What does the hospital medical insurance office do?

First, what does the hospital medical insurance office do?

1, the responsibilities of the hospital medical insurance office are as follows:

(1) seriously implement the national and superior medical insurance policies and rules and regulations, and be responsible for the medical insurance management of urban workers and urban and rural residents in our hospital;

(2) According to the revision of medical insurance policy and the continuous improvement of medical insurance work, adjust the management system and workflow of hospital medical insurance in time;

(3) Responsible for conveying and organizing the implementation of superior medical insurance documents to ensure the correct implementation and strict enforcement of medical insurance policies and systems;

(4) Be responsible for the hospital medical insurance, supervise the implementation of the hospital medical insurance, take timely measures for existing problems and put forward reasonable suggestions to hospital leaders;

(5) do a good job in the audit and settlement of urban workers, urban and rural residents and retired cadres' general clinics, maternity clinics, work-related injury clinics, serious illness clinics and hospitalization, and do a good job in monthly summary and reporting;

(6) Strengthen the medical ethics education of general practitioners, establish the concept of "people-oriented" and continuously improve the service quality;

(7) Organize the rational use of hospital-wide medical insurance indicators and scientifically allocate indicators in a planned way; Reduce the excessive growth of per capita hospitalization expenses and reduce the proportion of personal burden;

(8) To be responsible for the training of medical insurance policies for doctors in posts, and to strengthen the medical staff's understanding and understanding of medical insurance work;

(nine) regularly or irregularly check and evaluate the implementation of medical insurance policies and medical services by medical insurance physicians;

(10) Strengthen the construction of medical ethics and professional ethics, abide by national health laws and regulations, implement hospital medical ethics management regulations, conduct regular self-examination on medical ethics of undergraduate course room, and rectify the problems found;

(1 1) Complete other tasks assigned by hospital leaders.

2. Legal basis: Article 30 of People's Republic of China (PRC) Basic Medical Care and Health Promotion Law.

The state promotes the implementation of the graded diagnosis and treatment system for basic medical services, guides non-emergency patients to see doctors at primary medical and health institutions first, implements the responsibility system of first diagnosis and referral review, and gradually establishes a mechanism of first diagnosis, two-way referral, fast and slow division of labor and linkage up and down at the primary level, which is connected with the basic medical insurance system.

The local people's governments at or above the county level shall, according to the medical and health needs of their respective administrative areas, integrate the medical and health resources organized by the local government, and establish cooperative medical service cooperation mechanisms such as medical consortia according to local conditions. Encourage medical and health institutions organized by social forces to participate in the medical service cooperation mechanism.

Second, are social security cards and medical insurance cards the same thing?

Social security card and medical insurance card are not the same thing. As follows:

1, with different concepts. Social security card is a social security card, which is an integrated circuit card issued by local human resources and social security departments for various business fields of human resources and social security. Medical insurance card is a special card for personal account of medical insurance, which takes personal ID card as the identification code and stores detailed information such as personal ID card number, name, gender, payment and account capital consumption.

2. Different functions. Social security card not only has the function of medical insurance card, but also is an important voucher for handling various social security businesses, such as receiving unemployment benefits. However, the medical insurance card is limited to the medical insurance function and can only be used to enjoy medical insurance benefits;

3. The issuing department is different. The medical insurance card is undertaken by the local designated agent bank, and the social security card is issued to the society by the local human resources and social security department;

4. The safety performance is different. The social security card has strict key management system and approval, and the safety factor is high; However, the medical insurance card does not have such a management system, and the safety factor is low.