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随着城镇职工、城镇居民基本医疗保险和新型农村合作医疗覆盖范围的迅速扩大,医保医疗费用也逐年上升,使得医保经办机构和医院医保管理者在医保费用控制方面的责任和压力越来越大,相应的拒付医保医疗费用现象也不断增加。现结合相关的职工基本医疗保险制度、生育保险制度、新型农村合作医疗制度等对拒付医保医疗费用的原因、种类进行了深入的分析,并做出了相应的账务处理。一、医保医疗费用拒付的原因分析
With the rapid expansion of the coverage of urban workers, basic medical insurance for urban residents and new rural cooperative medical care, medical insurance costs also increase year by year, making the responsibility and pressure of medical insurance agencies and hospital medical insurance administrators on the control of medical insurance costs more and more Large, the corresponding protest medical insurance costs also continue to increase. Now combined with the relevant basic medical insurance system for employees, maternity insurance system, new rural cooperative medical system and other reasons for protesting the reasons for the medical insurance costs, types of in-depth analysis and made the appropriate accounting treatment. First, the medical insurance medical reasons for the protest