Is the reimbursement for daytime surgery inpatient or outpatient?

Reimbursement for daytime surgery counts as hospitalization.

Day surgery, also known as non-hospitalization surgery, does not require hospitalization or only needs hospitalization for two or three days; It can reduce the burden on family members and reduce hospitalization expenses. Daytime operation refers to the operation or operation in which patients can enter and leave the hospital within 1 day according to the diagnosis and treatment plan, and the hospitalization time should not exceed 48 hours if it needs to be postponed due to special illness. Cases included in the settlement management of daytime surgery are regarded as ordinary hospitalizations and enjoy hospitalization medical insurance benefits according to regulations.

The expenses of daytime operation include medical expenses during hospitalization, outpatient expenses not exceeding 1 week before hospitalization, and necessary disposal expenses after operation. Patients' daytime surgery and medical expenses are settled according to hospitalization medical insurance benefits, which can greatly shorten hospitalization days, effectively reduce patients' medical expenses, improve the efficiency of medical services and improve the performance of medical insurance funds.

Description of reimbursement for daytime surgery

The deductible standard for daytime surgery reimbursement is reduced on the basis of the deductible of tertiary hospitals in this city, and other social medical insurance reimbursement benefits are enjoyed according to regulations. The proportion of medical insurance payment shall be implemented in accordance with the relevant provisions of social medical insurance; Outpatient expenses unrelated to day surgery and expenses of preoperative preparation and examination items related to the clinical pathway of diseases shall be implemented according to the outpatient reimbursement treatment of the corresponding insurance of social medical insurance.

Those who meet the access conditions for daytime surgical diseases shall be treated by daytime surgery and settled by medical insurance. Diseases that do not meet the conditions of daytime operation should be confirmed by the attending physician and the second-line competent physician, admitted to hospital and settled according to the relevant provisions of medical insurance.