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2023: Fine for paying salaries to a PR specialist from compulsory medical insurance funds
Vladivostok Clinical Hospital No. 1 was fined 220 thousand rubles for paying salaries to a PR specialist from the funds of the Territorial Compulsory Medical Insurance Fund (TFCMI). This became known on March 13, 2023.
According to the Medical Bulletin, the Arbitration Court of the Primorsky Territory recognized the correctness of the TFCMI, which demanded that the hospital return 2.2 million rubles and pay a fine of 10% of this amount. The plaintiff insisted that the current legislation provides for the obligation of the medical organization to inform citizens (both using the Internet and in other ways, for example, through the media) about its activities, including posting information necessary for an independent assessment of the quality of services. In addition, most of this information is directly related to medical services provided under the compulsory medical insurance system, and such information is subject to content and form requirements that require the participation of an employee with the necessary qualifications. The expediency of introducing the position of a public relations specialist is confirmed by the fact that he has the necessary competencies to ensure that the medical organization complies with the requirements for informing citizens.
The use of compulsory medical insurance funds directed to payroll costs is recognized as targeted if three conditions are met, according to the judicial act referred to by the publication. First, the health worker participates in the provision of assistance to the insured within the framework of the territorial compulsory medical insurance program. Secondly, the position of a medical worker is included in the staffing table of the medical organization and corresponds to the nomenclature of positions approved by Order Ministry of Health Russia No. 1183n of 20.12.2012. Thirdly, the work (services) provided by the health worker are provided for by a license of a medical organization.[1]