Current location - Trademark Inquiry Complete Network - Tian Tian Fund - Rectification scheme and measures of medical insurance
Rectification scheme and measures of medical insurance
Legal analysis: 1. Strengthen the writing requirements of medical nursing medical records, examine them according to the writing standards of medical records, strengthen the supervision of medical records on shelves, and continuously improve the writing quality.

2. Organize medical personnel and medical insurance personnel to learn all kinds of work norms in combination with the basic medical insurance policy system for urban employees in Aba Prefecture, implement them in specific departments, and submit their cognition of medical insurance work norms.

3. Due to the late start of hospitalization medical insurance and immature operation, it is necessary to go out for study and consultation, quickly put medical insurance into the hospital, and establish a three-level audit system. The key point is that the medical insurance department should check the entrance and see the medical insurance card before entering.

4, check all kinds of problems, according to the three departments (medical care, nursing, medical insurance) classified one by one, the problem is decomposed into departments, all departments to implement, rectification in place.

5. Organize meetings step by step, such as medical writing seminar, nursing work implementation meeting, medical insurance work letter meeting, etc. Each group meeting will solve major problems, such as medical record writing, bed arrangement, ward management, policy mastery and operation, and make continuous improvement.

Legal basis: People's Republic of China (PRC) Social Insurance Law.

Twenty-sixth basic medical insurance for employees, new rural cooperative medical care and basic medical insurance for urban residents shall be implemented in accordance with state regulations.

Twenty-ninth medical expenses of the insured shall be paid by the basic medical insurance fund, and shall be directly settled by the social insurance agency, medical institutions and pharmaceutical business units.