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    Home > Medical News > Latest Medical News > National Health Insurance Bureau: 32,000 supplies to the identity card issued.

    National Health Insurance Bureau: 32,000 supplies to the identity card issued.

    • Last Update: 2020-07-18
    • Source: Internet
    • Author: User
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    Pharmaceutical Network July 1st , supplies coding affecting the payment link32554supplies have been encoded
    June 28, the National Health Insurance Administration released the "Medical insurance medical supplies classification and code database updates" ( June 2020)According to Thesaberg Blue Device Observation, this time including a total of 32,554 medical supplies code, covering 9404543 medical supplies actual specifications.the State Administration of Health Insurance pointed out that in accordance with the overall requirements of "unified classification, unified coding, unified maintenance, unified release, unified management", to accelerate the promotion of unified medical insurance information business coding standards, the formation of a national "common language.".Medical supplies information will be included in the national medical supplies classification and code database for use by various medical security departments.The State Administration of Medical Security in the "State Medical Security Administration on the issuance of medical security standardization guidance notice" pointed out: by 2020, on the basis of the construction of a unified national medical insurance information system, gradually realize the diagnosis of disease and surgical operations, such as 15 information business coding standards on the ground use.Finally, the top-down, unified and standardized medical insurance information business coding system will be formed.Supplies coding interpretation publishedaffect the national consumables coding, in the end what it looks like, today's published database can be queried, click on the details, but also can see more specific information . what does this series of numbers represent? .  The State Administration of Health Insurance in the "medical insurance disease diagnosis and operation, drug , medical services, medical supplies four information business coding rules and methods", the medical insurance supplies coding made a demonstration: (picture source: National Health Insurance Administration) interpretation: medical insurance medical supplies coding in five parts of a total of 20, expressed in a specific order of capital Letters and Arabic numerals Part 1 of which is the supplies identification code, the second part is the classification code, the third part is the generic code, the fourth part is the product signature, the fifth part is the production company code .  Part 1: Supplies identification code, with 1-bit capital Letter "C" to indicate .  Part 2: Classification code, according to medical supplies discipline, use, location, function division, with 6 Arabic numerals .  Part 3: Universal code, the creation of a unified national medical medical supplies generic code, with 3 Arabic numerals .  Part 4: Product signatures, based on the supplies material, specifications and other characteristics of the code, with 5-digit Arabic numerals .  Part 5: Production enterprise code, according to the medical device registration certificate or filing certificate for the supplies production the sole code given by the of the enterprise, expressed in 5-digit Arabic numerals .  This time includes a total of 32,554 medical supplies code, covering 9404543 medical supplies actual specifications .  The local medical insurance departments may not adjust June 8, the State Medical Insurance Administration issued the Interim Measures for the Administration of Medical Supplies for Basic Medical Insurance (Draft for Comments), the structure of which mainly includes examples and catalogues .  In all cases, the arrangement of the "Basic Medical Medical Supplies Catalog", name and coding specifications, payment scope, etc are explained and explained The catalog includes numbers, functional classifications, health insurance codes, payment ranges, units, payment standards, methods of determining payment criteria, notes, etc .  The Draft for Comments emphasizes that, in addition to special provisions, local medical insurance departments shall implement the National Directory of Basic Medical Insurance Medical Supplies and shall not be adjusted without authorization .  It is understood that the use of these measures refers to medical supplies, refers to the approval of the drug supervision and administration department, can be charged separately, and has medical medical supplies with a unified code of medical medical supplies These Measures shall apply to the medical insurance access, payment and corresponding management supervision of medical supplies .  According to the Draft for Comments, medical supplies in the catalogue, with one of the following circumstances, the medical insurance fund will not be paid 1 Use of non-disease diagnosis and treatment projects; 2 Use of various scientific research and clinically verifiable medical and therapeutic projects; Third, beyond the scope of rational use; And fourth, other non-compliance with the provisions of the basic medical insurance payment scope .  The medical supplies in the catalog, with one of the following circumstances, the health insurance fund and patients will not pay First, due to the use of consumables itself caused by unsuccessful use; .  Medical supplies in the "Basic Medical Supplies Catalog" must meet the following conditions before the medical insurance fund will be paid 1 For the purpose of diagnosis and treatment of diseases; 2, it conforms to the scope of application of registration or filing in the drug supervision and administration department; third, the scope of payment as defined in the Directory of Basic Medical Insurance Supplies; fourth, the medical personnel with corresponding qualifications of the designated medical institutions shall be issued (first aid and rescue may be appropriately relaxed to non-targeted medical institutions); and other conditions prescribed by the State .  Supplies coding involves payment settlement
    can see that the medical community has been concerned about the medical supplies coding work has officially started .  By 2020, on the basis of the construction of the national unified medical security information system, we will gradually realize the application of 15 information business coding standards, such as disease diagnosis and surgical operation .  Different from drugs, supplies not only a variety of supplies and a wide variety, the same product in different regions bidding procurement the name of different, around the various policies on consumables, supplies tender procurement and payment and other links bring a lot of inconvenience .  In this case, there is no shortage of enterprises to use this to avoid price regulation, some areas even formed a mixed pattern In recent years, the industry emerged supplies procurement alliance to implement supplies procurement prices, data sharing and other practices, including circumvention of the enterprise this approach .  The appearance of medical supplies coding standards will certainly make changes and corrections to certain links in the supplies industry chain, in order to match the same in the early focus of the medical insurance disease diagnosis and surgical operation information business coding standards .  In fact, because there is no uniform standard, enterprises themselves often do not know the name and information of the product in multi-site tender procurement For example, the product name is a in Beijing, but into Nanjing but into b .  This "consensus" will directly affect the supply of supplies bidding, procurement and payment The original supplies are complex, with coding standards will change the chaotic situation, eliminate the previous bidding procurement link due to poor product information caused by the problem, and then affect the payment link .
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