experience outpatient "acceleration"
these steps can save the benefits of the
diagnosis for medical insurance patients?
the whole process of medical treatment is completed by the doctor to realize the border diagnosis and settlement.
can be registered after reading card in consulting room.
the medical insurance window in the large hospital before, often see some old medical signs called "medical insurance". They have a common feature. They come to the hospital for medical treatment almost every week. They are familiar with the medical treatment process. Because in the original medical insurance business model, the provincial medical insurance patients after the doctor opened the doctor's orders, must go to the special provincial medical insurance fee window through special encryption equipment to achieve the settlement deduction fee, can not be like the self - fee patient in the doctor's station, the nurse sub examination table and the outpatient self-service preparation to complete the payment.
inter hospital settlement is that the insured person can complete various medical expenses settlement in the consulting room. In the Department of Hematology of the East Hospital of Shandong Provincial Traditional Chinese Medical Hospital, the doctor put the newly issued third generation social security card on the multi-function reader card, and registered, read, prescribe, audit and settle the whole process. The whole process was recorded on the computer. After the completion of the social security card, the pharmacy system receives the patient's prescribing information.
"after reading card can be registered directly, doctors in the consulting room for treatment, settlement, patients do not need to go to the medical insurance audit window queue." Similarly, after the settlement of the pharmacy system can receive the patient's prescribing information, patients do not need to take the card to the pharmacy window to brush information, wait for the medicine. According to Xue Yitao, vice president of Shandong Provincial Traditional Chinese Medical Hospital, the insured personnel hold third generations of social security cards to the hospital, directly through the multi-functional reading card registration, medical care, medical insurance settlement and deductions, reducing the queuing audit, payment links, the realization of "side diagnosis, side settlement."
before the settlement of the provincial social security card between Shandong Provincial Traditional Chinese Medical Hospital was carried out, the medical insurance participants in Ji'nan had enjoyed the convenience of settlement in the hospital. Xue Yitao said that the medical insurance settlement in cities and provinces is based on two different systems. "We first opened the settlement function of the city social security card, which fundamentally improved the service process and facilitated the patient's medical treatment." Xue Yitao said that every time he returned to the doctor after the examination, he not only delayed his own time, but also delayed the time of other patients. Through the settlement, the number of patients queuing is reduced, the visiting time is saved, and the efficiency of hospital diagnosis and treatment is improved. How does
"zero running leg" come true?
the benefits of electronic audit instead of manual audit of
How do it happen?
the reporter learned that the medicine and checklist issued by the doctor to the medical insurance patients, sometimes not in the medical insurance scope or beyond the medical insurance regulations Well, you need a medical insurance review. In the absence of electronic audit function, the doctor opened the prescription, patients need to wait for the medical insurance audit window to wait for manual review, if the audit, but still need to go to the consulting room for doctors to change medicine, it is possible to go back and forth several times. The audit has passed, and we have to go to the medical insurance window to queue up for artificial settlement before we can get the medicine. Light is queuing, and it takes more than ten minutes to speak less.
and the function of inter consultation is based on electronic audit, which turns the point of medical insurance audit into the rules that can be recognized by the computer, and realizes the real time settlement of medical insurance. In other words, in the process of medicine, the system can automatically verify whether the doctor's prescription is in accordance with the medical insurance regulations. After the examination, the patient can hold the charge directly with the medical insurance card and save the steps of the manual examination and settlement.
in May 2016, the Provincial Bureau of people's society used the social security card to make a pilot settlement in the Eastern Hospital of Shangdong Province-owned Hospital and the Qianfo Hill hospital in Shandong province and some other designated hospitals and some municipal designated hospitals. The overall settlement function of the social security card project launched in our city can also solve the problem of queuing and waiting repeatedly in the window when some citizens are seeking medical treatment. At present, the participants in the city of Shangdong Province-owned Hospital, the Qianfo Hill hospital in Shandong, the first people's Hospital of Ji'nan and the maternal and child health care hospital of Ji'nan can enjoy the convenience of the clearing.