Hospital fee management system
All medical fees must be charged through the fee office, any department or individual shall not charge privately, violators double the fine, the circumstances are serious according to the embezzlement penalty.
Secondly, all kinds of prescription and examination and treatment must be indicated in the fee items, and the fee collector will enter the prescription according to the fee items, and then collect the fee and stamp the cash received on the prescription.
Three, the pharmacy with the adhesion of the charge ticket prescription issued drugs, the departments with the adhesion of the charge ticket prescription to the patient to do all kinds of medical examinations or treatments, and save the prescription, shall not be accepted and receipt of the amount of money does not match the ID number of the prescription, or else, the person concerned will bear the economic losses.
Fourth, the classification of hospitals
First-class hospitals are primary hospitals that directly provide integrated medical, preventive, rehabilitative, and health care services to the community, and are primary health care institutions. Its main function is to provide primary prevention directly to the population, in the community management of patients with frequent and common diseases and the correct referral of difficult and serious cases, to assist high-level hospitals to improve intermediate or post-hospital services, and rational triage of patients.
Second-level hospitals are regional hospitals that provide medical and health services across several communities, and are the technical centers of regional medical prevention. Its main functions are to participate in guiding the monitoring of high-risk groups, to receive first-level referrals, to provide operational and technical guidance to first-level hospitals, and to be able to conduct a certain degree of teaching and scientific research.
Tertiary hospitals are hospitals that provide medical and health services across regions, provinces and cities as well as to the whole country, and they are technical centers of medical prevention with comprehensive medical, teaching and scientific research capabilities. Its main functions are to provide specialized (including special specialties) medical services, solve critical and difficult cases, accept secondary referrals, and provide business and technical guidance and training of personnel to lower-level hospitals;
(a) the scope of manual reimbursement:
1, network failure, loss or replacement of residents' health insurance card (during the card replacement period) resulting in the residents can not swipe the card to settle the real-time settlement of medical expenses;
2, minors and college students accidental injury outpatient medical costs;
3, the insured residents in line with national family planning policy of prenatal checkups and delivery costs;
4, applied for a different place (outside the main city of the nine districts) to seek medical treatment for the residents of foreign medical expenses incurred in a different place.
Legal basis
Methods for the Administration of the Use of Medical Fee Bills
Article 3 The medical fee bills referred to in these Measures refer to the collection vouchers issued by non-profit medical and healthcare institutions (hereinafter referred to as the medical institutions) when they provide medical services for outpatient clinics, emergencies, emergencies, hospitalization, medical check-ups, and other patients to obtain medical income.
The medical institutions referred to in these measures, including public health care institutions and other non-profit medical institutions. Public medical and health institutions refers to all levels and types of independent accounting public hospitals and government-organized primary health care institutions. Among them, public hospitals include general hospitals, hospitals of traditional Chinese medicine, specialized hospitals, outpatient clinics (clinics), sanatoriums, as well as emergency centers, maternal and child health care hospitals (clinics, stations) and other public **** health institutions with medical rescue qualifications and functions; government-organized primary health care institutions include government-organized urban community health service institutions, township and township health centers, and so on. Other non-profit medical institutions are non-profit medical institutions organized by enterprises, social organizations and other social organizations, and village health offices that implement integrated management of rural health services.
Article 23 A medical institution obtaining outpatient medical income and inpatient medical income, shall issue to the payer a medical fee bill, and stamped with the unit's financial seal or special seal for fees. Medical institutions do not issue medical bills, the payer has the right to refuse to pay the money.
Article 24 of the medical institutions to issue medical bills, should be all the joint once, truthfully filled out, so that the handwriting is clear, the content is complete, true, complete seal, the contents of the joints and the amount of the same. Fill in the wrong, should be filled out separately. Due to filling errors, medical refunds and other reasons for the invalidation of the bills, should be stamped with the invalidation stamp or indicate the word "invalid", and complete preservation of all the joints, shall not be privately destroyed.