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    Home > Medical News > Latest Medical News > Two departments request to speed up the direct settlement of outpatient expenses across provinces

    Two departments request to speed up the direct settlement of outpatient expenses across provinces

    • Last Update: 2021-05-22
    • Source: Internet
    • Author: User
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    A few days ago, the National Medical Insurance Bureau and the Ministry of Finance issued the "Notice on Accelerating the Direct Settlement of Outpatient Expenses across Provinces.
    " The notice requires that by the end of 2021, more than 60% of the counties in all provinces have at least one inter-provincial networked medical institution for general outpatient expenses, and the overall planning area basically realizes direct settlement of ordinary outpatient expenses across provinces.
    Before the end of 2022, at least one designated medical institution in each county can provide direct settlement services for medical expenses including outpatient expenses.
     
    The circular clearly, before the end of 2021, for pharmnet.
    com.
    cn/pharmnet/200610/hbp/" target="_blank">high blood pressure , diabetes, malignant tumor outpatient chemotherapy, large uremic dialysis, organ transplantation anti-rejection therapy after five needs of the masses, generally carried out around the special outpatient slow the disease, each province At least one overall planning area realizes direct settlement of related treatment costs across provinces.
    By the end of 2022, the relevant treatment costs of the above-mentioned five major outpatient chronic diseases will basically be covered in the cross-provincial direct settlement and coordination area, and the related treatment costs of other outpatient chronic diseases will be directly settled across the provinces or sporadic online reimbursements.
     
    At present, 219 coordinated areas in 29 provinces across the country have initiated direct settlement of ordinary outpatient expenses across provinces.
    The notice proposes to expand the coverage of direct settlement of ordinary outpatient expenses across provinces to ensure that all provinces and all coordinating areas will be opened as insured places and medical places before the end of 2021.
    Eligible medical insurance for employees and medical insurance for urban and rural residents can be insured on the network.
    Medical institutions realize direct settlement of ordinary outpatient expenses across provinces.
     
    Notification requirements, continue to optimize online services for medical records in remote places.
    The provinces that have already launched the country's fast-track record of medical treatment in different places and have opened the direct settlement service for medical treatment in different places, and strive to achieve full coverage of the coordinated area by the end of June 2021.
    The provinces that are not online will coordinate the promotion of system transformation and joint debugging and testing, and activate related services as soon as possible.
    Before the end of September 2021, all coordinated regions across the country will rely on the national medical insurance service platform to provide unified online filing services.
     
      In the next step, it will strengthen the management of direct settlement of prepayments and clearing funds across provinces for medical expenses in different places.
    In order to improve the efficiency of cross-provincial and remote medical treatment fund allocation, the notice further clarified the time limit requirements for the declaration, settlement and settlement of cross-provincial medical treatment expenses, and the provincial medical insurance department and financial department completed the annual prepayment amount adjustment and the emergency adjustment of the prepayment fund on schedule.
    The increase and the monthly liquidation fund allocation and other work put forward clear requirements.
    In principle, the settlement fee for cross-provincial medical treatment in the current month should be declared and included in the settlement before the 20th of the following month, and the settlement time should not exceed 2 months; the settlement fee for cross-provincial treatment in the current year should be the first in the following year at the latest The quarterly liquidation is completed; if there are special circumstances, an explanation shall be reported in advance.
      A few days ago, the National Medical Insurance Bureau and the Ministry of Finance issued the "Notice on Accelerating the Direct Settlement of Outpatient Expenses across Provinces.
    " The notice requires that by the end of 2021, more than 60% of the counties in all provinces have at least one inter-provincial networked medical institution for general outpatient expenses, and the overall planning area basically realizes direct settlement of ordinary outpatient expenses across provinces.
    Before the end of 2022, at least one designated medical institution in each county can provide direct settlement services for medical expenses including outpatient expenses.
     
      The circular clearly, before the end of 2021, for pharmnet.
    com.
    cn/pharmnet/200610/hbp/" target="_blank">high blood pressure , diabetes, malignant tumor outpatient chemotherapy, large uremic dialysis, organ transplantation anti-rejection therapy after five needs of the masses, generally carried out around the special outpatient slow the disease, each province At least one overall planning area realizes direct settlement of related treatment costs across provinces.
    By the end of 2022, the relevant treatment costs of the above-mentioned five major outpatient chronic diseases will basically be covered in the cross-provincial direct settlement and coordination area, and the related treatment costs of other outpatient chronic diseases will be directly settled across the provinces or sporadic online reimbursements.
     
      At present, 219 coordinated areas in 29 provinces across the country have initiated direct settlement of ordinary outpatient expenses across provinces.
    The notice proposes to expand the coverage of direct settlement of ordinary outpatient expenses across provinces to ensure that all provinces and all coordinating areas will be opened as insured places and medical places before the end of 2021.
    Eligible medical insurance for employees and medical insurance for urban and rural residents can be insured on the network.
    Medical institutions realize direct settlement of ordinary outpatient expenses across provinces.
     
      Notification requirements, continue to optimize online services for medical records in remote places.
    The provinces that have already launched the country's fast-track record of medical treatment in different places and have opened the direct settlement service for medical treatment in different places, and strive to achieve full coverage of the coordinated area by the end of June 2021.
    The provinces that are not online will coordinate the promotion of system transformation and joint debugging and testing, and activate related services as soon as possible.
    Before the end of September 2021, all coordinated regions across the country will rely on the national medical insurance service platform to provide unified online filing services.
     
      In the next step, it will strengthen the management of direct settlement of prepayments and clearing funds across provinces for medical expenses in different places.
    In order to improve the efficiency of cross-provincial and remote medical treatment fund allocation, the notice further clarified the time limit requirements for the declaration, settlement and settlement of cross-provincial medical treatment expenses, and the provincial medical insurance department and financial department completed the annual prepayment amount adjustment and the emergency adjustment of the prepayment fund on schedule.
    The increase and the monthly liquidation fund allocation and other work put forward clear requirements.
    In principle, the settlement fee for cross-provincial medical treatment in the current month should be declared and included in the settlement before the 20th of the following month, and the settlement time should not exceed 2 months; the settlement fee for cross-provincial treatment in the current year should be the first in the following year at the latest The quarterly liquidation is completed; if there are special circumstances, an explanation shall be reported in advance.
      A few days ago, the National Medical Insurance Bureau and the Ministry of Finance issued the "Notice on Accelerating the Direct Settlement of Outpatient Expenses across Provinces.
    " The notice requires that by the end of 2021, more than 60% of the counties in all provinces have at least one inter-provincial networked medical institution for general outpatient expenses, and the overall planning area basically realizes direct settlement of ordinary outpatient expenses across provinces.
    Before the end of 2022, at least one designated medical institution in each county can provide direct settlement services for medical expenses including outpatient expenses.
     
      The circular clearly, before the end of 2021, for pharmnet.
    com.
    cn/pharmnet/200610/hbp/" target="_blank">high blood pressure , diabetes, malignant tumor outpatient chemotherapy, large uremic dialysis, organ transplantation anti-rejection therapy after five needs of the masses, generally carried out around the special outpatient slow the disease, each province At least one overall planning area realizes direct settlement of related treatment costs across provinces.
    By the end of 2022, the relevant treatment costs of the above-mentioned five major outpatient chronic diseases will basically be covered in the cross-provincial direct settlement and coordination area, and the related treatment costs of other outpatient chronic diseases will be directly settled across the provinces or sporadic online reimbursements.
    pharmnet.
    com.
    cn/pharmnet/200610/hbp/" target="_blank">Hypertensionpharmnet.
    com.
    cn/pharmnet/200610/hbp/" target="_blank"> hypertension hypertension tumor tumor tumor
     
      At present, 219 coordinated areas in 29 provinces across the country have initiated direct settlement of ordinary outpatient expenses across provinces.
    The notice proposes to expand the coverage of direct settlement of ordinary outpatient expenses across provinces to ensure that all provinces and all coordinating areas will be opened as insured places and medical places before the end of 2021.
    Eligible medical insurance for employees and medical insurance for urban and rural residents can be insured on the network.
    Medical institutions realize direct settlement of ordinary outpatient expenses across provinces.
     
      Notification requirements, continue to optimize online services for medical records in remote places.
    The provinces that have already launched the country's fast-track record of medical treatment in different places and have opened the direct settlement service for medical treatment in different places, and strive to achieve full coverage of the coordinated area by the end of June 2021.
    The provinces that are not online will coordinate the promotion of system transformation and joint debugging and testing, and activate related services as soon as possible.
    Before the end of September 2021, all coordinated regions across the country will rely on the national medical insurance service platform to provide unified online filing services.
     
      In the next step, it will strengthen the management of direct settlement of prepayments and clearing funds across provinces for medical expenses in different places.
    In order to improve the efficiency of cross-provincial and remote medical treatment fund allocation, the notice further clarified the time limit requirements for the declaration, settlement and settlement of cross-provincial medical treatment expenses, and the provincial medical insurance department and financial department completed the annual prepayment amount adjustment and the emergency adjustment of the prepayment fund on schedule.
    The increase and the monthly liquidation fund allocation and other work put forward clear requirements.
    In principle, the settlement fee for cross-provincial medical treatment in the current month should be declared and included in the settlement before the 20th of the following month, and the settlement time should not exceed 2 months; the settlement fee for cross-provincial treatment in the current year should be the first in the following year at the latest The quarterly liquidation is completed; if there are special circumstances, an explanation shall be reported in advance.
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