How do I charge for Internet medical care? The official interpretation comes out.

Since the outbreak, medical institutions throughout the country have generally stepped up the construction of Internet hospitals, recently, Hunan Province in accordance with the State Health Security Administration "on improving the Internet and medical service prices and medical insurance payment policy guidance" formulated the relevant "implementation opinions", and for service pricing, reimbursement and other issues for policy interpretation.
the "official interpretation" that allows high-level doctors to focus on difficult problems says that internet services in public hospitals are now focused on common diseases, with the aim of focusing more on difficult and serious problems.
Specifically: At present, the Internet follow-up services that industry authorities allow public medical institutions to carry out are limited to some common and chronic diseases, and most of the changes are not complex and do not have to be seen by high-level experts.
If you do have special needs, it is recommended that patients seek help through remote consultations, or go to offline hospitals to follow normal procedures, or consider asking private service providers whether they can pay to invite their favorite specialists to provide services.
To the Internet re-diagnosis services provided by public medical institutions, the fee does not distinguish between the level of medical staff, the purpose is to hope that high-level doctors to focus more time on serious problems, so that more and more needy patients can be treated and helped in a timely manner.
support cross-agency reading, can not charge additional fees "official interpretation" that Internet hospital reading can not be additional charges.
, local health-care authorities have set programs and prices for imaging diagnoses in public hospitals, including the cost of filming and reading.
as to whether the hospital's own doctor reads the film or entrusts other third parties to read it after the film has been filmed, this is an internal management problem of the hospital and can no longer be charged extra.
ordinary people in accordance with the prescribed price of video diagnostic items can be paid normally, if the hospital in the name of "Internet plus", remote diagnosis requires additional charges, additional charges, are illegal charges.
But if the film got, the diagnosis results also have, patients are still not assured, hope to find the big city experts face to face to see for themselves, read, can also be by remote consultation application, according to remote consultation fee.
pricing of Internet services in public medical institutions, including "Internet Plus", medical service charges should be based on the patient's informed consent, legal compliance as a prerequisite.
medical institutions are obliged to disclose their fees and prices in a clear and erredic manner.
, the services provided by public medical institutions do not charge patients as a price item for medical services.
such as remote surgery guidance, remote room inspection, medical consultation, education and training, scientific research follow-up, data processing, medical identification, health counseling, health management, civilian services.
price is set by the government or by the medical institutions themselves? "Official interpretation" said that public medical institutions to provide medical services mainly on a project-by-project fee, the government should control which, no matter what, should be understood from two levels.
first and foremost which medical services can be charged to the health care sector.
the provincial medical security department is responsible for accepting applications for the establishment of "Internet Plus" medical service price items.
the price of some medical services is under the control of the health care sector.
basic medical services provided by public medical services, including those provided in the form of "Internet plus", are subject to a cap by the health insurance sector, in which the price of "Internet plus" medical services is determined by the provincial health insurance department.
Addition, public medical institutions carry out personalized, high-level demand-based "Internet Plus" medical services, as well as "Internet Plus" medical services provided abroad and abroad, to implement the requirements of special needs medical scale control and market price adjustment policy.
public medical institutions to consider the cost of services, patient needs and other factors, independently determine the fee standards and floating range and report to the local medical security department for the record management.
can an individual doctor provide medical services at home For an individual doctor, can there be a charge for providing medical services online at home? Do I need to apply for pricing in the health care department? "Official interpretation" said that at present, only public medical institutions to provide "Internet plus" medical services into the scope of government pricing.
provide "Internet Plus" medical services in compliance with the law, the price can be determined by the doctor, without having to report to the health care department.
In addition, all kinds of Internet medical enterprises through the network platform, mobile phone app, public number and other ways to provide "Internet plus" medical services, as long as it is carried out in accordance with the law, the price is determined by the enterprise itself, do not need to report to the health care department.
"B to B to C" remote consultation how to charge and settle people online under the hospital launched, inviting remote experts to see a doctor online, is commonly referred to as "B to B to C" mode of remote consultation.
according to the policy, to accept a remote consultation service, only need to pay a consultation fee to the offline hospital, of course, the fee rate must be calculated according to the price of the expert side.
how much each of the two hospitals earns, the hospital will negotiate on its own, without the need for ordinary people to pay for it.
For example, if a patient visits Xiangya Hospital of Central South University in Hunan Province and requests a remote consultation by an expert from a Sanjia hospital in Beijing, then according to the price standard of Beijing Concord Hospital, it is enough to pay the fee to Xiangya Hospital.
In addition, medical institutions to provide medical services to patients, requiring technical or facility support from third-party medical institutions, the resources consumed in the process, the costs incurred, a reasonable portion of the cost can be included in the price of medical services, but should not be regarded as an independent medical services, additional charges to patients.
cooperation between medical institutions and medical institutions to carry out services, the resulting settlement problem is essentially the distribution of medical income, self-negotiated solutions.
How to reimburse the "Internet Plus" medical service items to be included in the medical insurance payment there are two main situations: First, the fixed-point medical institutions to provide the "Internet Plus" medical services and the current payment scope of the offline medical services project content is the same, after the record can be included in the scope of payment and according to the provisions of payment.
2 is a new content provided by fixed-point medical institutions, there is no corresponding medical service items offline content, provincial medical insurance departments can take into account clinical value, price level, medical insurance affordability and other factors before deciding whether to include medical insurance payments.
patients can be executed in accordance with the local reimbursement policy.
reimbursement for cross-regional services should be implemented in accordance with the policy of the patient's place of insurance.
summary is to pay at the price of the place of service, according to the patient's insured area of health insurance payment policy reimbursement.
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