Tuesday, August 7, 2012

Jiangxi - medical insurance determine a post a doctor twice and is disqualified and lost " The rice bowl "

Jiangxi - medical insurance determine a post a doctor twice and is disqualified and lost " The rice bowl "
Jiangxi - medical insurance determine a post a doctor twice and is disqualified and lost " The rice bowl "
June 9, the reporter assuares from the people in Jiangxi Province the drawing room learns, the administrative center of the social insurance of Jiangxi Province issued " notice on a doctor manages the temporary means to print and distribute the basic medical insurance of Jiangxi Province and determine a posting " (hereafter referred to as " a few days ago The method " ),Extend the supervision of the medical organization of the medical insurance to the supervision of medical worker's medical service act, doctor's management of pushing away the medical insurance in the range of the whole province and determining a post. Determine a post the intersection of doctor and medical care in cure insurance money pay in the range According to " method " Stipulate, doctor's registration system of handling the organization and determining a post of the medical insurance in the fixed medical organization of medical insurance of the whole province in the future, pass the examination only and doctor after put on record could become medical insurance determine a post doctor, determine a post doctor personnel open prescription and hospitalization cost that take place for effect an insurance, Medical Benefits Funds refuses to pay. It is reported, in order to realize that a doctor manages in unison to determine a post to the whole province in doctor's qualification of determining a post to disqualify cancelling permanently twice, in order to determine a post a doctor will set up the unified determining a post of the whole province a doctor manages the database in Jiangxi Province, and will determine a post doctor's code will be channeled into the information system of the medical insurance and fixed medical organization HIS system where one stays. Make and manage the total mark in the doctor's medical service act to determining a post, the medical insurance at all levels of the whole province handles the organization to realize the whole province determine a post doctor's total mark is mutually recognized through the information system. The doctor will deduct points according to the situation if the doctor presents the unlawful practice, Damien's lapse agreement of more than 20 points of deducting points, doctor's qualification of cancelling determining a post, cancelled doctor's qualification of determining a post twice, doctor's qualification of cancelling determining a post for ever. The fixed medical organization manages and determines a post the doctor's responsibility is got clearly " method " Point out, the whole province will set up and manage the management system together of the looks with doctor's agreement of determining a post, the medical insurance will adopt and analyze the data of practising medicine if the medical insurance handles the organization, way of controlling especially, superintending and checking on the spot, investigating secretly etc. strengthens the operation qualification, supervision and management of behavior of making a diagnosis and hospitalization cost taking place of the clinician, and doctor manage, include fixed the intersection of medical organization and the intersection of agreement and management in and in the differentiated control determine a post. " method " The clear fixed medical organization is in the responsibility in a doctor of managing to determine a post at the same time, one determine a post disqualify in the year naturally doctor reach fixed medical organization, check and ratify 2% hour in total number such as doctor, can't participate in the current year the evaluation of the fixed medical organization of A grade; When the ones that are disqualified determine a post a doctor reaches 5% which are checked and ratified the total number of doctors, the medical insurance will stop the medical service agreement with the fixed medical organization if the medical insurance handles the organization. (probational reporter Yin Kun)


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