The Ministry of finance of the people's Republic of China: comprehensively implement the electronic bills of medical charges and unify the style of the bills of medical charges nationwide
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Last Update: 2019-08-05
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Source: Internet
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Author: User
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On August 1, the Ministry of finance of the Ministry of Finance and the national health and Health Commission In order to deepen the reform of "management service", implement the special additional deduction of personal income tax and serious illness medical treatment, and prevent false medical bills, the State Medical Security Bureau jointly issued a document According to the notice of the Ministry of Finance on comprehensively pushing forward the reform of financial electronic bill management (CZ [2018] No 62), the notice of the Ministry of Finance on unifying the pattern of national financial electronic bills and financial mechanical bills Notice of format (CZ [2018] No 72), decided to comprehensively implement the management reform of medical electronic bills According to the notice, according to the requirements of CZ [2018] No 62, all regions should comprehensively implement the management reform of medical electronic bills and promote the use of medical electronic bills before the end of 2020 on the basis of fully summarizing the experience of the pilot reform of financial electronic bills Relevant central budget units, relevant enterprises, finance departments (bureaus), health and health committees and medical security bureaus of all provinces, autonomous regions, municipalities directly under the central government and cities specifically designated in the state plan, Finance Bureau, health and Health Committee and Medical Security Bureau of Xinjiang production and Construction Corps: In order to deepen the reform of "management service", implement the special additional deduction of personal income tax for serious illness medical treatment, and prevent false medical bills, according to the notice of the Ministry of Finance on comprehensively pushing forward the reform of financial electronic bill management (CZ [2018] No 62), the notice of the Ministry of Finance on unifying the style of national financial electronic bill and financial mechanical bill (CZ [2018] No 7) No 2), decided to comprehensively implement the reform of medical charge electronic bill management The relevant matters are hereby notified as follows: 1 To comprehensively implement the management reform of medical electronic bills, in accordance with the requirements of CZ [2018] No 62, all regions shall, on the basis of fully summarizing the experience of the pilot reform of financial electronic bills, comprehensively implement the management reform of medical electronic bills by 2020, and promote the use of medical electronic bills (1) Unify the national medical bills Since the date of issuance of this notice, the national uniform style of medical bills of charge has been officially put into use, including the style of medical outpatient bills (Electronic) (Annex 1), the style of medical inpatient bills (Electronic) (Annex 2), the style of medical outpatient bills (machine printed) (Annex 4) and the style of medical inpatient bills (machine printed) (Annex 5) Its code is in accordance with the financial comprehensive report (201) 8 〕 No 72 coding rules At the same time, the national unified medical charge details (Electronic) format (Annex 3) is used in conjunction with electronic bills Considering the actual situation of system upgrading and bill management, in principle, a one-year transition period will be set up By the end of 2020, the original bill styles of all regions and the unified bill styles of the whole country will be parallel (2) To do a good job in information system transformation and connection, the financial departments of each region should do a good job in the reform and guarantee of medical electronic bill management, realize the connection between the system of this region and the system of the Ministry of finance, and achieve the one-stop inquiry, authenticity inspection and reimbursement of the national medical electronic bill Health and health departments in all regions shall urge local medical and health institutions to do a good job in the management reform of electronic bills for medical charges, implement the information system transformation and business process adjustment, and use the unified medical charge bills of the whole country as required The medical insurance departments in each region shall, in accordance with the requirements of the construction of the national unified medical insurance information system, realize the information interconnection with the financial department, timely feed back the information such as medical charge electronic bills into the account and reimbursement to the financial department, use the medical insurance network channel to realize the information transmission with the medical institutions, and do a good job in the application of medical charge electronic bills All medical and health institutions should transform the information system, adjust the business process, realize the docking with the financial, health and medical insurance departments, enable the unified medical bills according to the regulations, and actively promote the reform of medical electronic bills management (3) To standardize the entry and filing of reimbursement of medical electronic bills according to the provisions of CZ [2018] No 72, the units that meet the conditions listed in Article 8 and Article 9 of the measures for the management of accounting archives can conduct accounting treatment based on the data files of medical electronic bills, and file and keep them according to the requirements for the management of electronic archives The medical charge electronic bill entry reimbursement unit shall timely feed back the entry status, entry time, entry amount and other information to the financial department Units that do not meet the conditions listed in Article 8 and Article 9 of the measures for the administration of accounting archives may use the printed copies of the format documents of the electronic bills for medical charges for entry, file and keep the electronic bills and the printed copies of the format documents, and establish the retrieval relationship between the printed copies of the format documents and the electronic bills Each unit shall establish and improve the relevant internal control system to ensure the authenticity and reliability of bills and prevent the bills from being repeatedly recorded and reimbursed 2、 To standardize the national unified medical bills to fill in the items of medical bills and other information when medical institutions issue medical bills Among them, the payer's unified social credit code should fill in the number of the patient's valid certificate, and hide some fields related to the patient's privacy (1) To standardize the charging items of medical outpatient bills, including consulting fee, inspection fee, laboratory test fee, treatment fee, operation fee, health material fee, western medicine fee, Chinese herbal pieces, Chinese patent medicine fee, general diagnosis and treatment fee, registration fee, As well as other outpatient and emergency charging items listed in the government accounting system, supplementary provisions for hospital implementation (CK [2018] No 24), supplementary provisions for the implementation of basic medical and health institutions (CK [2018] No 25); the item information in the column of "other information" includes business serial number, medical institution type, gender, outpatient number, treatment date, medical insurance type Medical insurance No., medical insurance co-ordination fund payment, other payment, individual account payment, individual cash payment, individual self payment, individual self payment, etc When medical and health institutions issue bills for medical outpatient service charges, they shall fill in the items occurred in the above charging items and their detailed order, first fill in all charging items occurred this time, and then fill in the specific details contained in each item according to the sequence of items occurred If there are many detailed items that can not be filled in, all the detailed items shall be included in the details of medical charges (2) To standardize the charging items of medical inpatient charging bills, including bed fee, consulting fee, inspection fee, laboratory test fee, treatment fee, operation fee, nursing fee, health material fee, western medicine fee, Chinese herbal pieces, Chinese patent medicine fee and general diagnosis and treatment fee, As well as other inpatient charging items listed in the government accounting system, supplementary provisions for hospital implementation (CK [2018] No 24), supplementary provisions for the implementation of basic medical and health institutions (CK [2018] No 25); the item information listed in the "other information" column includes business serial number, type of medical institution, gender, medical record number, inpatient number, inpatient department and inpatient Time, prepayment amount, supplementary payment amount, refund amount, medical insurance type, medical insurance number, medical insurance overall fund payment, other payment, individual account payment, individual cash payment, individual self payment, individual self payment, etc When medical and health institutions issue bills for medical and inpatient charges, they shall fill in the list in the order of the items occurred in the above charging items, and include the specific details contained in each item in the medical charging details (3) Clarify the item information business serial number in the column of "other information": the serial number automatically generated by the charging system of medical and health institutions Type of medical institutions: the type of medical and health institutions determined in accordance with the detailed rules for the implementation of the regulations on the administration of medical institutions and the notice of the Ministry of health on Amending the relevant contents of Article 3 Type of medical insurance: the value range includes basic medical insurance for employees, basic medical insurance for urban and rural residents (basic medical insurance for urban residents, new rural cooperative medical insurance) and other medical insurance Medical insurance No.: the unique identification of the insured in the medical insurance system Medical insurance co-ordination fund payment: the amount paid by the basic medical insurance co-ordination fund according to regulations in the medical expenses incurred by the patient in this medical treatment Other payments: the amount of medical expenses incurred by the patient in this medical treatment paid by funds or funds such as serious illness insurance, medical assistance, civil servant medical subsidy, large amount supplement, enterprise supplement, etc Individual account payment: according to the policy, the individual account is used to pay the medical expenses of the insured (including the expenses within and outside the scope of the basic medical insurance catalogue) Personal cash payment: the amount paid by individuals through cash, bank cards, WeChat, Alipay and other channels Personal self payment: the amount of the medical expenses incurred by the patient in this medical treatment, which belongs to the self payment part within the scope of the basic medical insurance catalogue, is borne by the individual; the expenses of the patient's fixed payment by the way of package payment such as disease type, disease group and bed day are carried out This item is the special additional deduction information item of personal income tax for serious illness medical treatment Personal expense: the medical expenses incurred by the patient in this medical treatment are all paid by the individual, which are not included in the basic medical insurance catalogue according to relevant regulations Check relationship of the above items: total amount = medical insurance overall fund payment + other payment + individual account payment + individual cash payment national unified "other information" column items should be filled in one by one as shown in Annex 6 Each region can add personalized other item information according to the management reality, and fill in successively If the project information in the column of "other information" belongs to medical and health information, its meaning and content shall be interpreted by the health department and medical and health institutions respectively; if it belongs to medical insurance information, its meaning and content shall be interpreted by the medical insurance department 3、 Further strengthen the safeguard measures (1) do a good job in implementation The finance, health care and medical insurance departments of all regions should coordinate with each other, formulate practical work plans in combination with the actual situation of the region, do a good job in upgrading and docking the relevant systems, use the national uniform medical bills according to the regulations, and promote the management reform of medical electronic bills (2) Strengthen communication The finance, health care and medical insurance departments of each region should do a good job in communication and coordination, strengthen communication with medical and health institutions, payers and reimbursement units, comprehensively and objectively understand the reform of medical charge electronic bill management, find out problems in time, carefully study solutions, and timely report to the higher authorities (3) Do a good job in publicity The financial, health and medical insurance departments of all regions should make full use of media, network and other publicity channels, do a good job in the publicity of medical electronic bills, improve the public awareness of medical electronic bills, effectively improve the efficiency of the circulation of medical bills, and achieve the goal of facilitating the people and benefiting the people On July 22, 2019, the State 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