The Malignancy Medical Record Quality Analysis by Medical Insurance Settlement List
- VernacularTitle:基于医保结算清单的恶性肿瘤病案质量现状分析
- Author:
Huizi SUN
1
;
Yu LIU
;
Shuang WEI
Author Information
1. 齐齐哈尔医学院 黑龙江齐齐哈尔 161006
- Keywords:
settlement list;
medical record quality;
economic operations
- From:
Chinese Hospital Management
2024;44(2):75-78
- CountryChina
- Language:Chinese
-
Abstract:
Objective To protect the economic benefits of the hospital by improving the medical record quality,quality control ability,and standardising the filling of the medical insurance settlement list.Methods Re-quality control of previous malignant tumour cases,with the help of the intelligent health insurance case collaboration system,compare the changes in case entry and benchmark costs after the revision of errors,analyse the results caused by different errors,and summarise the correct experience.Results Erroneous disease diagnoses can lead to losses or suspected fraud in health insurance billing,affecting the economic operation of healthcare organisations.Conclusion The improvement of the quality of the medical insurance settlement list not only needs to improve the quality of case writing,coding level,but also needs to read the connotation of the policy through extensive study.
