医院财务管理如何与医保结算方式合拍.pdfVIP

医家之言 - 医院财务管理 如何与医保结算方式合拍 赵密 (湖南省株洲市一医院医保科株洲 412000) E摘要】 医院对医保病人应收未收医疗账款不断增加，医保结算方式和考核办法的多样化，给医院 的医保收入确认和账务处理增加了难度，单病种包千政策与医疗服务收费政策存在矛盾。面对这些问 题，医院财务管理如何与医保结算方式合拍?笔者认为应加强对医保应收账款的管理，及时做好参保患 者出院信息与材料的上报工作，并确保准确性;提升财务管理人员素质，创新医院医保财务管理办法; 制定单病种诊疗管理流程等。 【关键词】 医疗机构;医疗费用;医保结算;财务管理;成本核算 【中图分类号】 F840.684 C913. 7 【文献标识码】 A 【文章编号】 1674-3830(2013)2-53-3 doi: 10.369/j. issn. 1674-3830.2013.2.1 5 Co∞ope创r圳ing the Hospital F日mancαial对1 Managemen川1t 飞wλNith the MedicaI Insu山lra创nce Systelll M创i Zhaωo (Hunanl n P民rovinc臼eZhu曰zho∞uCi均ty ls剑tCe创n即t衍re Hospital Medical Insmance Department ,Zhuzhou ,4 12000) Abst1actl There are serious problellls in the hospitaI of paying the medical expellse for its patient who with llledical insmance in advance and the v erifying of billing and checking the llledical insmance accounts, all of these had brought lots of trouble to the hospitaI in checking its account and incollle .Actually there are conflicts between the Single Disease Contract Policy and the n Ullling of the llledic service. How to cooperate the hospital financiaI management with the llledic insmance systelll? The writer believe that the key points exist in enhancillg the managelllent in the medic anears, reporting the hospital discharge schedule of those patient who with medic insmance timely and accurately, illlproving the proficiency of the fmancial stuffs , innovating new financial lllanagelllent system and progra 1llll1ing procedme for the Single Disease Con位actPolicy. Key wordsl llledical institution, llledical expense, llledical billing, fina