Second, fulfill the obligation to inform. Inform inpatients to provide medical cards and related documents within the specified time (24 hours).
Third, strictly implement the catalogue of basic medical insurance drugs and medical services in Hunan Province, and do not use drugs or conduct medical treatment beyond the scope of medical insurance payment. Drugs, medical treatment items and medical service facilities provided at their own expense must be approved by the insured in advance and signed on the medical record for confirmation. Otherwise, the patient complaints caused by this will be handled by the relevant responsible person.
Four, in strict accordance with the relevant provisions of the "prescription management measures". Each prescription does not exceed 5 kinds of drugs (western medicine and Chinese patent medicine can be prescribed separately), and the outpatient dosage generally does not exceed seven days for diseases and half a month for chronic diseases. Inpatients must prescribe a second bottle of medicine after taking oral medicine, otherwise the medical insurance will overtreatment. Strictly grasp the indications of drug use, and consolidate drug treatment when hospitalized patients leave the hospital, with reference to the above implementation.
Five, in strict accordance with the provisions of the examination and approval. Medicare-restricted drugs meet the medical insurance restrictions.
Legal basis:
People's Republic of China (PRC) social insurance law
Article 60 The employing unit shall declare on its own and pay social insurance premiums in full and on time. Except for legal reasons such as force majeure, the payment shall not be postponed or reduced. The social insurance premiums that employees should pay shall be withheld and remitted by the employer, and the employer shall inform me of the details of paying social insurance premiums on a monthly basis.
Individual industrial and commercial households without employees, part-time employees who have not participated in social insurance in the employing units and other flexible employees can pay social insurance premiums directly to the social insurance premium collection agencies.
Article 63 If an employer fails to pay social insurance premiums in full and on time, the social insurance premium collection agency shall order it to pay or make up within a time limit.
If the employer fails to pay or repay the social insurance premium within the time limit, the social insurance premium collection agency may inquire about its deposit account in banks and other financial institutions; And can apply to the relevant administrative departments at or above the county level to make a decision on the allocation of social insurance premiums, and notify their bank or other financial institutions in writing to allocate social insurance premiums. If the balance of the employer's account is less than the social insurance premium that should be paid, the social insurance premium collection agency may require the employer to provide guarantee and sign a deferred payment agreement.
If the employer fails to pay the social insurance premium in full and fails to provide guarantee, the social insurance premium collection agency may apply to the people's court for sealing up, distraining and auctioning the property whose value is equivalent to the social insurance premium that should be paid, so as to offset the social insurance premium with the proceeds from the auction.