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Computer monitoring to prevent the patient's hospital fees too high or too low

The reporter has learned that experience "Medicare" after the incident, Zhongshan Hospital coincides with the general, then set up a new party and government leading bodies composed of rectification leading group from the September 26, the hospital in the entire hospital within the scope of self-examination, to specialist units, each patient in the hospital for examination, found the problem immediately rectification.

appeared linked to leave bed? Director of the year-end appraisal affected

how to ensure that thousands of patients from accurately detect attempted leave, hanging bed, split-patient, at their own expense, such as high proportion of "high-risk suspects," a phenomenon? The new President of Zhongshan Hospital, the group responsible for the rectification and reform Medicare people Hui-Yong Shen said the hospital to be taken "computer warning," "director responsible for the specialist system" and the "three-tier control system of" three major monitoring measures to ensure the strict implementation of Medicare policy.

hospital computer system for cattle Kai Run-chief revealed that the hospital has gradually set up a warning system, when the patient's hospital situation unusual, the computer will initiate logo, the Office of Medicare for the hospital to provide early warning, providing " key suspects "monitoring target for the relevant departments to monitor. Warning mainly arise in the following situations: patients hospitalized for up to a certain limit, beyond the standards; patients hospital fees are too low, for example, only a few days beds fees; hospitalized patients with too little time, too long; patients hospitalized twice interval time did not meet the stipulated time. Run-Kai Niu said, the above methods can effectively screening out leave, hanging bed, split-patient, at their own expense ratio too high, and so on.

specialist hospital director in charge of the proposed system, all specialties of the region by the Director is responsible for Medicare patients, and must not leave, and other acts linked to bed, once problems will directly affect the director of the year-end appraisal results.

rectification Medicare hospital for Ruan Yi director of the Office also said the hospital to design a three-tier control system with monitoring. The first tier is the main ward self-examination, Ward sent a person to self-control medical insurance policies to see whether there is Medicare irregularities. O Branch at the same time with cross-check each other; second-class office commissioned by the Hospital Medicare patients access to experts to see whether there irregularities; third-class medical insurance office of the Hospital-specific projects irregular spot checks of medical records to ensure that standardizing operations.

It is understood that the Chungshan Institute of the rectification period, the unit in charge has been paying close attention to Sun Yat-sen University, Guangzhou City Center for Medicare, Social Security Office in Guangzhou, Guangzhou City Medicine guarantees a bureau , and other units were rectification of the hospital provided guidance. According to their views, the hospital developed and launched series of new initiatives.

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