Current location - Trademark Inquiry Complete Network - Tian Tian Fund - What do you mean by the standard of medical insurance code?
What do you mean by the standard of medical insurance code?

"implementing standards" means "implementing 15 coding standards for medical insurance information services", with the goal of realizing one code for all medical insurance information services in China, giving full play to the supporting role of coding standards in medical treatment in different places, medical treatment guarantee, medical service management, medical price and bidding procurement, fund supervision and public service, etc., improving medical insurance governance capacity and public service quality, and constantly improving people's sense of gain.

in order to implement the requirements of standardization construction of national medical insurance information service codes, further promote the standardization of national medical insurance information service codes, and ensure the smooth landing of 15 national medical insurance information service codes in the whole city before the end of March, Lianshui County Medical Insurance Bureau took various measures to fully promote the standardization of medical insurance codes.

First, attach great importance to it, dare to take responsibility, and strengthen the division of labor between organization and leadership. A special class for county medical security standard implementation was established, and Liu Shifei, deputy director, served as the monitor of the special class for standard implementation, specifically guiding and supervising the work of the special class. The special work class consists of medical insurance professional group, coding storage group, port transformation group and initial test group. In accordance with the unified deployment of the city, carry out related work in an orderly manner. In early February, 418 designated medical institutions and 191 designated pharmacies were coded and put into storage as scheduled. At the end of February, the policy of code mapping and labeling for medical consumables, medical insurance drugs and medical services was completed. On March 18th, the reform, testing and evaluation of the medical insurance fund settlement list system were completed.

second, close cooperation, keeping up with the progress, and timely and effective communication and feedback. In strict accordance with the city's unified work deployment and overall time schedule, establish a work coordination and rapid response mechanism with the two institutions in the county, and smooth communication channels. And regularly report the progress of the work to the Municipal Bureau. At the same time, the staff of 69 institutions in the county have been trained in the implementation of medical insurance codes for many times, guiding and urging them to complete the introduction of medical insurance information codes and interface transformation.

the third is to strengthen the guarantee, make concerted efforts in many ways, and make every effort to promote the implementation of standards. From March 15th to 16th, 221, the Deputy Director led a team to check the interface transformation of the system of Shenzhen Medical Insurance Information in designated medical institutions. On March 18th, the Joint Health and Health Commission held a meeting to promote the implementation of medical insurance coding standards, and invited the initial inspection working group of the municipal medical insurance center to conduct a pre-evaluation of the implementation of standards in our county, focusing on the difficult technical problems in the process of interface transformation, and conducted exchanges and guidance.

since the deployment of national medical insurance information service coding standardization construction, the municipal medical insurance system has taken various measures and made every effort to accelerate the application of 15 medical insurance information service coding standards, laying a solid foundation for realizing national medical insurance information interconnection and data mutual recognition.

pay attention to overall planning and coordination, and plan and deploy in place. The Municipal Medical Insurance Bureau timely formulated 15 implementation plans for medical insurance information business coding standards, defined the tasks, schedule and division of tasks of medical insurance coding standards implementation, and set up a working group of the Municipal Medical Insurance Bureau and four working groups to coordinate the implementation, code maintenance, old and new coding mapping and information system transformation, strengthen overall coordination, establish a dynamic maintenance system, and push forward the implementation of medical insurance coding standards implementation in the whole city. The city's medical insurance system acted quickly, and the city's medical insurance center further refined the requirements for business coding transformation and acceptance standards of designated medical institutions in the city to ensure that the task of implementing the standards was clear and clear, and the measures were targeted; Longwen and Zhao' an medical insurance departments dispatched elite forces to set up special classes, and specifically tracked and urged them to ensure the smooth progress of the standardization work.

pay attention to coordination, and publicity and training are in place. The Municipal Medical Insurance Bureau organized the city's medical insurance-related staff to watch the national and provincial medical insurance business code implementation training meeting, timely convened the city's medical insurance informationization standardization work re-scheduling meeting, and re-emphasized, re-clarified and re-deployed related tasks; In view of the interface specifications and medical insurance settlement list that medical institutions are concerned about, the Municipal Medical Insurance Center organized designated medical institutions directly under the municipal government and basic health system maintainers to hold 15 work meetings on the standardization of medical insurance information business coding standards, and went all out to do a good job in launching the medical insurance information platform in our city within a limited time. The medical insurance departments in Longwen, Yunxiao, Zhao 'an, Hua 'an and other places have also held training sessions on the standardization of medical insurance codes, clarifying the main responsibilities of medical insurance authorities and medical institutions, and requiring designated medical institutions to advance steadily in strict accordance with time nodes to ensure that the standardization work is in-depth and meticulous.

pay attention to the actual effect of standards, and supervise and guide them in place. Taking the implementation of medical insurance codes as the current primary task of the medical insurance system, the leading group of the Municipal Bureau earnestly shouldered the responsibility, voluntarily gave up the National Day holiday, and organized the staff of the Municipal Medical Insurance Center, the medical insurance bureaus of counties (districts) and the management department to conduct on-site supervision and guidance on the implementation of medical insurance codes in designated medical institutions in the city. The medical insurance departments of counties (districts) also gave full play to the positive role of special classes, and kept abreast of the progress of the implementation of standards in designated medical institutions through field research, reading accounts, discussion and checking information systems, and found that there were problems.