Tuesday, October 2, 2012

The social insurance of capital hospital of reporter's experience nips and closes the service: Change signs and return the fee fast

The social insurance of capital hospital of reporter's experience nips and closes the service: Change signs and return the fee fast
At present, have already held the service that seeks medical advice of the social insurance card in more than 100 fixed medical organizations of Shijingshan and west city in Beijing, two tertiary fixed hospitals of Dongcheng, Xuanwu, Chongwen will offer this service too in the near future. Yesterday, reporters went to Xuanwu Hospital to experience and hold the card to seek medical advice with staff member in the medical insurance centre of the city, though the reporter " Create all sorts of obstacles " ,Have paid by credit card and served or accomplished " Reply calmly " .
It is introduced, the whole procedure of holding the card and seeking medical advice is made up of 5 parts.
First step Related
Reach applying for card the place at first and activate the social insurance card, the hospital will make a diagnosis to social insurance card and hospital Carney's information is concerned with, effect an insurance after the personnel coming Xuanwu Hospital go to a doctor, can lead social insurance Carlos only, needn't carry, make a diagnosis Carlos again.
Second step Register
The reporter comes to the registration office, should hang a gi medicine number. The staff members of the hospital insert the card in the media reader, a display of every information one on the card is on the computer screen, after some operation, it is successful to register. The system reveals that pays 2 yuan in medical insurance.
The reporter thinks at this moment" Create obstacles " Staff members, demand to return the gi medicine symbol just hung, change into the ordinary number of respiratory medicine. Change signs success, reporter and " change the mind " ,Demand to change ordinary number into expert's number. Staff member's operating system skillfully, changing signs succeeds again. Then, reporters have hung a simple and easy clinic, a VIP clinic, register and finish smoothly many times.
Third step Write a prescription
Able to register, the reporter comes to the consulting room. "Please prescribe box money fruit drinking, a box of glucose powder, a box of not west forest of A for me "The doctor input several letters in front of the computer, the medicines list revealed on the screen immediately. "Turn out to be this kind of medicine quantity for 30 days. " Doctor just one input, system brief on at once " whether quantity of writing a prescription already for 14 day, please change " .
Fourth step Pay dues
Reporter hold prescription come, pay dues place, " please play, it holds charges that manuals seek medical advice to be single by one " ," I want to return this sum of expenses " ," I will print the invoice again " Staff member should various more freely " Cunning" Requirement. Finally, five or six statements of expense are printed, pay dues the procedure is finished smoothly.
Fifth step Take medicines
The reporter holds and pays dues the document comes to the dispensary, staff members take medicines according to the prescription form.
So far, the reporter holds the cards and seeks medical advice in Xuanwu Hospital and experiences to all finish.
It is reported, Xuanwu Hospital is carrying on the test of the card settlement function of the social insurance at present, test totally through after can if you can't open, if you can't hold, nip by service of seeking medical advice.
Assault and write a prescription and will be refused automatically
Municipal human resources and Zhang Da, vice floormanager of social security office, send and tell reporters, after using the social insurance card to see the doctor, the system has increased intelligence and verified the function, if the patient demands to violate medical insurance policies and write a prescription in a large amount by force, the system will go beyond the medical insurance to stipulate that assigns a patient in full and at one's own expense partly automatically, the medical insurance fund refuses to pay.
It is introduced, some chronic disease patients need to take the medicines that a kind of stability treated for a long time, the medicines all have fixed opening medicine quantity, the stage of submitting an expense account by hand before a card is launched in the social insurance, once effecting an insurance individually, personnel bored the policy gap, utilized medical insurance to write a prescription by surprise, then sell the phenomenon that a dealer plays one's own game of medicine. Even if the hospital refuses to write a prescription in a large amount for them, but some effected an insurance personnel have thought out a bit more scattered methods of writing a prescription, draw the intersection of medicine and quantity for 7 day in one hospital morning, reach another hospital draw medicine quantity for 7 days again afternoon, travel to and fro between every hospital every day, can open the medicine amount of dozens of days in one week. While applying to wipe out, they can have hidden from the examination of staff members in this way, if they disperse the document to different month to declare. Social insurance the intersection of card and system improve intelligence, check function also in the future, make sure, act as time see the doctor, act as time be distinguished, the ones that write a prescription can be contained to protect the behavior effectively to deceive in a large amount. (take the place of beautifully and beautifully)
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