Analysis of common problems in hospital medical service charge management
10.3760/cma.j.cn111325-20220518-00450
- VernacularTitle:医院医疗服务收费管理常见问题分析
- Author:
Tianjun LI
1
;
Shiwei TENG
;
Hua YANG
;
Haihuan FENG
Author Information
1. 四川大学华西医院医保办公室，成都 610041
- Keywords:
Financial management, hospital;
Charge management;
Medical service item;
Medical insurance fund;
Fund supervision
- From:
Chinese Journal of Hospital Administration
2022;38(10):724-727
- CountryChina
- Language:Chinese
-
Abstract:
As suggested by regulatory feedbacks from relevant national regulatory agencies on the use of medical insurance funds, noticeable problems were found in the compliance and rationality of medical service charges among Chinese hospitals. Based on the practice of hospital management, the authors summarized common problems of various medical service charge management as reported by the management authorities at all levels. These problems referred to name-replaceable charges and affiliated charges, splitting charges, repeated charges, and multiple(false) charges. On this basis, the paper analyzed such hospital management risks incurred as regulatory penalties, fee disputes and medical disputes, as well as their internal and external causes. In the end, the paper put forward countermeasures and suggestions for reference by hospitals in their management of medical service charges.
