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<div id="rh7tdnnf" class="pageweizhi"> <span>醫(yī)保專欄</span> <div id="rh7tdnnf" class="wzrig">您當前的位置：<a href="/">首頁</a> > <a href="/ybzl/">醫(yī)保專欄</a> > <a href="/ybzl/ybzcwj/">醫(yī)保政策文件</a></div> </div> <div id="rh7tdnnf" class="pagexxbox"> <h1 class="ptitle">湘潭市中醫(yī)醫(yī)院積極配合市人社局開展“打擊虛假醫(yī)療專項行動”</h1> <div id="rh7tdnnf" class="ftitle"></div> <div id="rh7tdnnf" class="pdate">發(fā)布者：admin 作者：來源：發(fā)布時間：2015-11-30 00:00:00</div> <div id="rh7tdnnf" class="page_right_box_xinxi"><p> 為進一步加強我市醫(yī)?；鸸芾?，打擊虛假、過度醫(yī)療等違規(guī)違紀行為，規(guī)范醫(yī)保醫(yī)療服務，保障人民群眾醫(yī)保醫(yī)療權益, 促進醫(yī)療保險健康持續(xù)發(fā)展。由市人社局牽頭組織的“打擊虛假醫(yī)療專項行動”于2015年8月-12月底在全市各家醫(yī)療保險定點醫(yī)療機構開展。檢查分病歷評審和現場查房兩個部分。<br /> 活動中，重點檢查了我院是否存在分解住院、掛床住院、冒名住院、串換病種、隨意放寬入院標準收治住院、床位重疊使用；是否存在不合理用藥、串換藥品及診療項目，將非醫(yī)保報銷的藥品及診療項目納入醫(yī)保報銷范圍的違規(guī)行為；是否存在偽造、涂改醫(yī)療文書的行為；是否存在虛構病歷記錄進行查檢和治療的行為；是否存在外傷病志記錄不規(guī)范導致非醫(yī)保報銷范圍內的病種納入報銷范圍的行為。是否存在重復收費、分解收費、捆綁收費、超物價標準收費等違規(guī)收費行為，是否存在分設住院賬戶，是否存在住院期間要求病人到門診繳費的現象。是否存在特門病人冒名就醫(yī)、壓卡刷卡結算、沖減自付費用的現象。<br /> 檢查組針對現場查房及病歷評審中發(fā)現的問題提出了相應的整改要求。通過專項檢查行動，完善了我院醫(yī)?；鸸芾?、使用和監(jiān)督機制，重點解決了部分病人過度醫(yī)療等突出問題，切實維護醫(yī)保基金安全，保障人民群眾的基本醫(yī)療權益。<br /></p><p align="right">供稿醫(yī)保辦</p></div> <div id="rh7tdnnf" class="spcenter_fenxiang"><span>分享到：</span> <div id="rh7tdnnf" class="bdsharebuttonbox"><a href="#" class="bds_more" data-cmd="more"></a><a href="#" class="bds_qzone" data-cmd="qzone" title="分享到QQ空間"></a><a href="#" class="bds_tsina" data-cmd="tsina" title="分享到新浪微博"></a><a href="#" class="bds_tqq" data-cmd="tqq" title="分享到騰訊微博"></a><a href="#" class="bds_renren" data-cmd="renren" title="分享到人人網"></a><a href="#" class="bds_weixin" data-cmd="weixin" title="分享到微信"></a></div> <script> 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