“Now you can directly handle the settlement at the window, and you don’t have to go to your hometown for reimbursement!” In front of the special disease billing window of the outpatient building of the Aerospace Center Hospital, Ms. Wang, a non-local doctor suffering from chronic diseases, successfully completed the payment and settlement business. The reporter learned from the Haidian District Medical Security Bureau that Haidian has officially launched a pilot program of “settlement and reporting” for outpatient chronic and special disease treatment costs.
As the first hospital in Haidian District to open inter-provincial direct settlement of outpatient chronic and special disease-related treatment expenses, Aerospace Center Hospital has completed the off-site chronic special disease treatment. It has completed the registration and payment system, and passed the comprehensive test of the real environment, real card and real transaction. After review, the test data is accurate. At present, the Aerospace Center Hospital has opened the outpatient chronic and special disease logo on the audit and settlement system and the national off-site medical treatment platform, and can receive patients with chronic and special diseases in off-site outpatient clinics at any time.
The relevant person in charge of the Medical Insurance Management Office of Aerospace Center Hospital introduced that the hospital determined the non-local chronic and special disease patients with reference to the real-time settlement method of Beijing outpatient card-holding medical treatment. Business processes and management requirements for registration, medical treatment, and settlement. In accordance with the principle of “directory of medical treatment places and policies of insured places”, patients complete the qualification certification of pilot disease treatment in the insured place, and then go through the registration procedures for cross-province and remote medical treatment according to the regulations of the insured place, and then they can go to the outpatient clinic for chronic and special diseases. The pilot hospital of the direct settlement service went to the doctor.
The reporter learned from the Haidian District Medical Security Bureau that the direct settlement of inter-provincial medical treatment in different places in Beijing is divided into three stages: in 2017, the direct settlement of inpatient medical expenses in different places will be launched; ) direct settlement of medical expenses for outpatient clinics; start the direct settlement of chronic and special disease medical expenses for outpatient clinics in different places at the end of 2021. The direct settlement of chronic and special diseases in Beijing outpatient clinics involves five diseases: hypertension, diabetes, outpatient treatment of malignant tumors, renal dialysis and anti-rejection treatment after organ transplantation. In addition to the Aerospace Center Hospital, this year Haidian District will also actively guide and assist the Air Force Characteristic Medical Center and Xiyuan Hospital to carry out the pilot work related to the direct diagnosis of chronic and special diseases in outpatient clinics.