摘要
医保管理平台能够按年度统计医院各科室病人次均费用、自费比例、药费比、拒付率等指标,监控在院医保病人数据,提供医保政策的在线支持,为医院管理者提供按项目比和病种等方式划分的科室管控参考指标,以及趋势化的医保数据支持,帮助医院降低总额预付的实施带来的拒付风险。
Medical insurance management phfform is such a system that can count the following indicators： patient＇s average cost in the hospital, the proportion of patients to pay personally, medicine fee rate, the proportion of payment that social insurance department refused to pay, etc. Also, it can monitor data of the medical insurance patients, provide medical insurance policy online support, provide hospital managers department monitoring reference indicators according to item rate and disease classification, as well as the trend of medical insurance data, and help hospital to reduce the risk of social insurance department refused to pay.
出处
《中国病案》
2013年第5期F0002-F0002,52,共2页
Chinese Medical Record
关键词
预付款制度
指标
考评
医保管理
Prospective payment system
Indicators
Appraisal
Medical insurance management
