{"id":13290,"date":"2026-04-01T14:29:02","date_gmt":"2026-04-01T07:29:02","guid":{"rendered":"https:\/\/pktanquy.benhvienhuyencuchi.com\/?p=13290"},"modified":"2026-04-01T14:29:02","modified_gmt":"2026-04-01T07:29:02","slug":"nhung-hanh-vi-bi-nghiem-cam-khi-su-dung-the-bhyt-va-muc-xu-phat-can-biet","status":"publish","type":"post","link":"https:\/\/pktanquy.benhvienhuyencuchi.com\/?p=13290","title":{"rendered":"NH\u1eeeNG H\u00c0NH VI B\u1eca NGHI\u00caM C\u1ea4M KHI S\u1eec D\u1ee4NG TH\u1eba BHYT V\u00c0 M\u1ee8C X\u1eec PH\u1ea0T C\u1ea6N BI\u1ebeT"},"content":{"rendered":"
\"????\"<\/span> 1. C\u00e1c h\u00e0nh vi b\u1ecb nghi\u00eam c\u1ea5m (Theo \u0110i\u1ec1u 11 Lu\u1eadt BHYT)<\/div>\n
Vi\u1ec7c s\u1eed d\u1ee5ng th\u1ebb BHYT sai m\u1ee5c \u0111\u00edch th\u01b0\u1eddng r\u01a1i v\u00e0o c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau:<\/div>\n
\"????\"<\/span> Cho m\u01b0\u1ee3n ho\u1eb7c m\u01b0\u1ee3n th\u1ebb: Cho ng\u01b0\u1eddi kh\u00e1c m\u01b0\u1ee3n th\u1ebb BHYT ho\u1eb7c s\u1eed d\u1ee5ng th\u1ebb c\u1ee7a ng\u01b0\u1eddi kh\u00e1c \u0111\u1ec3 \u0111i kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh (KBCB).<\/div>\n
\"????\"<\/span> Gian l\u1eadn, gi\u1ea3 m\u1ea1o h\u1ed3 s\u01a1: L\u1eadp h\u1ed3 s\u01a1 b\u1ec7nh \u00e1n kh\u1ed1ng, k\u00ea \u0111\u01a1n thu\u1ed1c sai th\u1ef1c t\u1ebf \u0111\u1ec3 tr\u1ee5c l\u1ee3i ti\u1ec1n t\u1eeb qu\u1ef9 BHYT.<\/div>\n
\"????\"<\/span> T\u1ea9y x\u00f3a, s\u1eeda ch\u1eefa th\u1ebb: L\u00e0m sai l\u1ec7ch th\u00f4ng tin tr\u00ean th\u1ebb BHYT nh\u1eb1m m\u1ee5c \u0111\u00edch h\u01b0\u1edfng ch\u1ebf \u0111\u1ed9 kh\u00f4ng \u0111\u00fang quy \u0111\u1ecbnh.<\/div>\n
\"????\"<\/span> S\u1eed d\u1ee5ng th\u1ebb \u0111\u00e3 h\u1ebft h\u1ea1n\/b\u1ecb thu h\u1ed3i: C\u1ed1 t\u00ecnh s\u1eed d\u1ee5ng th\u1ebb kh\u00f4ng c\u00f2n gi\u00e1 tr\u1ecb ph\u00e1p l\u00fd \u0111\u1ec3 \u0111i kh\u00e1m ch\u1eefa b\u1ec7nh.<\/div>\n
\"????\"<\/span> 2. Ch\u1ebf t\u00e0i x\u1eed l\u00fd vi ph\u1ea1m h\u00e0nh ch\u00ednh<\/div>\n
\"????\"<\/span> \u0110\u1ed1i v\u1edbi h\u00e0nh vi cho m\u01b0\u1ee3n ho\u1eb7c m\u01b0\u1ee3n th\u1ebb:<\/div>\n
– Ch\u01b0a g\u00e2y thi\u1ec7t h\u1ea1i: Ph\u1ea1t ti\u1ec1n t\u1eeb 1 tri\u1ec7u \u0111\u1ed3ng \u0111\u1ebfn 2 tri\u1ec7u \u0111\u1ed3ng<\/div>\n
– \u0110\u00e3 g\u00e2y thi\u1ec7t h\u1ea1i: 3 tri\u1ec7u \u0111\u1ed3ng \u0111\u1ebfn 5 tri\u1ec7u \u0111\u1ed3ng<\/div>\n
\"????\"<\/span> \u0110\u1ed1i v\u1edbi h\u00e0nh vi t\u1ea9y x\u00f3a, s\u1eeda ch\u1eefa th\u1ebb: Ph\u1ea1t ti\u1ec1n t\u1eeb 1 tri\u1ec7u \u0111\u1ed3ng \u0111\u1ebfn 3 tri\u1ec7u \u0111\u1ed3ng<\/div>\n
\"????\"<\/span> 3. C\u00e1c bi\u1ec7n ph\u00e1p kh\u1eafc ph\u1ee5c h\u1eadu qu\u1ea3<\/div>\n
Ngo\u00e0i vi\u1ec7c b\u1ecb ph\u1ea1t ti\u1ec1n, ng\u01b0\u1eddi vi ph\u1ea1m c\u00f2n ph\u1ea3i th\u1ef1c hi\u1ec7n c\u00e1c bi\u1ec7n ph\u00e1p sau:<\/div>\n
\"????\"<\/span> Ho\u00e0n tr\u1ea3 s\u1ed1 ti\u1ec1n \u0111\u00e3 tr\u1ee5c l\u1ee3i: Bu\u1ed9c ho\u00e0n tr\u1ea3 to\u00e0n b\u1ed9 chi ph\u00ed KBCB m\u00e0 qu\u1ef9 BHYT \u0111\u00e3 chi tr\u1ea3 sai quy \u0111\u1ecbnh (n\u1ebfu c\u00f3).<\/div>\n
\"????\"<\/span> Thu h\u1ed3i th\u1ebb: Thu h\u1ed3i th\u1ebb BHYT \u0111\u1ed1i v\u1edbi c\u00e1c tr\u01b0\u1eddng h\u1ee3p th\u1ebb b\u1ecb t\u1ea9y x\u00f3a, s\u1eeda ch\u1eefa ho\u1eb7c s\u1eed d\u1ee5ng sai ch\u1ee7 th\u1ebb.<\/div>\n
\"????\"<\/span> 4. X\u1eed l\u00fd h\u00ecnh s\u1ef1 (Tr\u01b0\u1eddng h\u1ee3p nghi\u00eam tr\u1ecdng)<\/div>\n
N\u1ebfu h\u00e0nh vi gian l\u1eadn BHYT c\u00f3 h\u1ec7 th\u1ed1ng ho\u1eb7c g\u00e2y thi\u1ec7t h\u1ea1i l\u1edbn (t\u1eeb 100 tri\u1ec7u \u0111\u1ed3ng tr\u1edf l\u00ean ho\u1eb7c \u0111\u00e3 b\u1ecb x\u1eed ph\u1ea1t h\u00e0nh ch\u00ednh m\u00e0 c\u00f2n vi ph\u1ea1m), ng\u01b0\u1eddi vi ph\u1ea1m c\u00f3 th\u1ec3 b\u1ecb truy c\u1ee9u tr\u00e1ch nhi\u1ec7m h\u00ecnh s\u1ef1 v\u1ec1 t\u1ed9i “Gian l\u1eadn b\u1ea3o hi\u1ec3m y t\u1ebf” theo \u0110i\u1ec1u 215 B\u1ed9 lu\u1eadt H\u00ecnh s\u1ef1 2015 (s\u1eeda \u0111\u1ed5i 2017):<\/div>\n
\"\u2696\ufe0f\"<\/span> Ph\u1ea1t ti\u1ec1n: T\u1eeb 20 tri\u1ec7u \u0111\u1ed3ng \u0111\u1ebfn 200 tri\u1ec7u \u0111\u1ed3ng<\/div>\n
\"\u2696\ufe0f\"<\/span> C\u1ea3i t\u1ea1o kh\u00f4ng giam gi\u1eef: \u0110\u1ebfn 02 n\u0103m<\/div>\n
\"\u2696\ufe0f\"<\/span> Ph\u1ea1t t\u00f9: T\u1eeb 03 th\u00e1ng \u0111\u1ebfn 10 n\u0103m t\u00f9y theo m\u1ee9c \u0111\u1ed9 thi\u1ec7t h\u1ea1i v\u00e0 t\u00ednh ch\u1ea5t chuy\u00ean nghi\u1ec7p c\u1ee7a h\u00e0nh vi<\/div>\n
\"????\"<\/span> Khuy\u1ebfn c\u00e1o: Ng\u01b0\u1eddi d\u00e2n c\u1ea7n s\u1eed d\u1ee5ng th\u1ebb BHYT \u0111\u00fang quy \u0111\u1ecbnh \u0111\u1ec3 b\u1ea3o v\u1ec7 quy\u1ec1n l\u1ee3i c\u1ee7a ch\u00ednh m\u00ecnh v\u00e0 g\u00f3p ph\u1ea7n \u0111\u1ea3m b\u1ea3o c\u00f4ng b\u1eb1ng trong ch\u0103m s\u00f3c s\u1ee9c kh\u1ecfe c\u1ed9ng \u0111\u1ed3ng.<\/div>\n
Bi\u00ean t\u1eadp & ch\u1ecbu tr\u00e1ch nhi\u1ec7m n\u1ed9i dung: Ph\u00f2ng K\u1ebf ho\u1ea1ch t\u1ed5ng h\u1ee3p – T\u1ed5 T3G – B\u1ec7nh vi\u1ec7n \u0110a khoa C\u1ee7 Chi<\/div>\n
\"????\"<\/span> TH\u00d4NG TIN LI\u00caN H\u1ec6<\/div>\n
—————————————-<\/div>\n
\"????\"<\/span>B\u1ec7nh vi\u1ec7n \u0110a khoa C\u1ee7 Chi c\u01a1 s\u1edf 2<\/div>\n
\"\u260e\ufe0f\"<\/span>S\u1ed1 \u0111i\u1ec7n tho\u1ea1i: 086 906 7279<\/div>\n
\"\u26f3\ufe0f\"<\/span>\u0110\u1ecba ch\u1ec9: 1312 T\u1ec9nh l\u1ed9 8, \u1ea5p 2, X\u00e3 Ph\u00fa H\u00f2a \u0110\u00f4ng, TP H\u1ed3 Ch\u00ed Minh<\/div>\n
\"????\"<\/span>Email: pktanquy.benhvienhuyencuchi.com<\/a><\/span><\/div>\n","protected":false},"excerpt":{"rendered":"

1. C\u00e1c h\u00e0nh vi b\u1ecb nghi\u00eam c\u1ea5m (Theo \u0110i\u1ec1u 11 Lu\u1eadt BHYT) Vi\u1ec7c s\u1eed d\u1ee5ng th\u1ebb BHYT sai m\u1ee5c \u0111\u00edch th\u01b0\u1eddng r\u01a1i v\u00e0o c\u00e1c tr\u01b0\u1eddng h\u1ee3p sau: Cho m\u01b0\u1ee3n ho\u1eb7c m\u01b0\u1ee3n th\u1ebb: Cho ng\u01b0\u1eddi kh\u00e1c m\u01b0\u1ee3n th\u1ebb BHYT ho\u1eb7c s\u1eed d\u1ee5ng th\u1ebb c\u1ee7a ng\u01b0\u1eddi kh\u00e1c \u0111\u1ec3 \u0111i kh\u00e1m b\u1ec7nh, ch\u1eefa b\u1ec7nh (KBCB). Gian l\u1eadn, gi\u1ea3 […]<\/p>\n","protected":false},"author":3,"featured_media":13291,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":[],"categories":[3410,3],"tags":[],"_links":{"self":[{"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts\/13290"}],"collection":[{"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/users\/3"}],"replies":[{"embeddable":true,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=13290"}],"version-history":[{"count":1,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts\/13290\/revisions"}],"predecessor-version":[{"id":13292,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/posts\/13290\/revisions\/13292"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=\/wp\/v2\/media\/13291"}],"wp:attachment":[{"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=13290"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=13290"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/pktanquy.benhvienhuyencuchi.com\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=13290"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}