., Ltd. (hereinafter referred to as "Kangneng") and Hainan Honest Medical Devices Co., Ltd. ("Honesty"), the legal representative of Mingtong Co., The company's bidding representative Mohua ID residence address is the same, Kang company's shareholders and Ming Tong company's shareholders are almost exactly the same, and its company registration address and Ming Tong company's actual office address is upstairs and downstairs.
In addition, Wang Fei through social security payment system inquiries, found that the legal representative of Ming Tong Company Mo Wen and integrity of the bidder Mohua, actually in Mo Wen as the legal representative of another company Hainan Yuantai Medical Co., Ltd. (hereinafter referred to as' round Thai Company ') to pay social security.
Having mastered the above information, Wang Fei once again contacted the company representative of Mentor, and asked to go back to his company for reference again.Mowin rejected the audit team's request to send his nephew to college or company on the grounds of no one It seems that only direct door-to-door visit.
Wang Fei and Lao had directly found the office of Ming Tong Company (Ming Tong and Yuetai company in the same room office, in fact, is a set of people responsible for the two companies business.) Only two or three officers in the office, no one ignored the audit personnel.
Wang Fei and the old had sat at the conference table in front of the company in front of the company, looking at the situation of the company.A sudden a young man hurriedly holding a stack of files into the office, Wang Fei feel its appearance and integrity of the company's bidding representative Mohua ID photo on the photo resembles.
'Old Zeng, I found a person and Mo Hua's picture is very much like, you help me to see, just behind that glass window.' Fei Wang Mohua's ID card copy to the old.
'Is a bit like, age is 20 in the early, here is not his phone Well, you try to fight in the past, to hear if there is a ringtone.
Sure enough, the man's phone rang and the two men immediately showed their intention after presenting the work document.
'We are now conducting an extension survey of the procurement of medical equipment at Nongkang Hospital according to law because you have also participated in the tender of Nongkang Buying Medical Center for Hearing and Balance. Therefore, please provide us some basic information.'
'I was a member of Honest Company and was a bidder on behalf of the company.' Mohua was hesitant for a while before answering with caution.
Careful old Moore found that there was some panic when he spoke, so he took out the prepaid Momowas social security payment form and its copy with Mo Wen's ID card.
Silence, prolonged silence Mohua did not say anything.
'Little Mo, we talk to you today, is to let you provide the real situation of the tender at that time, the audit provides that the relevant units and individuals should support and assist the audit agencies work, truthfully reflect the situation to the audit agencies to provide relevant proof materials. Your information, you are a 90, now is a good age, do not go astray ah. "In the face of Mo Hua's silence, the old spoke with great concentration.
Mohua apparently became uneasy, forehead also Qin out of sweat.
A few minutes later, Mohua finally spoke: 'Mo Wen is my dad, he did not come today?'
It turned out that he is the son of Mo Wen, and in the text of the legal representative of the company Morin work Thai!
'Why do you represent the integrity of the company bidding? Mingtong, Kang Neng, integrity of the three companies to participate in the bidding has formed a collusion with each other!' Old asked.
Lao Zeng had a sharp question to this question, completely defeated Mohua, he admitted that the integrity of the company it represents and Ming Tong is a cooperative relationship, usually help each other, participate in the bidding will borrow the other's qualifications Waiwei together .At the same time, Mohua Also explained Kangneng company and Mingtong company and Yuantai company, in fact, all are invested by the same batch of shareholders.
Under Mo Hua's leadership, auditors quickly rushed to Kangneng company, and the company's bidding representative Zhang Gu made a transcript, Zhang Gu saw the auditors are brought by the boss's son, there is no hiding:
Her pharmacist certificates are linked to Yuantai and receive long-term benefits from the company. Kangneng, Mingtong and Yuantai are in fact the same shareholders. Setting up so many companies is for the convenience of bidding.
In addition, Mo Hua, Zhang Gu's name also appears in the Ming company's duty table, once again prove that they are actually the same company employees.
At this point, after nearly a month's crackdown, Mingtong Company and other bidders colluded with the shady finally opened the curtain .This should be fair, just and open bidding, but it has been the use of some people, black-box operation, the bidding is useless.
Ming Tong company actually purchased this set of equipment is only 1.368 million yuan, farms and Mingtong company signed a contract price of 3.46 million yuan, according to the market average profit margin of 30% estimates, far more hospitals pay about 1,320,600 yuan. After reporting to the leadership in charge of the department, the audit team transferred the clues of the case to relevant departments for investigation.
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