What Is Medicare Billing?

Medical insurance refers to social medical insurance. Social medical insurance is a social insurance system established by the state and society in accordance with certain laws and regulations to provide workers in the scope of protection with basic medical needs in the event of illness. The basic medical insurance fund consists of a pooled fund and a personal account. The basic medical insurance premiums paid by individual employees are all included in personal accounts; the basic medical insurance premiums paid by employers are divided into two parts, one of which is credited to personal accounts and the other is used to establish a unified fund.

Health insurance

Medicare means

Social medical insurance is a social insurance system established by the state and society in accordance with certain laws and regulations to provide workers in the scope of protection with basic medical needs in the event of illness.

It has the characteristics of "low level and wide coverage", and the payment is based on the low cost of most units and individuals.

Medicare personal accounts are based on basic

In 1988, the Chinese government began

(1) Settlement procedures for inpatient and outpatient treatment of special diseases

The designated medical institution will submit the expense statement, hospitalization statement and related information of the patients discharged last month to the medical insurance agency before the 10th of each month. After the medical insurance agency reviews, it will be used as the basis for monthly advances and year-end final accounts. . The medical insurance agency will pre-allocate the overall cost of hospitalization and outpatient treatment of special diseases last month.

The insured persons who are found to have special diseases should go to a designated medical institution designated by the labor security department to purchase medicines for medical treatment. The medical expenses incurred will be directly recorded and settled immediately.

(B) emergency settlement procedures

The insured person was rescued to an unscheduled medical institution in the city for emergency treatment and was hospitalized in a remote medical institution. The medical expenses incurred shall be paid by the individual or unit first. After the emergency rescue is completed, the hospital emergency medical records, inspections, laboratory reports, invoices The detailed medical fee list will be processed by the medical insurance agency in accordance with regulations.

(three)

After multiple rounds of modification

Reimbursement of medical insurance problems across provinces

In 2012, Minister of Health Chen Zhu stated that it will be changed from deepening medicine to smoking control assistance, and smoking cessation counseling and drugs will be gradually included in basic medical insurance. However, Huang Jiefu also admitted that this requires the cooperation of the national medical insurance department, not the health department alone. Calculated. At present, the cost of a cessation drug (six months) on the market is basically above 3,000 yuan.

In response to the controversial issue of the cessation of smoking cessation drugs in medical insurance, on April 17, 2012, Huang Jiefu, the Deputy Minister of Health, faced the media s statement for the first time and "supported" Minister Chen Zhu. He believed that the smokers should be sympathetic because of the addiction to smoking Smokers, in addition to their determination to quit smoking, medication is necessary. ^[9]

The Ministry of Human Resources and Social Security confirms that medical technology is constantly changing, and the medical insurance drug list cannot cover all tumor and rare disease treatment drugs. With the continuous improvement of the level of funding and protection of medical insurance and the further recognition of the safety and effectiveness of new drugs and special drugs, the special effects drugs that are urgently needed by patients with rare diseases are gradually included in the medical insurance drug catalog. ^[10]