Come on! Technical specifications for the "Internet and Medical Services" project

Introduction: Standardize the price behavior of "Internet and Medical Services" in public medical institutionsJust now, the National Health and Reform Commission issued a good public medical institutions "Internet and medical services" project technical specifications and financial management noticeThe purpose of the circular is to give full play to the advantages of "Internet and Medical Services" in the form of epidemic prevention and control, to standardize the price behavior of "Internet and Medical Services" in public medical institutions, to safeguard the legitimate rights and interests of patients and medical institutions, to do a good job in financial management, to promote the long-term development of the new model of "Internet and Medical Services", and to guide local governments to do a good jobthe Notice consists of four parts:Part 1 put forward the "Internet plus medical services" project related management requirementsThe 10 "Internet and Medical Services" projects have been identified, and the charging behavior of medical institutions to carry out related services has been standardizedPart 2 puts forward the accounting and financial management requirements of "Internet and Medical Services"The distribution relationship of benefits, revenue recognition principle, financial processing and bill processing requirements of different subjects in the process of carrying out "Internet and medical services" are clarifiedPart 3 puts forward the workload statistics requirements after the implementation of "Internet plus medical services"After the inviting and inviting parties carry out the "Internet plus medical service", the workload statistics standards within the medical institutions and within the overall region are clarifiedPart 4 annex clearly defined the "Internet and Medical Services" project technical specification content, based on the "Internet Diagnostic and Therapeutic Management Measures (Trial)", "Internet Hospital Management Measures (Trial)" and "Remote Medical Service Management Code (Trial)" in the relevant technical requirements for clinical accessthe following is the original notice:provinces, autonomous regions, municipalities directly under the Central Government Health Committee, The Chinese Medicine Administration, Xinjiang Production and Construction Corps Health and Health Committee:the development of "Internet and Medical Services" (including telemedicine) is to promote the integration and sharing of regional medical resources, promote the sinking of high-quality medical resources, reduce the cost of patients to seek medical treatment important measuresIn order to carry out in-depth the spirit of General Secretary Xi Jinping's important instructions on overall efforts to prevent and control the epidemic and economic and social development, according to the Guidance of the State Council on Actively Promoting the Action of the Internet and the Government (No40 of 2015), the National Development and Reform Commission and other four departments, "Notice on the Issue of Opinions on Promoting the Price Reform of Medical Services" (Issued and Reformed Price (2016) No1431), and the General Office of the State Council on Promoting The opinion s "Internet and medical health" development (State Office issued (2018) No 26) related requirements, we will further play the "Internet and Medical Services" in the epidemic prevention and control of the advantages of the role, regulate the medical institutions "Internet and medical services" price behavior, safeguard the legitimate rights and interests of patients and medical institutions, do a good job in financial management, promote the "Internet and medical services" new model of long-term development The relevant matters will be notified as follows: , regulate the "Internet and Medical Services" project-related management (i) to regulate the charging items The provincial health administrative departmentshall shall publish to the society the technical specifications of the project that are allowed to be implemented in the region in accordance with the national technical specifications for the unified "Internet and Medical Services" project (see annex) Public medical institutions at all levels (referred to as medical institutions, the same below) strictly implement the technical specifications of projects permitted to be implemented in the region in accordance with the principle of territoriality In addition to the technical specifications of the national "Internet and Medical Services" project, the new "Internet and Medical Service" project son by medical institutions must be confirmed and published by the provincial health administrative department, otherwise the medical institution suing the price and carrying out the relevant fee-paying services (except for special needs medical services) (ii) to strengthen project cost estimates The provincial health administrative departments should study and formulate guidance on the cost measurement of medical service price projects, establish and improve cost measurement management methods, and strengthen the guidance of the cost measurement of Internet price projects in medical institutions Medical institutions should strengthen the capacity-building of project cost measurement, and provide the basis for the formulation and adjustment of the price standard of the "Internet-medical service" project (3) regulate the charging behavior All localities should strengthen the supervision and management of price behavior within medical institutions Medical institutions, as the responsible subjects for providing "Internet and Medical Services", should further standardize price behavior Medical institutions shall, in accordance with the patient's condition, give priority to the organization of "Internet-plus medical services" in the province, and explain the contents of the project, the charging standards, etc to the patient, and obtain the patient's consent "Internet plus medical services" is the medical institution (refers to the Internet medical institutions to provide patients with medical services and remote medical services activities in the invitation) to charge patients medical services The medical institution shall pay the fees to other participating institutions (e.g invited parties in telemedicine activities, institutions providing third-party platforms, etc.) in accordance with the agreement Medical institutions shall strictly implement the Regulations on the Administration of Price Behavior within Medical Institutions (No 64 of The National Health Administration of Finance (2019), implement the system of price publicity, and make public the name, project connotation, unit, price, description and other contents of the "Internet and Medical Services" carried out on the site and on the website of the medical institutions, and consciously accept social supervision. II, to clarify the "Internet and Medical Services" accounting and financial management (i) to determine the distribution relationship The medical institutions involved in the process of carrying out "Internet-plus Medical Services" shall, without increasing the overall cost of patients, negotiate and determine the proportion of medical income distribution and sign an agreement If the cooperation between the medical institution and the provider of a third-party platform is involved in the development of "Internet-medical service", the act between the market subject shall be agreed upon by agreement in accordance with the relevant laws and regulations (ii) principle of revenue recognition According to the unified accounting system of the state, medical income shall be fully recognized by the medical institutions receiving medical treatment If the invited party is involved, the invited party shall confirm the medical income in accordance with the agreement with the medical institution, and the medical institution shall, in accordance with the agreement, pay the invited party the amount to be paid and reduce the medical income simultaneously (3) accounting processing requirements In order to meet the management needs of "Internet and Medical Service", and to make a clear distinction between online and offline medical service revenue and expenditure management, medical institutions shall, in accounting, carry out the relevant detailed accounting of the "Internet and Medical Service" business under the accounting of accounting subjects of accounts receivable, payable and income, expenses, budget revenue and budget expenditure (4) fee-paying bill management The Internet plus Medical Services are charged by the medical institution to the patient and the patient is provided with a full medical fee bill and a list of fees In telemedicine services, the invited party shall, in accordance with the agreement, issue medical fee bills in accordance with the amount paid by the medical institution, as the basis for the medical treatment medical institution to reduce medical income (V) regular settlement system When carrying out "Internet and medical services", medical institutions shall settle and record books in a timely manner The settlement time between medical institutions shall not exceed 3 months in principle three, unified medical service workload statistics caliber medical institutions statistics "Internet and medical services" workload, the medical institutions according to the medical order of a medical institution to complete the service independently, the medical institutionaccording according to the medical order of 1 workload; When carrying out macro-data statistics, the administrative department shall only count the workload of the invited party according to the actual number of doctors and visits Responsible Editor: 37
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