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——涪城区医疗保障局扎实开展医保基金监管

发布日期: 2020-06-19 14:43   作者: 医疗保障局    来源:秒速时时彩官网_秒速时时彩计划软件|网站首页 】   阅读:

fuchengquyiliaobaozhangjuzizujianyilai,chixujiaqiangyibaojijinjianguan,baochidajiqizhapianbaogaoyataishi,baozhangjijinzhangqi、gaoxiao、pingwenyunxing。

yishibaochizhanlvedingli,qianghuayulunyindao。yi4yue7riqidongde“dajiqizhapianbao  weihujijinanquan”xuanchuanhuodongweiqiji,caiyong“jicha+puji”dexuanchuanzhanlve,jieduyiliaobaozhangjijinjianguanfalvfaguiyuzhengceguiding,qianghuadingdianyiyaojigouhecanbaorenyuandedixiansiwei,yingzaolegongtongweihujijinanquandeyoulishehuifenwei。muqian,quanquyiyaojigouzhengcexuanchuanyishixian“quanfugai”。

二是依托信息系统,精准监督检查。利用大数据平台,在智能监管模式下,创新推行稽查“信息化”。通过“医保电子眼”,实时监控定点医药机构划卡结算、每月结算费用产生的基金流,第一时间对操作异常或费用增长超过“设定比例”等风险行为进行预警,点对点靶向检查,精细化查找问题、堵塞漏洞。目前,全区523家定点医药均已接入网络监控。

sanshizhongshixianchangchayan,tishengjianguanzhixiao。linghuokaizhandingqiyubudingqichoucha,youxiancaiyongxianchangdudaodefangshi,chouchagongzuorenyuanxieyishuxiqingkuang,hechafeiyongjiesuanqingkuang。faxianzhengcelijiebutouche、yibaoxieyizhixingbuguifandengwentishi,lijixianchangjiuzhengbingxiafazhenggaitongzhishuxianshizhenggai,zhubujianlijianquanrichangjianguan、zhuanxiangzhilihesuijichouchaxiangjiehedezhangxiaojizhi。jinnian4-6yuewanchengdingdianyiyaojigouzhuanxiangzhilijianchagongji200yujia。jihejianchajieguoxianshi,yibaoxieyizhixingguifanchengdujiao2019nianyoudafutisheng,jijinjianguangongzuoburuzhiduhuaguanliguidao。

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