随着医疗保险制度改革的不断深化及医疗市场竞争的加剧,医疗消费的付费方式也将发生根本性变化,病人及家属医疗消费方面权益日益受到重视和保护。传统医疗管理体制下的医院收费管理模式、方法逐渐暴露出自身的矛盾和问题。笔者试就目前住院收费结账管理方面存在的问题及其对策谈些粗浅的看法。 1 存在的问题 住院病人医疗费包括医药费、检查费、治疗费、手术费等,住院收费结账处对医疗费用管理的好与坏,不仅直接或间接影响到医院今后的发展,还会影响到病人治疗的质量与效果。目前主要存在以下几方面的问题。 1.1 医疗费的透支和医疗结算资金的不到位仍是医疗费用管 With the continuous deepening of the reform of the medical insurance system and the intensification of competition in the medical market, the payment methods for medical consumption will also undergo a fundamental change, and patients and their relatives’ rights and interests in medical consumption will be increasingly valued and protected. The hospital charging management mode and method under the traditional medical management system gradually exposed its own contradictions and problems. The author tries to discuss some of the problems existing in the current hospital billing management and their countermeasures. 1 Existing problems Medical expenses for inpatients include medical expenses, examination fees, treatment costs, and surgical expenses. The hospital charges collection checkpoints are good or bad for the management of medical expenses, and not only directly or indirectly affect the future development of the hospital, but also affect the The quality and effectiveness of patient treatment. At present, there are mainly the following problems. 1.1 Medical Expenses Overdrafts and Medical Settlement Funds Are Still Not in Place