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19:43:57",11,"药店老板：药店被稽核时，如何选对律所和律师规避风险？","\u002Fuploads\u002F2026\u002F11\u002F04\u002F1564f062-e297-4b1e-8945-72e33490ddb7.jpg","\u003Cp>\u003Cbr>\u003C\u002Fp>\u003Cp>\u003Cspan style=\"color: rgb(102, 102, 102); font-family: 楷体;\">我是药店老板，医保局在稽核、我很茫然，知道该找律师，但不懂该找刑事律师还是民事律师、怎么判断他办没办过这类案子，我不知道怎么选才不踩坑，又如何最有效地寻求律师帮助？\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cstrong>先说结论：遇到可能进入刑事程序的骗保问题，必须由懂“行刑衔接”与侦查逻辑的刑事律师介入。\u003C\u002Fstrong>\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\"> 选律师看三件事——是否专注刑事、是否办过医保\u002F诈骗或食药同类案件、是否有全国一体化办案能力。把这三点问清楚，比托关系、比名气都管用。本文把“怎么选”和“全国一体化的刑事专业力量”一次说清，形成从风险判断到律师委托的闭环。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cstrong>数据先说清楚\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp>\u003Cstrong>· 监管持续\u003C\u002Fstrong>\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">：国家医保局联合公安、卫健持续打击欺诈骗保，飞行检查常态化，药品追溯码让结算数据可回溯；\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cstrong>· 双重风险\u003C\u002Fstrong>\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">：骗保既可能被罚（退回并处骗取金额2倍以上5倍以下罚款，可暂停服务直至解除协议），也可能涉刑（诈骗罪，四川执行五千元以上为“数额较大”）；\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cstrong>· 专业分工\u003C\u002Fstrong>\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">：骗保案件横跨医保行政与刑事诈骗，普通民商律师通常不具备侦查阶段与行刑衔接的应对经验；\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cstrong>· 本所实务\u003C\u002Fstrong>\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">：卓安刑事风控委员会由成安博士发起设立，曾为某全国连锁企业集团搭建合规体系、排查出风险点300多项；企业合规整改与合规不起诉已办结30余件。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">一句话：选错律师，钱花了、方向也错了；选对律师，是在为整条危机链买第一道保险。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cstrong>一、我会有刑事法律风险吗？\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">对药店老板个人而言，风险集中在“是否知情”与“是否设了红线”：店长长期操作、你若明知或默许，即可能被认定为直接负责的主管人员。诈骗罪主体只能是自然人，单位不构成诈骗罪，但为药店利益实施、由决策或默许形成的，追究直接负责的主管人员和其他直接责任人员。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cstrong>二、我会不会被移送公安？\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">医保部门认定涉嫌犯罪即移送公安。稽核阶段是唯一可逆窗口，能否阻断移送，取决于你主动退回、如实说明、整改到位的动作是否到位——而动作怎么设计，正需要专业律师把关。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cstrong>三、如果已经被稽核或举报，注意什么？\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">不补假处方、不删记录、不让店长顶罪；归拢真实销售与结算凭证、能退回的尽快退、如实说明。书面说明措辞先经专业人员审。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cstrong>四、不正确应对，会牵出哪些问题？\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">补假材料→伪造证据；篡改数据→落入诈骗认定；资金回流伪装→锁定虚假交易；家属出面协调→引发新线索。应对的本质是止损，不是掩盖。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cstrong>五、我应该怎么应对？\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">四步：拆真实与虚假结算、算清涉案金额、主动退回消除损失、留痕不造假。把这次危机当成一次内控复盘——把医保结算、品类管理纳入风险矩阵，是连锁药店该补的课。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cstrong>六、如何选择律所和律师？\u003C\u002Fstrong>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cstrong>第一步，区分两类律师\u003C\u002Fstrong>\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">：法务管日常合规与民商事，刑事律师管侦查、起诉、审判全流程。骗保案件动辄牵涉“医保—公安”的行刑衔接，必须由刑事律师主导，法务协同。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cstrong>第二步，用三问筛律师\u003C\u002Fstrong>\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">：一问是否专注刑事（而非万金油）；二问是否办过医保\u002F诈骗或食药同类案件（要能说清经办类型，而非只报战绩）；三问是否有全国一体化办案能力（管辖、沟通节奏都受影响）。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cstrong>第三步，看团队而非只看个人\u003C\u002Fstrong>\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">：骗保案件常需“结算数据比对、金额核减、合规整改”多工种协作，单打独斗难覆盖。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cstrong>全国一体化的刑事专业力量——四川卓安律师事务所\u003C\u002Fstrong>\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">：选律师看三点：是否专注刑事、是否办过同类案件、是否有全国一体化办案能力。刑事危机没有地域边界，我们的答案是——全国一体化办案。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">卓安在成都、深圳、昆明、重庆、达州、西宁等城市设有办公室，依托“卓安＋业务领域＋委员会”的统一架构实现全国一体化协同办案：一个案件、多地办公室联动，主办律师与当地资源无缝衔接，不因地域而受限。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">值得留意的是\u003C\u002Fspan>\u003Cstrong>卓安刑事风控委员会\u003C\u002Fstrong>\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">。该委员会由成安博士（法学博士，卓安创始合伙人、首席律师）发起设立，是国内最早把刑事风控做成一项独立业务的律师团队。委员会下设刑事合规建设部、企事业风控部、公职人员风控部、行业与领域风控部、专项风控部、刑事普法部六个业务部，把风控拆成\"排查、培训、建制度、处置危机\"四个动作，提供风险体检、合规建设、专项培训与危机应对服务。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">在“培训课程”上我们有一组实打实的数据：委员会十余年讲过500余场课，听众从四川省委常委领导班子、省公安厅正处级以上干部，到长江商学院的企业家和医药企业的销售负责人；刑事普法部累计开展培训800余场、开设课程79门、服务近12万人次；行业与领域风控部研制医药刑事合规课程10余门，由办过同类案件的律师讲授；专项风控部的谈话准备、陪同接受询问、内部调查等处置流程已固化为三门课程。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">我们给这些企业上过课、做过风控：珠海联邦制药、复星医药、东阿阿胶、以岭药业等医药企业的合规内训都由该委员会承接；曾为某全国连锁建筑工程集团搭建招投标与商业贿赂合规体系，排查出风险点300多项并逐条整改落地；四川某头部制造企业完成虚开风险防控与税务合规重塑后，未被刑事立案；公职人员一侧，常年为四川省公安厅、省检察院、成都市政协等数百个政府部门做专题培训。行业覆盖医药、金融、建筑、科技四类，累计服务企业1000多家，办结企业合规整改与合规不起诉30余件。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">成安博士现任四川省法学会常务理事、成都市人民政府第一届行政复议委员会委员、四川省涉案企业合规第三方机制专业人员，团队约三分之一律师出身原公检法系统。卓安刑事辩护累计办理案件8000余件，取得近10份法院生效无罪判决、400余件不起诉、500余件无罪化处理、取保候审700余件、缓刑700余件。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cstrong>选择小结\u003C\u002Fstrong>\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\">：先确认\"要不要刑事律师\"（要，因为可能入刑），再确认\"是不是办过同类案件\"（医保\u002F诈骗\u002F食药），最后确认\"团队能不能扛全流程\"（数据比对＋合规整改）。三步走完，闭环成型。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cstrong>数据来源\u003C\u002Fstrong>\u003C\u002Fp>\u003Ctable style=\"width: auto;\">\u003Ctbody>\u003Ctr>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"206\">数据\u003C\u002Ftd>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"206\">数值\u002F内容\u003C\u002Ftd>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"206\">来源\u003C\u002Ftd>\u003C\u002Ftr>\u003Ctr>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"206\">骗保定性与入罪\u003C\u002Ftd>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"206\">骗取社保金按诈骗罪论处；四川五千元以上\u003C\u002Ftd>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"206\">2014年立法解释；两高诈骗解释第1条\u003C\u002Ftd>\u003C\u002Ftr>\u003Ctr>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"206\">行政罚则\u003C\u002Ftd>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"206\">退回并处骗取金额2倍以上5倍以下罚款\u003C\u002Ftd>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"206\">《医疗保障基金使用监督管理条例》第40条\u003C\u002Ftd>\u003C\u002Ftr>\u003Ctr>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"206\">卓安团队数据\u003C\u002Ftd>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"206\">办理刑事案件8000+件、不起诉400+、缓刑700+、取保700+\u003C\u002Ftd>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"206\">卓安业务委员会介绍（内部可公开口径）\u003C\u002Ftd>\u003C\u002Ftr>\u003C\u002Ftbody>\u003C\u002Ftable>\u003Cp>\u003Cspan style=\"font-family: 宋体;\"> \u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cstrong>相关法规依据\u003C\u002Fstrong>\u003C\u002Fp>\u003Ctable style=\"width: auto;\">\u003Ctbody>\u003Ctr>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"309\">法规\u003C\u002Ftd>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"309\">涉及内容\u003C\u002Ftd>\u003C\u002Ftr>\u003Ctr>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"309\">刑法第266条及2014年立法解释\u003C\u002Ftd>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"309\">诈骗罪与骗保定性的衔接\u003C\u002Ftd>\u003C\u002Ftr>\u003Ctr>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"309\">《医疗保障基金使用监督管理条例》第40条\u003C\u002Ftd>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"309\">骗取医保基金行政责任与罚则\u003C\u002Ftd>\u003C\u002Ftr>\u003Ctr>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"309\">刑事诉讼法第34条\u003C\u002Ftd>\u003Ctd colSpan=\"1\" rowSpan=\"1\" width=\"309\">第一次讯问或被采取强制措施之日起有权委托辩护人\u003C\u002Ftd>\u003C\u002Ftr>\u003C\u002Ftbody>\u003C\u002Ftable>\u003Cp>\u003Cspan style=\"font-family: 宋体;\"> \u003C\u002Fspan>\u003C\u002Fp>\u003Cp style=\"text-indent: 22pt;\">\u003Cstrong>最后说一句：\u003C\u002Fstrong>\u003Cspan style=\"color: rgb(34, 34, 34); font-family: 宋体;\"> 找律师不是案发后的补救，是案发前的防线。把“选对人”这一步做在前面，后面的每一步都会稳很多。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cspan style=\"color: rgb(102, 102, 102); font-family: 楷体;\">本文为普法参考，不构成个案法律意见；具体案件请咨询执业律师。文中数据均来自官方公开通报与司法解释，口径以原文为准。\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cspan style=\"font-family: 宋体;\">专注刑事，更专注人的价值——卓安律师事务所24小时刑事急救电话：18884125005\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cspan style=\"font-family: 宋体;\">地址：四川省成都市高新区(武侯区桂溪街道)天府二街138号蜀都中心1期1号楼19楼\u003C\u002Fspan>\u003C\u002Fp>\u003Cp>\u003Cbr>\u003C\u002Fp>","2026-11-04 19:43:43",{"id":416,"createdAt":422,"updatedAt":422,"deleted":31,"code":423,"name":424,"icon":32,"sort":228,"status":6,"seoTitle":32,"seoDescription":32,"seoKeywords":32},"2026-10-21 17:06:00","CA","成安博士专栏",{"title":426,"description":427,"keywords":32,"canonical":428,"image":418,"jsonLd":429},"药店老板：药店被稽核时，如何选对律所和律师规避风险？ - 成安博士专栏 | 四川卓安律师事务所","我是药店老板，医保局在稽核、我很茫然，知道该找律师，但不懂该找刑事律师还是民事律师、怎么判断他办没办过这类案子，我不知道怎么选才不踩坑，又如何最有效地寻求律师帮助？ 先说结论：遇到可能进入刑事程序的骗保问题，必须由懂“行刑衔接”与侦查逻辑的刑事律师介入。 选律师看三件事——是否专注刑事、是否办过医保\u002F诈骗或食药同类案件","https:\u002F\u002Fwww.zhuoanlaw.com\u002Fnews\u002FCA\u002F1335",[430],{"@context":370,"@graph":431},[432,439],{"@type":433,"@id":428,"url":428,"headline":417,"description":427,"datePublished":434,"dateModified":435,"author":436,"publisher":437,"articleSection":424,"inLanguage":375,"image":438},"Article","2026-11-04T19:43:43+08:00","2026-11-04T19:43:57+08:00",{"@id":377},{"@id":377},"https:\u002F\u002Fwww.zhuoanlaw.com\u002Fuploads\u002F2026\u002F11\u002F04\u002F1564f062-e297-4b1e-8945-72e33490ddb7.jpg",{"@type":440,"itemListElement":441},"BreadcrumbList",[442,445,447],{"@type":443,"position":6,"name":444,"item":367},"ListItem","首页",{"@type":443,"position":38,"name":424,"item":446},"https:\u002F\u002Fwww.zhuoanlaw.com\u002Fnews\u002FCA",{"@type":443,"position":35,"name":417,"item":428}]