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    Home > Medical News > Medical World 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: 2020-07-24
    • Source: Internet
    • Author: User
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    Editor:Micksupplies coding affecting payment
    June 28, the National Health Insurance Administration released "Medicare Medical Supplies Classification and Code Database Update" (June 2020)According to Thesaberg Blue Device Observation, this time including a total of 32,554 medical supplies code, covering 9404543 medical supplies actual specificationsThe State Administration of Health Insurance pointed out that in accordance with the overall requirements of "unified classification, unified coding, unified maintenance, unified release and unified management", we will speed up the promotion of unified standards for the coding of medical insurance information and form a national "common language"medical supplies information will be included in the national medical supplies classification and code database for the use of medical security departments everywherethe State Administration of Medical Security in the "National 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 operation s15 information business coding standardswill eventually form a top-down, unified and standardized medical insurance information business coding systemAffect 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 informationwhat does this series of numbers represent?the National Health Insurance Administration in the "medical insurance disease diagnosis and operation, drugs, medical services, medical supplies four information business code rules and methods", the medical supplies coding made a demonstration:(picture source: National Health Insurance Administration)interpretation: medical insurance medical supplies coding 5 parts of a total of 20, expressed in a specific order of capital letters and Arabic numeralsPart 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 codePart 1: Supplies identification code, in the capital letter "C" in 1 bitPart 2: Classification code, according to medical supplies discipline, use, location, function division, in 6 Arabic numerals Part 3: Universal code, the creation of a national unified medical medical supplies generic code, expressed in 3 Arabic numerals Part 4: Product signatures, based on the supplies material, specifications and other characteristics of the code, expressed in 5 arabic numerals Part 5: Production company code, according to the medical device registration certificate or filing certificate for the supplies manufacturer signed the unique code, expressed in 5 Arabic numerals this time includes a total of 32,554 medical supplies code, covering 9404543 medical supplies actual specifications On June 8, the State Administration of Medical Insurance issued the Interim Measures for the Administration of Medical Supplies for Basic Medical Insurance (Draft for Comments), the structure of which mainly includes the exception sands and the catalogue example is the "basic medical medical supplies catalog" of the arrangement of the format, name and coding specifications, payment scope and other interpretation and explanation 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 health insurance departments shall implement the National Directory of Basic Medical Insurance Medical Supplies, and shall not adjust without authorization it is understood that the medical supplies referred to in these Measures refers to the approval of the drug supervision and administration department, can be charged separately, and has 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 pay 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 catalogue of medical supplies, 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; the "basic medical medical supplies catalog" of medical supplies, must meet the following conditions, the medical insurance fund to pay 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 As can be seen, 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, the implementation of 15 information business coding standards, such as disease diagnosis and surgical operations, will be gradually realized different from the drug, supplies not only a variety of supplies and a wide variety of, the same product in different regions when bidding and procurement of different names, around the various policies on consumables, to supplies tender procurement and payment and other links bring a lot of inconvenience such a situation, there are no shortage of enterprises to use this to avoid price regulation, some areas even form 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 emergence of medical supplies coding standards will certainly make changes and corrections to certain links in the supplies industry chain, in line with 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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