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随着我国全民医保的基本实现,医保改革从横向扩面转为纵向结构调整,新医改进入深水区,面临前所未有的挑战,对我院的医保工作产生了重大影响,如何做好医院的医保管理工作已迫在眉睫,我院从以下几方面入手,把我院医保工作提高了新的层面。一、对医保工作加强规范化、精细化管理(一)逐步完善制度,实行社保管理精细化,完善社保管理考评细则;建立各临床科室兼职社保联络员制度;在院长查房的反馈中分析医保各项指标及政策规定完成情况,并针对发现的问题提出
With the basic realization of universal medical coverage in our country, the medical insurance reform has been transformed from a horizontal expansion to a longitudinal structural adjustment. The new medical reform has entered into the deep water area with unprecedented challenges and has had a significant impact on the medical insurance in our hospital. How to do a good job in the hospital’s medical insurance management Work is imminent, our hospital from the following aspects, the medical insurance in our hospital raised a new level. First, to strengthen the standardization and meticulous management of the medical insurance work (A) Gradually improve the system, the implementation of refined management of social security, improve the social security management evaluation rules; establish clinical departments of social security liaison system; in the Dean rounds of feedback analysis of Medicare Various indicators and policies and regulations to complete the situation, and found that the problems raised