The scope of responsibilities and work focus are different.

1. The scope of responsibilities is different. The medical insurance internal audit department generally belongs to the medical insurance department. It is mainly responsible for internal auditing and auditing of medical insurance payments, including reviewing the charging documents of medical institutions, medical insurance reimbursement materials, etc., to prevent the occurrence of false reimbursements and excessive reimbursements.

, ensure the legality, standardization and economy of the use of medical insurance funds.

2. The work focus is different. The work focus of the Medical Insurance Internal Audit Department is mainly the internal audit and audit of medical insurance payment, such as the review of medical institutions’ charging documents, medical insurance reimbursement data, etc. and the standardized management of diagnosis codes. The purpose is to

Prevent false, duplicate or excessive medical expense reimbursement and ensure the reasonable use of medical insurance funds.