in recent years, Datong Hui and Tu Autonomous County in order to reduce the medical burden of the insured patients, so that farmers better enjoy the party and the government’s public policy, and constantly improve the operating mechanism, innovative methods of work, improve work efficiency, refinement take effective measures actively, to ensure the implementation of the new rural cooperative medical policy in place.
for the convenience of farmers in the province at all levels of medical institutions to choose hospital treatment, the county actively with the designated medical institutions to coordinate, from March 1st this year, cancel the participation of farmers to designated medical institutions, hospital must to program two level management office issued a certificate and referral. Provincial and municipal medical institutions with the participation of the basic data of the patients to their designated hospital formalities, simplify administrative procedures, and effectively facilitate the participation of farmers, the new rural cooperative medical insurance personnel to avoid "queue" and "errands" and other problems occur. Standardize the management of chronic diseases of special diseases, to facilitate the new rural cooperative medical insurance staff for the approval of chronic diseases. From the beginning of July 1st, the NCMS special disease and chronic disease qualification examination and approval by the County Social Security Bureau NCMS management department to accept, in line with the conditions of the day to complete the examination and approval procedures, implementation of the "one-stop" service, saving farmers work time. Strengthen supervision and policy training, standardize the system to prevent the loss of NCMS fund. To strengthen the supervision of medical institutions at the same time, the focus of the audit, handling personnel training requirements, audit policy, the designated medical institutions personnel strictly audit settlement of medical expenses, fund expenditure audit responsibility system, ensure the implementation level of each fund reasonable expenditure.
at the same time, improve the family household population and participation population basic information registration system, protect farmers interests, stop the impostor, taking fund phenomenon occurred. Simplified accident compensation process. Accidental injury by the county and township level two to do after the approval of the hospital, the unified allocation of medical expenses to the Township Office, and then by the township office staff to the hands of patients, to reduce the reimbursement link to facilitate the participation of the masses. Modify and improve the "medical service direct reporting agreement". According to the provincial and municipal relevant documents, revise and improve the "agreement" report of medical service in advance, clear medical institutions and agencies of both responsibility and obligation, improve handling efficiency, standardize the medical behavior, prevent the unreasonable treatment and unreasonable increase of medical expenses. (author: Su Jianping Ying Jinxiang)