Fangxian News Network Correspondent Luo Wei Xu Wei Wu Bo reported: In order to standardize the medical insurance service behavior of urban and rural residents in designated medical institutions, safeguard the legitimate rights and interests of insured residents in medical treatment, improve the service quality of designated medical institutions, and ensure the rational and efficient operation of medical insurance funds, Fangxian Medical Insurance Bureau started on April 18, with the main leaders of the medical insurance bureau as the team leader, divided into three assessment groups, and carried out the 2022 medical insurance assessment and evaluation work for more than 30 designated medical institutions and more than 100 designated retail pharmacies in the county .
It is reported that this time the medical insurance assessment work mainly adopts a combination of online and offline methods. Based on the data of the management system, the offline use of archives, medical records, expense lists, medical services, financial accounts, invoicing and deposit ledgers, on-site ward rounds, telephone return visits, etc. “Expense management” and other aspects, take a serious work attitude, do not take formalities, do not go through the motions, find problems, face criticism and education, and make red faces sweat, and really manage. Urge all designated medical institutions to strictly implement the terms of the medical insurance agreement, strengthen internal quality control management, promptly correct shortcomings and deficiencies in the medical insurance work of designated medical institutions, and put forward reasonable rectification suggestions to further improve the quality of medical insurance services.
In the next step, Fangxian Medical Insurance Bureau will carry out service quality assessment of medical institutions from time to time. Correlate the institutional grade review and the total payment of medical insurance DIP points, etc., to enhance the self-discipline, responsibility, service and overall situation awareness of each designated medical institution, with the goal of “good service, good quality, good medical ethics, and the satisfaction of the insured people” , to promote the high-quality and efficient operation of medical insurance funds.