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加强社会保险稽核工作,是贯彻落实《劳动法》和《社会保险费征缴暂行条例》,纠正违法违规行为的重要措施,对维护广大职工合法权益,提高社会保险基金的保障能力,建立独立于企事业单位之外、资金筹集多元化、保障制度规范化、管理服务社会化的社会保障体系具有重要意义。一、开展医疗保险稽核工作的必要性随着医疗保险体系的建立和不断完善,实行医疗保险稽核显得尤为必要:一是开展医疗保险稽核是深化医疗制度改革,保障职工合法权益的需要。二是开展医疗保险稽核是体现国家立法,强制实施的一项社会政策。三是开展医疗
Strengthening social insurance audit work is an important measure to implement the “Labor Law” and “Interim Regulations on the Collection of Social Insurance Premiums” and to correct illegal and illegal behaviors. It is necessary to safeguard the lawful rights and interests of workers and staff and to improve the safeguarding ability of social insurance funds. In addition to enterprises and institutions, the social security system with diversified fund raising, standardized guarantee system and socialized management and service is of great significance. First, the need for medical insurance audit With the establishment and continuous improvement of medical insurance system, the implementation of medical insurance audit is particularly necessary: First, to carry out medical insurance audit is to deepen the reform of the medical system to protect the legitimate rights and interests of workers. The second is to carry out medical insurance audit is to reflect the national legislation, the implementation of a social policy. Third, carry out medical treatment