医疗机构的门诊拒付问题,在近几年实行了“持卡就医、实时结算”后显得尤为突出。而且,拒付率等拒付相关指标也开始作为总额支付的考核指标,影响到医保总额的拨付。因此,医院针对门诊拒付需提高管理水平,将医保管理部门的审核政策落实到门诊一线,规范每一位医生的医疗行为,促使医生在提供医疗服务时关注医保基金的规范使 Outpatient medical treatment of the problem of refusal to pay, in recent years, the implementation of “card-based medical treatment, real-time billing ” is particularly prominent. Moreover, such indicators as the protest payment rate and other charges also started to be appraised as the total payment, affecting the disbursement of the total amount of medical insurance. Therefore, the hospital for outpatient services to refuse to raise the level of management, health insurance management audit policy will be implemented in the out-patient line, standardize the medical behavior of every doctor, prompting doctors to provide medical services concerned about the norms of the Medicare Fund