1, the community health service institutions on the transfer of patients to fill out the "community health services two-way referral transfer form", indicating the initial diagnosis, signed by the attending physician and stamped, and at the same time, telephone notification of the hospital staff in charge of the community, after recognition of the referral. For referral of critically ill patients, it is necessary to send a special escort and explain the patient's condition to the receiving physician, as well as provide relevant examination and treatment information.
2. The two-way referral form is divided into a stub column and a referral column, and the patient is required to hold the "Community Health Service Referral Form" when he/she is referred to the community, and the stub column is retained by the community from which he/she is referred.
3, hospital hospitals should carefully fill out the "two-way referral registration form", and timely arrangements for the referral of patients to the appropriate ward or clinic.
4, the hospital in receiving community health services referral patients, and the corresponding diagnosis and treatment during the professional doctor is obliged to accept the community doctor's consultation, and will be the patient's treatment feedback community doctors.
5. When the patient's diagnosis is clear and his condition is stabilized to enter the recovery period, the professional doctor of the hospital shall fill in the "Community Health Service Two-way Referral Downward Referral Order", explaining the process of diagnosis and treatment, the suggestions and precautions for continued treatment, promptly refer the patient back to the community health service organization, and guide the treatment and rehabilitation according to the needs, and accept the re-referral if necessary.
6, the implementation of clinical testing and other large-scale medical equipment inspection resources *** enjoy large-scale medical equipment inspection by the community telephone appointment date, and inform the patient to make appropriate preparations. The patient holds the test and examination checklist issued by the community doctor, and goes directly to the corresponding department of the hospital for testing and examination (free of registration and consultation fees).
Expanded Information:
Settlement Procedures
(1) Inpatient and Specialty Diseases Settlement Procedures for Outpatient Treatment
Prescribed medical institutions will submit the cost statement of patients discharged from hospitals in the previous month, hospitalization statement and relevant information to the medical insurance agency before the 10th day of each month, which will review and approve them as the basis for the monthly advance appropriation and year-end final accounts. The medical insurance agency makes monthly advance payments of the previous month's coordinated fees for hospitalization and outpatient treatment of special diseases.
Participants who are recognized as suffering from special diseases should go to one of the designated medical institutions designated by the labor security department for medical treatment and purchase of medicines, and the medical expenses incurred will be recorded directly in the accounts and settled instantly.
(2) Emergency Settlement Procedures
Participants who are hospitalized in non-designated medical institutions in the city or in other medical institutions due to emergency medical treatment shall first pay the medical expenses incurred by themselves or their units in advance, and then, after the emergency medical treatment is over, they shall apply for reimbursement with the hospital's emergency medical records, examination and laboratory report forms, invoices, and detailed lists of medical fees and charges, etc., in accordance with the regulations of the medical insurance administration organization.
(C) Settlement Procedures for Relocated Staff
1. Relocated staff will be assigned 1-2 designated medical institutions in their place of residence by their respective units, and will be reported to the medical insurance agency for record.
2. The medical expenses incurred by a staff member residing in a designated medical institution in his/her place of residence when he/she falls ill shall be advanced by himself/herself or by his/her unit, and after the completion of the treatment, he/she shall be settled by his/her unit with his/her medical certificate, medical records, valid fee
bills, duplicate prescriptions, and list of hospitalization expenses, etc. on the stipulated date with the medical insurance administration agency.
(4) Referral and Transfer Settlement
1. If the insured person is referred to other medical institutions for diagnosis and treatment due to the limitations of the designated medical institutions or due to specialized diseases, he/she is required to fill in the approval form for referral and transfer to other medical institutions. By the attending physician to put forward the reasons for referral and transfer, the director of the referral and transfer opinions, the medical insurance office of the medical institution, signed by the director in charge, reported to the Municipal Medical Insurance Center for approval before the transfer of hospitals.
2, the principle of referral and transfer to the city after the city, after the province after the province. Intra-city referrals and transfers are to be made between designated medical institutions. Out-of-town referrals and transfers must be made by the designated medical institutions above the third level in the city.
3. The medical expenses incurred by the insured after the referral and transfer to the hospital shall be advanced in cash by the individual or the unit, and after the completion of medical treatment, the insured or his agent shall reimburse the hospitalization expenses that are covered by the integrated fund to the medical insurance agency with the approval form for the referral and transfer to the hospital, the medical record certificate, the prescriptions and the valid documents.
Baidu Encyclopedia - Two-Way Referral