论文部分内容阅读
为明确职责,确保医保查房落到实处,医院成立医保管理小组。医保办作为领导小组的主要责任科室,小组的成员还包括医务处、护理部、财务科、药剂科、门诊办、监察科、信息科等职能科室成员组成。根据各职能部门的特点和权限,分别制定相关工作职责,形成医保工作齐抓共管、分工明确、各司其职的管理局面。医保办根据医院医保管理的实际情况,确定查房计划。对医保费用超支多及管理不到位的病
To clarify their duties, to ensure that physical health rounds come true, the hospital set up a medical insurance management team. Medical insurance as a leading group responsible for the department, the group also includes the Medical Department, Department of Nursing, Finance, Pharmacy, Outpatient Office, Supervision Division, Information Section and other functional departments. According to the characteristics of each functional department and authority, respectively, the development of relevant job responsibilities, the formation of medical insurance work together, a clear division of labor, the management of their respective roles. Medicare Office According to the actual situation of hospital health insurance management, to determine the rounds of plans. Excessive medical insurance costs and management is not in place of the disease