摘要
随着医疗事业的不断发展,为保障患者的实际治疗需求,建立完善的医保智能化监管体系和完善的控费审核模式成为现阶段医疗机构的主要发展目标。完善的医保智能化监管和控费审核体系可以实现医院日常医疗审核业务的有效配置,实现对各项医疗保险项目的全面监控和管理,促进医院综合实力的显著提升。本文将针对医保智能化监管和控费审核模式在实际中的有效应用进行深入的研究分析,阐述现阶段我国医疗保障的现实状况以及存在的主要问题,对医保智能化监管和控费审核模式的应用进行系统的分析。
With the continuous development of medical services,in order to guarantee the actual treatment needs of patients,it has become the main development target of medical institutions at present to establish a perfect intelligent supervision system of medical insurance and a perfect mode of controlling expenses. A complete intelligent medical insurance supervision and fee control audit system can realize the effective allocation of the daily medical examination business of the hospital,realize the comprehensive monitoring and management of various medical insurance projects,and promote the significant improvement of the comprehensive strength of the hospital. This paper will conduct in-depth research and analysis on the effective application of intelligent medical insurance supervision and fee control auditing model in practice,expound the current situation and main problems of China’s medical insurance,and make systematic analysis on the application of intelligent medical insurance supervision and fee control auditing model.
作者
王红宇
尹国
WANG Hongyu;YIN Guo(Jilin University First Hospital Medical Insurance Office,Changchun,Jilin 130021,China)
出处
《大医生》
2018年第8期173-174,共2页
Doctor
关键词
医保智能化监管
控费审核模式
有效应用
intelligent supervision of medical insurance
fee control audit model
the effective application
