Institutional management

1. Establish a medical insurance management team, with the team leader as the team leader, and hold meetings from time to time to study the medical insurance work.

2. Implement the policies and regulations of the higher authorities on medical insurance.

3 supervision and inspection of the implementation of the provisions of the medical insurance system.

4. Investigate and deal with people and things that violate the provisions of the medical insurance system in a timely manner, and keep relevant records.

(2) Medical management

1. The prescription of Chinese and western medicines requires name, gender, age, date, work unit and home address, dosage form, dosage, dosage, usage and doctor's signature.

2 Controlling drugs requires strict control of indications.

3. The emergency prescription does not prescribe drugs unrelated to emergency, and the control of the use of rescue drugs should indicate the condition and perform the examination and approval procedures.

4. Patients' medication must comply with the relevant provisions of medical insurance, self-care drugs must be filled out at their own expense, and the inspection must conform to the condition.

5. Drug prescriptions should be strictly implemented in accordance with regulations, and it is forbidden to go on the market for medical treatment.

6 special examination and treatment, should be clear indications, complete examination and approval procedures, the implementation of conceited proportion, according to the proportion of fees.

(3) pharmacy management

1. Purchase drugs according to the drug procurement and supply system.

2. The price is correct.

3. The proportion of medical insurance drugs in the hospital drug list, drugs without a doctor's signature prescription shall not be changed.

financial management

1. Carefully check the Medical Guarantee and IC card of the insured, correctly register the charges, and accurately enter them into the computer according to the medical expenses management requirements of the Municipal Medical Insurance Center.

2. Designate a person to be responsible for the settlement and connection of medical expenses with the municipal medical insurance center, and provide relevant information according to the provisions of medical insurance.

Legal basis: Regulations on the Supervision and Administration of the Use of Medical Insurance Funds

Article 4 The supervision and management of the use of medical insurance funds shall combine government supervision, social supervision, industry self-discipline and personal integrity.

Article 6 The administrative department of medical security in the State Council shall be in charge of the supervision and administration of the use of the national medical security fund. Other relevant departments in the State Council are responsible for the supervision and management of the use of medical insurance funds within their respective functions and duties. The administrative department of medical security of the local people's governments at or above the county level shall be responsible for the supervision and management of the use of medical security funds within their respective administrative areas. Other relevant departments of the local people's governments at or above the county level shall be responsible for the supervision and administration of the use of medical insurance funds within their respective functions and duties.

Twenty-second medical insurance, health, Chinese medicine, market supervision and management, finance, auditing, public security and other departments should cooperate with each other, establish communication and coordination mechanisms, case transfer and other mechanisms to do a good job in the supervision and management of the use of medical insurance funds. The administrative department of medical security shall strengthen the supervision of medical services and medical expenses included in the payment scope of medical security funds, standardize the medical security handling business, and investigate and deal with illegal use of medical security funds according to law.