Record Management in the role of medical insurance claims.docVIP

 PAGE \* MERGEFORMAT 8 Record Management in the role of medical insurance claims [Keywords:] case management of medical insurance claims Along with social progress and constant improvement of the social security system, medical insurance (Medical care) as a national and social workers within the scope of the statutory provision of prevention and treatment of disease, disability and services for the cost of a social insurance, has been and our lives are getting closer. by way of the implementation of health insurance is divided into two kinds: one is a national compulsory statutory insurance, health insurance administration by the government planning, management, and its goal is broad coverage, low-security; the other is received by the commercial insurance agency personal insurance and voluntary insurance claims medical insurance. Medical Records (Medical Record) as a medical file is the medical staff the patient diagnosis, examination, treatment, care and made written records of objective truth, scientific and rational management of the medical record is essential, it has become a health insurance payments and an important basis for claims of medical costs. A medical record directly affect the quality of writing on health insurance payments and claims 1.1 The hospital medical record diagnosis and treatment of the patient end of the summary of the information they reflect the medical insurance premium rate for the measure to provide better statistical data for evaluation of social security institutions, monitoring the hospital’s service quality, technical level to provide a quantitative index. The writing point should be filled must be completed correctly and completely, especially the correct classification of diseases and surgical procedure codes related to the claims rates. such as clinical on the “teratoma” the nature of the pathology report must be based on the description of the benign and malignant tumors, including the distinction