echemi logo
Product
  • Product
  • Supplier
  • Inquiry
    Home > Medical News > Medical World News > Official notice: From February 16th, supplies without coding will not be able to purchase

    Official notice: From February 16th, supplies without coding will not be able to purchase

    • Last Update: 2021-02-23
    • Source: Internet
    • Author: User
    Search more information of high quality chemicals, good prices and reliable suppliers, visit www.echemi.com

    until February 16 is the deadlineno coding will not be able to purchaseFebruary 7, according to China Tender Information Network disclosed that Jiangsu issued the "provincial public resources trading center on the implementation of the national medical supplies coding standards notice." For products that have been listed on the provincial platform, the classification and code of medical supplies for national medical insurance should be correctly maintained on the provincial platform before March 31, otherwise the network will be suspended, and for products that are not listed, products without coding will not be able to declare the basic library and sunshine procurement from February 16.Taiyuan City Medical Insurance Bureau in Shanxi Province has previously issued "on the purchase of selected varieties of precision infusion to implement the medical insurance payment management notice", the content pointed out that there is no new medical insurance code related supplies, health insurance funds do not pay.Fixed-point medical institutions or relevant enterprises should promptly submit to the medical management department of the municipal medical insurance center the relevant materials related to the relevant consumables varieties, and formulate a new medical insurance code.At the same time, the relevant medical insurance departments should be in accordance with the national medical insurance coding rules, timely docking with the provincial health insurance management departments, the use of new unified medical insurance code for supplies, distinguish between different functional types and production enterprises. Fixed-point medical institutions must upload fee information according to the type of relevant supplies, production enterprises, etc., as the basis for the settlement and payment of medical insurance funds.On February 3rd, the National Health Insurance Administration's medical supplies classification and code database was updated with a total of 38,857 codes, including 11078607 models of supplies.Code update includes Medtron, Johnson and Johnson, Murray, Vigo, Lepu, minimally invasive and other well-known domestic and foreign equipment products.On January 29, according to a notice issued by Jiangxi Province's pharmaceutical procurement service platform, in accordance with the work of the State Medical Security Administration, in order to speed up the formation of a unified national medical security information business coding standards, Jiangxi Province will implement the national pharmaceutical, medical supplies medical insurance coding standards (hereinafter referred to as "standards"), the standard products include all in the provincial pharmaceutical procurement service platform online procurement of drugs, medical supplies.The content points out that the information of medicines and medical supplies prepared by the State Administration of Medical Security will be compared to find the national medical insurance code corresponding to the drugs and medical supplies.

    National Health Insurance Administration: A catalogue of codes will beIn 2020, the State Health Insurance Administration issued the Interim Measures for the Administration of Medical Supplies for Basic Medical Insurance (Draft for Comments), which clearly states that the administrative department of medical security under the State Council, taking into account such factors as the functional role of medical supplies, clinical value, cost level and affordability of medical insurance funds, has adopted the access law to formulate the Directory of Medical Supplies for Basic Medical Insurance (hereinafter referred to as the "Directory of Medical Supplies for Basic Medical Insurance") and regularly updates and adjusts them dynamically.Medical supplies in the Basic Medical Insurance Supplies Catalog shall be included in the scope of payment of the medical insurance fund in accordance with the provisions.The structure of the Basic Medical Supplies Catalog mainly includes the case and the catalog. All cases are the arrangement format, name and coding specifications, payment scope and other explanations and explanations of the Basic Medical Supplies Catalog. The catalog includes numbers, functional classifications, health insurance codes, payment ranges, units, payment standards, payment criteria, notes, etc.The standard of payment for health insurance for exclusive products, etc., will be determined through negotiation.The Draft for Comments emphasizes that, except for special provisions, local medical insurance departments shall implement the National Directory of Medical Supplies for Basic Medical Insurance and shall not adjust them without authorization.It is understood that the medical supplies referred to in these Measures refer to medical supplies, which can be charged separately with the approval of the drug supervision and administration department, and have a unified code of medical supplies for medical security. Medical supplies medical insurance access, payment and the corresponding management supervision and other work, applicable.

    these consumables and call them up directly from the   According to the Draft for Comments, medical supplies that meet one of the following conditions are not included in the catalogue.   1. Non-therapeutic rehabilitation apparel such as II, prosthetic teeth, prosthetic eyes, prosthetic limbs, hearing aids, etc.; Iii, family planning, public health and other special (unless otherwise provided by the State); Fourth, if the clinical value is not high, it may be completely replaced   Medical supplies that meet one of the following conditions, after expert review, in principle, directly out of the basic medical insurance payment range.   1. If the drug supervision and administration department cancels the registration or filing qualification; II, taking into account such factors as safety, clinical value and economy, the risk is greater than the benefit after comprehensive consideration; 3, if it is included in the negative list by the relevant departments; and . Entering the medical insurance catalogue by means of fraud and other irregularities; and 5, other cases that meet the provisions of the State may be transferred directly.   According to the development of clinical needs, basic medical insurance guarantee capacity and medical supplies industry, the administrative department of medical security under the State Council has taken the lead in regularly evaluating and adjusting the List of Medical Supplies for Basic Medical Insurance.   For medical supplies that meet the conditions for direct transfer, in principle, directly out of the "basic medical supplies list."   According to the Draft for Comments, the payment criteria for medical supplies are the benchmark for payment by the Health Insurance Fund.   For exclusive products, in principle, the first health insurance payment criteria are negotiated. If the negotiations are successful, the health care sector pays according to the payment criteria set out in the negotiated agreement. Unsuccessful negotiations, which are not covered by Medicare payments, have been included in the catalogue to be transferred out. The negotiating rules for medical supplies are formulated separately.   In addition, for the access of newly listed medical supplies, first of all, according to the medical supplies coding rules for medical insurance, the newly listed medical supplies are coded.   If the medical supplies code is consistent with the medical supplies code in the catalog, it automatically falls within the scope of payment of the medical insurance fund, and the payment policies and rules are consistent with the medical supplies in the same code in the catalog.   If the code of medical supplies does not match the code of medical supplies in the catalogue, the administrative department of medical security under the State Council shall, after timely organization of expert review, determine whether to include them in the Directory of Medical Supplies for Basic Medical Insurance.
    (Cypress Blue
    )
    This article is an English version of an article which is originally in the Chinese language on echemi.com and is provided for information purposes only. This website makes no representation or warranty of any kind, either expressed or implied, as to the accuracy, completeness ownership or reliability of the article or any translations thereof. If you have any concerns or complaints relating to the article, please send an email, providing a detailed description of the concern or complaint, to service@echemi.com. A staff member will contact you within 5 working days. Once verified, infringing content will be removed immediately.

    Contact Us

    The source of this page with content of products and services is from Internet, which doesn't represent ECHEMI's opinion. If you have any queries, please write to service@echemi.com. It will be replied within 5 days.

    Moreover, if you find any instances of plagiarism from the page, please send email to service@echemi.com with relevant evidence.