四川省内异地就医联网结算管理实践探索.pdfVIP

医疗保险管理Yiliao baoxian guanli 仰自医院管理D第3S卷第7期{总第制翩) 羽l坷7月 四川省内异地就医联网结算管理实践探索 魏素萍@ 魏娜① 摘要四川省内基本医疗保险异地就医联网结算试点工何已全面启动。四川省肿黯医院作为首她联网试点医院，积 极顺应联网结算需求，完善服务内涵、畅通服务流程，全面落实了实现异地就医!lD肘结算的主要搞施，极大15僵了异地就 医人群。异炮就医联网结算是一项全新工作， 针对运行申存在的问题提出建议， 为完善异地医保的服务与曹理提供参害。 美幢词医疗保险异地就医联网结算定点医疗机，构 中团分提号 R197 . 1 文献标志码 8 文章编号 1001-5329{2015l07-0069-02 Practice Exploration of Sichuan Province Long-distance Medical Network Settlement Management/WEI Su-ping , WEI NallChinese Hospita l Management , 2015. 35(7 ) : 69-70 Abstract Sichuan Province pilot work of long-distance medical networking and settlement of primary medical in- surance has been comprehensively launched. Sichuan Province Cancer Hospital as the first pilot hospital networking , actively complies w ith the demand of network settlement , actively innovates and improves service connotation , makes services process smoothly , implements the main measures to realize the long-distance medical instant settle- ment, which has greatly helped a long-distance crowd and obtained the remarkable social benefits. Long-distance mediωI networking settlement is a new job. $uggestions are put forward ac∞rding to the problems existing il1 the opera- tion in order to provide reference for improving the long- distance medical care service and management Key words medical insurance , remote medical , networking settleme时， designated hospital First-authors address Sichuan Province Cancer Hospital , Chengdu , Sichuan , 610041 , China 异地就医联网结算是指医疗保险参保人员按照有关规 义。 作为首批实行异地就医即时结算的试点医院，我院积极 定，持社会保障卡在参保地以外的省内其他统筹地区定点医 落实相关政策，成立由院级领导、 医保部门、 财务部门、药 疗机构就医结算的行为(11。 随着医保惠及人群的不断扩大和 剂部门、信