Credit card deduction fee Ji'nan three pilot hospitals, provincial health insurance does not line up.
to a hospital to see a doctor, the most troublesome thing is to queue again and again. Registration, medical treatment, audit, settlement, inspection, re visit, audit, settlement, taking medicine, a simple medical insurance treatment process generally needs nine teams. Recently, the provincial Office of the provincial people's society in the provincial hospital of Qianfo Hill, the Eastern Hospital of the provincial hospital and the first people's Hospital of Ji'nan was officially launched by the social security card, and the average 30-50 minutes of waiting time for each insured person could be saved on average.
by the outpatient doctor swipe charge, the patient directly to the pharmacy to take medicine
29 morning 10, 53 year old Yu Lijun came to the provincial hospital of Qianfo Hill hospital to open the medicine, through the self-service equipment registration, Yu Lijun came to the medical insurance convenience outpatient clinic. Doctors in the system open two boxes of "Metoprolol Succinate Sustained-release Tablets", using Yu Lijun's provincial direct medical insurance card gently stroke, through the system intelligent audit through, the corresponding charge is automatically deducted in the system, then printed receipt of receipt shows: "32.52 yuan, has been deducted fees, please go directly to the pharmacy to take medicine."
"is too convenient to save a lot of queuing time." Yu Lijun said he had heart disease and was about to go to the hospital every two weeks. Due to the enjoyment of provincial medical insurance, each time to the hospital should be registered first, and then go to the doctor to prescribe medicine, and then by the provincial medical insurance window audit through, and then to the settlement window card payment, finally can go to the pharmacy to take medicine. "Every step needs to be lined up. When it comes to many people, it will take a whole morning to buy a medicine. It is bad for the body, and it is even harder to make a mess of it."
since May, the provincial hospital of Qianfo Hill and the Eastern Hospital of the provincial hospital have been settled, and the provincial medical insurance no longer needs a separate examination and payment process, and the patient is more concise.
"registration, prescriptions, audits and deductions are completed in one window, less than a minute before and after." Sun Guifang, the director of the medical insurance office of the provincial hospital, introduced the patient to the provincial doctor's medical insurance and convenience outpatient clinic, and the doctor on duty was first entered the registration system for the patient to register, then entered the doctor's system to prescribe medicine, after the completion of the system, the medical insurance card was checked and the payment was realized.
in addition to convenient outpatient prescriptions, the same is true in other outpatient departments. After the doctor opens the medicine, the medical insurance card can be brushed directly in the consulting room. The examination sheet is directly checked to check the charge of the medical insurance card in the Department, and the insured person goes directly to the pharmacy to take the medicine or go to the related department after the success of the deduction. After calculation, the average time to visit 30-50 minutes per patient can be saved.
hospital audit window from three people to one person
according to Liu Bin, deputy director of the provincial human resources social security information center, through the social security card in the designated hospital in the process of direct settlement of medical treatment costs, reduce the line of the queuing fee, to achieve "edge diagnosis and treatment, side settlement." Medical insurance personnel take the social security card to the hospital to register for medical treatment. After completing the diagnosis and treatment, the doctor directly passes the multi-function card reader to make medical insurance settlement and deduction. The cost of deductions is only the personal part of the insured person, and it can be paid by the personal account in the social security card. The balance of medical insurance is settled by the hospital and the medical insurance agency.
through the inter hospital settlement, it also improves the efficiency of hospital diagnosis and treatment, and saves manpower costs. "More than 70% of the provincial direct medical insurance settlement can be approved by the system intelligence audit, only a small number of special case system audit is not passed, the need to the manual window review, after the review can be paid to the self-service equipment. Sun Guifang said, the original provincial hospital Eastern District medical insurance examination window is shared by three staff members, and now only one person is retained.
"future settlement window will no longer set up provincial health insurance and city health insurance window separately, all windows are universal for all patients. The next step will also introduce self-service equipment printing invoices and medical card refund services, which will further reduce queuing time. Sun Guifang said that inter hospital settlement plus self-help equipment will play a strong role in shunting.
Qingdao, Ji'nan, Zibo, Weifang also carried out this business
according to the introduction, using the previous half a year, the provincial human resources social security information center and some provincial direct designated hospitals have reformed the provincial medical insurance settlement platform and the hospital information system. Fee based multi-function card reader equipment, inter hospital settlement can be achieved.
Liu Bin said that as of now, the provincial medical insurance card pilot hospital is the provincial hospital Eastern Hospital District, the Qianfo Hill provincial hospital and the Ji'nan first people's hospital. In addition to the provincial government, four cities in Ji'nan, Qingdao, Zibo and Weifang have also carried out the use of social security cards for settlement work. After successful pilot projects, they will be promoted in the whole province.
"the current provincial social security card card quantity is about 65 million, we are studying the online payment function of social security card, such as network appointment registration, and so on, further convenient for patients to visit. At the same time, it will enrich the application scope of social security cards as much as possible, so that cardholders can get more government public sector services through social security cards.