First, what are the fees and reimbursement standards for the radio wave knife treatment?
Answer: The radio wave knife treatment is reimbursed according to the medical insurance category B project, 3 times and 3 times within the charge of 8800 yuan / time, more than 3 times are uniformly charged 34,100 yuan. The patient pays 20% of the cost first, and the rest is reimbursed according to the medical insurance reimbursement rate. Up to two parts of the body can be reimbursed each time, such as brain metastasis of lung cancer. Depending on the patient's condition, the patient can be hospitalized more than once and be reimbursed more than once (the exact number of treatments depends on the condition of the patient).Two, each process and operation of radio wave knife treatment, are individually billed?
Answer: The radio wave knife treatment is the whole charge, the whole reimbursement, each process and operation are included, the original separate charge of the radio wave knife ct localization and planning fee is no longer a separate charge.Three, all kinds of insured tumor patients, how to achieve reimbursement?
A: Henan Province employees' health insurance, Zhengzhou City (excluding suburban counties) employees' health insurance and urban and rural residents' health insurance, with the registration of health insurance card, directly for admission procedures. Employees' medical insurance and urban and rural residents' medical insurance of other places in Henan Province will go through the normal referral procedures according to the medical insurance regulations. In the hospital for radio wave knife treatment, can be reimbursed!
Four, when discharged from the hospital can be reimbursed, and other treatment programs (including hospitalization, medication, inspection, etc.) a report?
Answer: Patients undergoing radio wave knife treatment will be reimbursed for their treatment at the time of discharge from the hospital and will be reimbursed on a pro rata basis in conjunction with other treatments.V. Can patients admitted before October 20 be reimbursed when they are discharged?
Answer: According to the medical advice, patients admitted before October 20, before the 20th of the radio wave knife treatment need to be self-paid, after the 20th of the radio wave knife treatment can be included in the medical insurance reimbursement.Sixth, what are the advantages of radio wave knife treatment, safety, can be done with confidence?
Answer: Compared with other radiotherapy equipment, radio wave knife treatment has wider indications, higher precision, shorter treatment course, better therapeutic effect, and the local control rate of the tumor has been increased from 60% to 90%, with fewer adverse reactions. In recent years, our hospital has used radio wave knife to treat more than 2000 cases of tumor patients without any technical accidents and serious complications, which has brought good news to the majority of tumor patients!Seven, in addition to Zhengzhou Yihe Hospital, where else in the province there is a radio wave knife?
Answer: At the end of 2013, with the approval of the National Health Planning Commission, our hospital invested heavily in the introduction of the fourth generation of the radio wave knife and put it into use at the beginning of 2015. At present, there is no second medical institution in our province that has the fourth generation and above models of radio wave knife.Eight, Zhengzhou Yihe Hospital, what kind of hospital?
Answer: Zhengzhou Yihe Hospital is a set of medicine, education, research, prevention, health care, health and health management as one, by the Henan Provincial Health Commission directly managed by the non-profit tertiary comprehensive hospital, the party committee is subordinate to the Henan Provincial Public Works Committee, but also Henan University directly affiliated with the hospital.Radio Knife
Radio Knife, also known as "Cyber Knife", "Network Knife", "Computerized Knife", "Stereoscopic Positioning Radio Surgery", "Stereoscopic Positioning Radio Surgery", "Stereoscopic Positioning Radio Surgery", "Stereoscopic Positioning Radio Surgery" and "Computerized Surgery", "The stereotactic radio surgery platform, developed in 1996 by Prof. John Alder of Stanford University, is a new type of image-guided whole-body stereotactic radiosurgery treatment device. The Radioblade perfectly combines computerized stereotactic guidance, real-time tumor tracking technology, and linear gas pedal radiation therapy, and selects the optimal angle from more than 1,900 beam directions to irradiate tumors in an all-encompassing way, and to achieve simultaneous treatment of multiple tumors. During the treatment, the doctor will irradiate the patient one to five times according to the patient's physical condition and the size of the tumor to kill the tumor tissues, and it is a form of whole-body radiation surgery that combines the advantages of "no wounds, no pain, no blood, no anesthesia, and a short recovery period".Indications of radio wave knife
1. Tumors 1 Neurological system tumors --- astrocytomas, meningiomas, pituitary tumors, germ cell tumors, medulloblastomas, hemangioblastomas, neuroblastomas, acoustic neuromas, trigeminal nerve sheath tumors, craniopharyngiomas, and metastatic cancer of the brain 2 head and neck tumors --- nasopharyngeal cancer, sinusitis, and other tumors. -nasopharyngeal cancer, sinus malignancy, laryngeal cancer, oral cavity cancer, oropharyngeal cancer, and hypopharyngeal cancer 3 Thoracic tumors - primary lung cancer, metastatic lung cancer, mediastinal lymph node metastasis, and malignant tumors 4 Abdominal tumors - primary hepatocellular carcinoma, metastatic hepatocellular carcinoma, cholangiocarcinoma, pancreatic carcinoma, renal carcinoma, renal pelvic cancer, renal cell carcinoma, and metastasis to the abdominal cavity and retroperitoneal lymph nodes 5 Pelvic tumors - -prostate cancer, bladder cancer, cervical cancer, endometrial cancer, ovarian cancer 6 Lymphatic system tumors---Hodgkin's lymphoma, non-Hodgkin's lymphoma 7 Bone and joint tumors---osteosarcoma, Ewing's sarcoma, synovial sarcoma, and metastatic carcinoma of the bone 8 Soft-tissue tumors---Liposarcoma, Fibrosarcoma, Smooth muscle sarcoma, Rhabdomyosarcoma, Angiosarcoma 2. Vascular malformations 1 Neurological system --- cerebral arteriovenous fistula, cavernous hemangioma, spinal cord hemangioma 2 Others --- pulmonary arteriovenous fistula, limb soft-tissue vascular fistula 3. Cancer painRadio-wave knife treatment process
1. Expert consultation:According to the location of the tumor, the type of pathology, TNM staging, KPS score, etc. to develop a treatment plan. 2. Gold standard implantation: For some organs (e.g., liver, kidney, pancreas, prostate, etc.), the tumor needs to be implanted with a gold standard in advance as a tracking target. 3. Position fixation: patients choose a comfortable position, head and neck are usually fixed with a mask, and the body is fixed with a vacuum cushion. 4. Precise positioning: Under the guidance of 3D digital laser localizer, CT, MRI, PET, 3D angiography and other imaging devices are used to obtain a digital image of the patient. 5. Precise design: Physicians outline the target area, physicists plan the design, and oncologists evaluate and authorize the treatment plan. 6. Precision radiotherapy: Image-guided radiation beams track the tumor in multiple directions in real time, destroying the tumor with high precision.Radio Knife and conventional surgery and radiotherapy comparison
Comparison Conventional radiotherapy Radiotherapy Radiation number 3-5 times 1-5 times Treatment time 5-7 weeks 1-5 days Single dose 1.8-2Gy20-80Gy Dose distribution superior superior Treatment precision several millimeters sub-millimeter. No need Bacterial infection possible impossible Outpatient treatment no can can can Recovery period length Pain yes or no Care need no need Life impact will notRadiation Therapy and Intervention Department, with the interventional therapy as the forerunner, radiotherapy new technology (radio-wave knife treatment and three-dimensional shape-adaptive intensity-modulated radiotherapy) as the dominant, with the interventional therapy as the guide, and the radiation treatment as the leading, three-dimensional shape-adaptive intensity-modulated radiotherapy, the radiotherapy is a new technology, which is the first to be developed. The Department of Radiotherapy and Interventional Medicine, with interventional therapy as the pioneer, new radiotherapy technology (radio wave knife therapy and three-dimensional conformal intensity-modulated radiotherapy) as the leading, combined with modern chemotherapy and targeted therapy, bio-immunotherapy for the concept of integrated treatment of tumors, radiation therapy technology and vascular interventions (arterial perfusion chemoembolization), non-vascular interventions (radiofrequency ablation, stent implantation, penetration of the drug injection, etc.), intravenous chemotherapy, molecular targeting therapy, bio-immunotherapy and other organic combination, to provide patients with a reasonable and standardized individualized comprehensive treatment.
The department now has 29 medical, technical, nursing and other professional and technical personnel, including the director, deputy director of 3 physicians, masters 4 people. The department is equipped with the fourth-generation radio-wave knife radiosurgery platform, Varian 6-10MV two-photon linear gas pedal, GE 16-row large-aperture CT simulator, general X-ray simulator and precise treatment verification system, which are applicable to general radiotherapy, three-dimensional shape-adjusted intensity-modulated radiotherapy and image-guided stereotactic (radio-wave knife) precision radiotherapy for tumors.Zhang Yiping is the director of the Department of Radiotherapy and Intervention, and is a master of medicine, chief physician, and tutor for master students. He is a member of Interventional Cancer Diagnosis and Treatment and Minimally Invasive Treatment of Tumor of Henan Provincial Anti-cancer Association, and Vice Chairman of the Radiotherapy Committee of Zhengzhou Anti-cancer Association.
He joined in 1983 and studied in Xi'an Medical University, Henan Cancer Hospital, Asia-Pacific Radio Wave Knife Training Center, and studied for his master's degree in Guiyang Medical College. With solid medical foundation and rich clinical experience, he has edited and co-edited three monographs, won one army scientific and technological achievement progress award, one second prize of Henan Province medical and health scientific and technological achievement award, and one national utility model patent. Specialty: comprehensive diagnosis and treatment of tumors, stereotactic (radio wave knife) radiosurgery, interventional therapy of tumors.