乐呵棋牌

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                      全国医院医疗保险服务规范(试行)

                        发表时间:2016年12月14日  点击数:2079 次

                        第一章 总 则

                      乐呵棋牌   DIYITIAO WEIJINYIBUGUIFANYIYUANDEYILIAOBAOXIANGUANLIHEFUWUGONGZUO,JIANLIHEWANSHANYIYUANYILIAOBAOXIANGONGZUOZHIDUHEGUANLIJIZHI,SHIXIANYIYUANYILIAOBAOXIANGUANLIDEZHIDUHUA、GUIFANHUA、CHENGXUHUA,CUJINYILIAOBAOXIANSHIYEYUYILIAOWEISHENGSHIYEDEHEXIE、JIANKANG、KECHIXUFAZHAN,TISHENGBINGZHIDAOGEJIGELEIYILIAOJIGOUDEYILIAOBAOXIANNEIHANZHILIANGJIANSHEHEFUWUSHUIPING,GENJU《ZHONGHUARENMINGONGHEGUOSHEHUIBAOXIANFA》JIXIANGGUANWENJIAN,ZHIDINGBENGUIFAN。

                        DIERTIAO BENGUIFANSHIZHIZAIWOGUOXIANYOUYILIAOBAOZHANGZHIDUXIA,WEIBAOZHANGYILIAOBAOXIANSHIYEHEYILIAOWEISHENGSHIYEDEJIANKANGFAZHAN,WEIWEIHUYI、BAO、HUANSANFANGQUANYISUOZHIDINGDEGEJIGELEIYILIAOJIGOUDEYILIAOBAOXIANGONGZUOGUANLI、FUWUGUIFAN,BUSHEJIYILIAOBAOXIANJINGBANGUANLIJIGOU。

                        DISANTIAO BENGUIFANSHIYONGYUGEJIGELEIYILIAOBAOXIANDINGDIANYILIAOJIGOU,BAOKUOGEJIGELEIFEIYILIAOBAOXIANDINGDIANYILIAOJIGOU、SHEQUYILIAOFUWUZHONGXIN(ZHAN)JIQITAYILIAOFUWUJIGOU。

                        第二章 组织管理

                        DISITIAO JIGOUSHEZHI

                        (YI)DINGDIANYILIAOJIGOUYINGJIANLIJIANQUANYILIAOBAOXIANGUANLITIXI,CHENGLIYOUYUANLINGDAOFUZEDEYILIAOBAOXIANGUANLIWEIYUANHUI,XINGCHENGYIYUAN、ZHUGUANBUMEN、KESHISANJIYILIAOBAOXIANGUANLIWANGLUO;YINGSHELIYUYILIAOBAOXIANGUANLIRENWUXIANGSHIYINGDE、YUBENDANWEIYILIAOXINGZHENGGUANLIBUMENXIANGPINGXINGDE、DULIDEYILIAOBAOXIANGUANLIBUMEN。

                        (ER)YIBAOGUANLIBUMENRENYUANPEIBEIYINGANZHAOMEI100CHUANGBI1DEBILIPEIZHIZHUAN(JIAN)ZHIGUANLIRENYUAN,DIYU100CHUANGWEIYIXIADEYILIAOJIGOUZUISHAOPEIBEI1MINGGUANLIRENYUAN。YILIAOJIGOUYAOJIJIZUZHIGUANLIRENYUANCANJIAQUANGUOYIYUANYIBAOCONGYERENYUANSHENGRENLIPEIXUN,WEIZHIYEZIGERENZHENGDAXIAJICHU;YOUJIHUAZUZHIYIBAOCONGYERENYUANCANJIAJIXUJIAOYU。YOUXIANXUANYONGJUYOUYIXUEHUOGONGGONGWEISHENGGUANLIZHUANYERENYUANRUZHIGONGZUO。

                      乐呵棋牌   DIWUTIAO JIAQIANGXINXIJIANSHE,QIANGHUAXINXIJIANSHEZAIYILIAOBAOXIANGUANLIZHONGDEZUOYONG,JIADAYIYUANDUIYILIAOBAOXIANGUANLIXINXIHUADETOURU。QIANGHUADASHUJUGUANNIAN,CHONGFENLIYONGXIANDAISHUZIHUASHOUDUANWEILINGDAOJUECETIGONGYIJU。

                        DILIUTIAO DINGDIANYILIAOJIGOUYILIAOBAOXIANGUANLIBUMENZHIZE

                        (YI)JIANQUANGUIZHANGZHIDU GENJUGUOJIAHESUOZAISHENGSHIHUODIQUDEYILIAOBAOXIANFAGUI、ZHENGCE,JIANLIHEWANSHANBENDANWEIYILIAOBAOXIANGUANLIGONGZUODEGUIZHANGZHIDU,XINGCHENGJIANGCHENGBINGZHONGDEGUANLIJIZHI;ZHIDINGCANBAORENYUANJIUYILIUCHENGJIFUWUGUIFAN,BINGBUDUANWANSHAN、CHIXUGAIJIN。

                        (ER)ZHIDINGGONGZUOJIHUA GENJUYILIAOBAOXIANJINGBANJIGOUDEGUANLIYAOQIUHEFUWUXIEYI,JIEHEBENDANWEIDEJUTIQINGKUANGZHIDINGYILIAOBAOXIANGUANLIJIHUA,BINGDUIYILIAOBAOXIANZHENGCEHEGUANLIGUIDINGZHIXINGQINGKUANGJINXINGJIANDU、JIANCHAHEKAOHE,JISHIJINXINGZONGJIEHEGAIJIN。

                        (SAN)ZUZHIXUANCHUANPEIXUN ZHIDINGXUANCHUANPEIXUNGONGZUOJIHUA,DUINEIBUGONGZUORENYUANJINXINGZHENGCEPEIXUNHECAOZUOPEIXUN,PEIHEYILIAOBAOXIANJINGBANJIGOUDUICANBAORENYUANJINXINGYILIAOBAOXIANZHENGCEXUANCHUANHEJIAOYU,RENZHENZUOHAOYILIAOBAOXIANZHENGCEZIXUN、WENTIJIEDADENGGONGZUO,JIJIYINDAOCANBAORENYUANANZHENGCEYOUXUJIUYI。

                        (SI)GOUTONGXIEDIAOGONGZUO FUZEYUYILIAOBAOXIANJINGBANJIGOUJINXINGGONGZUOGOUTONGHEXIEDIAO;FUZEYUYIYUANZHINENGKESHIJIQITAYEWUKESHIGOUTONGHEXIEDIAO;FUZEYUYIDIYIBAOJINGBANJIGOUJIUYIDIJIUYIGUANLIWENTIJINXINGGOUTONGHEXIEDIAO。

                        (WU)ZHILIANGGUANLIKONGZHI DINGQIDUIYIBAOZHILIANGHEYIBAOSHUJUJINXINGFENXI、PINGGU、ZONGJIE,JIAQIANGDUIYIBAOGUANLIZHILIANGDEKONGZHI,JISHIJINXINGTONGBAOHEDIANPING,TICHUGAIJINCUOSHI,LUOSHIJIANGCHENGGUIDING。YILINCHUANGZHENLIAOGUIFANJIWEISHENGJINGJIXUEZHENGJUWEIZHUASHOU,JIANDUYILIAOZHILIANGHEYIBAOFEIYONGXIANGGUANQINGKUANG,BUDUANTIGAOYIBAOGUANLIZHILIANGHEGUANLISHUIPING。

                        (LIU)YIBAOFEIYONGFENXI JISHIFENXIYILIAOFEIYONGSHIYONGDEHELIXING,BINGTICHUDUIHELIJIANCHA、HELIYONGYAO、HELIZHILIAOJIHELISHOUFEIDEGAIJINYIJIAN,JIANSHAOYIBAOFEIYONGHEJIAN;FUZEYIBAOHUANZHEMENZHEN、ZHUYUANFEIYONGDEQUANYUANXINGZHIDAO、XIEDIAO、SHENHE;FUZEYILIAOBAOXIANFEIYONGTONGJI、FENXI、SHENBAO;DUCULUOSHIYIBAOFEIYONGANQIBOFU。

                        (QI )YIBAOZIZHIZHUNRU FUZEYILIAOBAOXIANGELEIXIANGMUSHENPIHEBEIAN,BANLIYAOPIN、WUJIA、CAILIAODENGYIBAOZIZHIZHUNRUJISHENBAO。

                        第三章 制度管理

                      乐呵棋牌   DIQITIAO GONGZUOHUIYIZHIDU ZHISHAOMEIBANNIANZHAOKAIYICIYIBAOGONGZUOHUIYI(YINGYOUYUANLINGDAOZHUCHI),NEIRONGBAOKUOGONGZUOJIHUADELUOSHIQINGKUANG、YIBAOZHENGCEDEXUANCHUANPEIXUNQINGKUANG、FEIYONGSHENHEZHONGCUNZAIDEWENTI、XINXIXITONGYUNXINGQINGKUANGYIJIQITAXIANGGUANGONGZUOQINGKUANGDENG,YAOFENXICUNZAIDEWENTIJIYUANYIN,TICHUJUTIDEGAIJINYIJIANHUOJIANYI。HUIYINEIRONGYAOJILU,XINGCHENGHUIYIJIYAO。

                        DIBATIAO ZHUANTIHUIYIZHIDU ZHENDUIYIBAOGONGZUOZHONGDEMOUYIZHUANXIANGRENWUHUOZHUTI,LIANHEYUANNEIXIANGGUANBUMENYANJIUJUTIGONGZUO,POJIEGONGZUOZHONGDEYIDIANHENANDIAN。ZHUANTIHUIYISHISHIZHAOKAI。HUIYINEIRONGYAOJILU,XINGCHENGHUIYIJIYAO。

                      乐呵棋牌   DIJIUTIAO GONGZUOTONGBAOZHIDU YAOJIANLIYIBAOGONGZUOTONGBAOZHIDU,TONGBAONEIRONGBAOKUOYIBAOGONGZUODEZONGTIFANGAN、NIANDUZHONGDIANGONGZUO、JIEDUANXINGGONGZUOJINDU、YIBAOGUANLIZHIBIAOWANCHENGQINGKUANG、YIBAOGUANLIGONGZUOZHONGCUNZAIDEWENTIHEZHUYIDESHIXIANG、YIBAOXINZHENGCEJIXINGUIDINGHUOXINDONGTAIDENG。TONGBAOXINGSHIBAOKUO:YUANZHOUHUI、ZHONGCENGGANBUHUI、YIYUANJUYUWANGLUO、GONGSHILAN、JIANBAODENGDUOZHONGXINGSHI。

                        DISHITIAO XUANCHUANPEIXUNZHIDU YAOYOUJIHUADEDUIGONGZUORENYUAN(BAOKUOXINRUZHIYUANGONG、JINXIUSHENG、YANJIUSHENG、SHIXISHENGDENG)JINXINGYIBAOZHENGCEDEXUANCHUANHEPEIXUN,BINGJIANGPEIXUNNEIRONGNARUJIXUJIAOYUFANCHOU。ZUODAOYOUJIHUA、YOUNEIRONG、YOUSHISHI、YOUJIANGPING;YIYUANYAOXUANGUAYIBAOZHENGCEXUANCHUANBAN,LIYONGYUANNEIPINGMIANJIWANGLUOMEITIDENGDUOZHONGXINGSHI,YOUZHENDUIXINGDEXUANCHUANHEJIESHAOYILIAOBAOXIANZHENGCE、YILIAOFEIYONGZHIFUGUIDING、FEIYONGBAOXIAOLIUCHENGDENGNEIRONG。

                        DISHIYITIAO CHENGBENGUANLIZHIDU YIBAOJIJINDESHIYONGYAOJIANLIZAIHELIDEJICHUZHISHANG,YIYUANYAOCONGWEISHENGJINGJIXUEJIAODU,DUIYILIAOCHENGBENJINXINGGUANLI,YOUXIAOKONGZHIYILIAOYUNYINGCHENGBEN。XIEZHUYIYUANYILIAOZHILIANGGUANLIBUMEN、WEISHENGJINGJIGUANLIBUMENJIANGDIYILIAOYUNYINGCHENGBEN,SHULIQUANYUANCHENGBENGUANLIYISHI,ZUOHAOCHENGBENGUANLIGONGZUO。HELIKONGZHIBUTONGLEIXINGJIBINGZHUANZHENLV(HANYIDIJIUYIZHUANZHENLV),KONGZHIBUHELIYILIAOFEIYONG。

                      乐呵棋牌   DISHIERTIAO XINXIGUANLIZHIDU

                        (YI)YIYUANXINXIGUANLIBUMENYAOYOUZHUANRENFUZEBAOZHANGYIBAOXINXIANQUAN、CHANGTONGGONGZUO。YIBAOXINXIXITONGSHENGJIHOUYAORENZHENCESHI、JIANCHAHEWEIHU,QUEBAOXITONGANQUANWENDINGYUNXING。YAOZHIDINGQIESHIKEXINGDEYIBAOXINXIXITONGYINGJIYUAN,BAOZHENGWANGLUOGUZHANGSHIJISHIYINGDUI。

                        (ER)DINGDIANYILIAOJIGOUYAOZHIDINGJIAQIANGXINXIGUANLIDEXIANGGUANGUIDING,YANGECAOZUOGUICHENG,QUEBAOXINXIXITONGDEANQUANXING、KEKAOXINGHEZHUNQUEXING。SHANGCHUANXINXIYINGJISHI、ZHUNQUE、WANZHENG,YUBINGANNEIRONGYIZHI。DUISHANGCHUANDECUOWUXINXIYINGJISHIXIUZHENG,WUFAXIUZHENGDEYINGJISHIYUYIBAOJINGBANJIGOUGOUTONGBINGYUYIJIEJUE。

                        DISHISANTIAO FEIYONGGUANLIZHIDU YILIAOBAOXIANFEIYONGSHUJUYAOYOUZHUANRENGUANLI,JISHI、ZHUNQUE、WANZHENGDEJINXINGFEIYONGSHUJUTONGJIFENXI,JISHIHEDUIFEIYONGZHIFUQINGKUANG。DUIYUYICHANGSHUJUYAOZHUICHAYUANYINBINGJISHICAIQUXIANGYINGCUOSHI,YUYOUZHONGDAWENTIJISHIBAOGAO。DUIYUJUFUFEIYONGYAORENZHENFENXIYUANYIN、JISHIZHENGGAI,BINGYANGELUOSHIJIANGCHENG;RUYOUBUHELIJUFUYAOJISHIYUYILIAOBAOXIANJINGBANJIGOUJINXINGGOUTONGHUOSHENSU,ZHENGQUJIYUBUZHI。

                      乐呵棋牌   DISHISITIAO WEIJIGUANLIZHIDU GEJIGELEIYILIAOJIGOUYINGCHENGLIWEIJIGUANLILINGDAOXIAOZU,JIANGYOUGUANZHINENGBUMENDOUNARUJINLAI。ZHIDINGWEIJICHULIYUAN,MEITIYINGDUIYUAN、WEIJIHOUGUANLIDENGXINGDONGFANGAN。ZUIDAXIANDUJIANSHAOWEIJIZAOCHENGDESUNSHIHEBULIANGYINGXIANG,ZHONGSUYILIAOJIGOUDESHEHUIXINGXIANG。

                        第四章 流程管理

                        DISHIWUTIAO DINGDIANYILIAOJIGOUYAOMINGQUEZHISHIYIBAOGUANLIBUMENDEJUTIWEIZHI,YIBAOGUANLIBUMENDEBIAOSHIYAOXINGMU。

                        DISHILIUTIAO YAOGONGSHICHANGJIANYILIAOBAOXIANGUANLI(HUOSHENPI)SHIXIANGDEGONGZUOLIUCHENG,RUTEZHONGBINGDESHENQING、SHENPILIUCHENG、SHIMINGZHIJIUYIHEWEITUOQUYAODEGUANLIGUIDINGDENG。

                        DISHIQITIAO DINGDIANYILIAOJIGOUYAOSHELIZHUANMENDEFUWUCHANGSUOHUOFUWUCHUANGKOU,ANPAIZHUANMENDEGONGZUORENYUANJINXINGYIBAOSHIWUZIXUN、YILIAOFEIYONGHESHI、YIBAOFUWUTOUSU、YIBAOGONGZUOJIEDAIDENGGONGZUO,YOUGUANSHIXIANGZUOHAOJILU。

                      乐呵棋牌   DISHIBATIAO DINGDIANYILIAOJIGOUCONGSHIYIBAOZIXUNGONGZUORENYUANYAOFUZHUANGZHENGJIE、YITAIDUANZHUANG、FUWUGUIFAN、YUYANWENMING,YAOZHIXIAOYIBAOZHENGCE、SHUXIZHIFUGUIDING、LEJIEYILIAOLIUCHENG,NENGGOUGENJUXIANGGUANGUANLIGUIDINGTUOSHANCHULIYI、BAO、HUANSANFANGGUANXI。

                      乐呵棋牌   DISHIJIUTIAO DINGDIANYILIAOJIGOUYAOZUOHAOYILIAOBAOXIANWENJIAN、YEWUZILIAO、JINEIBUZILIAODESHOUJI、ZHENGLI、GUIDANGHEBAOGUANGONGZUO。GELINCHUANGKESHIXUJIANLIZHUANYONGYIBAOGUANLIWENJIANJIA,JISHIZENGBU、GENGXINYIBAOZHENGCEWENJIAN,YIMANZUYIWURENYUANYIBAOZHENGCECHAXUN、XUEXIXUYAO。

                        DIERSHITIAO DINGDIANYILIAOJIGOUYINGSHEZHUANRENFUZEYILIAOBAOXIANYAOPIN、ZHENLIAOXIANGMU、FUWUSHESHIDENGMULUKUDEYIBAODUIZHAO、XINXIWEIHU、SHUJUGUANLIJIXINXIANGMUDESHENBAOGONGZUO,MINGQUEZEREN,BIANYUJIANDUHEKONGZHI。

                        DIERSHIYITIAO DINGDIANYILIAOJIGOUYINGANDANGDIYIBAOJINGBANJIGOUDEGUANLIYAOQIUJISHIJIESUANBINGSHENBAOYILIAOFEIYONG。XIEZHUYIBAOJINGBANJIGOUDUIYUCANBAORENYUAN(HANYIDIJIUYIRENYUAN)SUOFASHENGYOUYIYIDEYILIAOFEIYONGJINXINGFUHE,FANGZHIPIANBAOHUOTAOQUYILIAOFEIYONGQINGKUANGDEFASHENG。

                        DIERSHIERTIAO DINGDIANYILIAOJIGOUDEMENZHENHEZHUYUANXINXIGONGZUOZHANYINGFUHEYILIAOBAOXIANXINXIGUANLIDEYAOQIU。YIYUANYINGWEIXIANGGUANBUMENPEIBEIXIANGYINGDEYINGJIANSHESHIRU:JISUANJI、DUKAQIDENG,QUEBAOYIBAOSHUJUSHANGCHUANTONGCHANG,YIBAOJIESUANSHUNLI;YIYUANYINGWEIYIBAOBANGONGSHIPEIBEIDIANHUA、CHUANZHENJI、FUYINJI、DAYINJI、SAOMIAOYIDENGBIXUBANGONGSHEBEI,YIMANZUYIBAORICHANGGONGZUOXUYAO。CAOZUOYUANBIXUGEZISHEZHICAOZUOMIMA,BAOZHENGXINXIANQUAN。

                        第五章 考核管理

                      乐呵棋牌   DIERSHISANTIAO DINGDIANYILIAOJIGOUMEINIANANZHAORENSHIBUMENKAOHEGUANLIGUIDING,DUIYIBAOGUANLIRENYUANDEGONGZUOYEJI、FUWUZHILIANG、XUEXIPEIXUNDENGJINXINGLIANGHUAKAOHE,TISHENGYIYUANYIBAOGUANLIJIFUWUSHUIPING。

                      乐呵棋牌   DIERSHISITIAO DINGDIANYILIAOJIGOUYAOJIANLIYOUYILIAOBAOXIANGUANLIWEIYUANHUIQIANTOU,GEXIANGGUANBUMENLIANDONGDEYIBAOZHILIANGLIANHEGUANLIKAOHEJIGOU,DINGQIJINXINGYIBAOGUANLIZHILIANGKAOHE,GUIFANYIBAOFUWULIUCHENG,DIAODONGYILIAOJIGOUGONGZUORENYUANGUANCHEZHIXINGYIBAOZHENGCEDEJIJIXING、ZHUDONGXINGHECANYUXING。

                        DIERSHIWUTIAO JIANLIYUE、JI、NIANDUYIBAOKAOHEGUANLIFANKUIZHIDU,KAOHEJIEGUOZAIYUANNEIJINXINGGONGSHI。

                        第六章 廉洁自律

                      乐呵棋牌   DIERSHILIUTIAO YIBAOGUANLIRENYUANYINGREAIYILIAOBAOXIANSHIYE,NULIXUEXIYILIAOBAOXIANZHENGCEJIXIANGYINGZHISHI,JIANCHIYUANZE、AIGANGJINGYE、JINZEJINZHIWEICANBAOHUANZHEFUWU。

                        DIERSHIQITIAO DINGDIANYILIAOJIGOUYINGZHONGSHILIANZHENGWENHUAJIANSHEHELIANZHENGJIAOYU,ZHONGSHILIANZHENGGONGZUO,FAXIANLIANZHENGWENTIJISHIYUJING、JISHICHULI。

                        DIERSHIBATIAO YINGZHIDINGYILIAOBAOXIANGONGZUOLIANJIEZILV、CHENGXINFUWUSHOUZE。JIANGLIANJIEZILV、CHENGXINFUWUNARUNIANZHONGKAOHEFANCHOU,YUXUANYONGGANBU、PINGXIANXUANYOU、GONGZUOJIXIAOGUAGOU。YANGEZHIXINGYIBAOGUANLIGUIZHANGZHIDU,YIZHIDUGUANREN、ANZHIDUBANSHI。

                        DIERSHIJIUTIAO YILIAOBAOXIANGUANLIBUMENYINGZHIDINGZHUANRENBAOGUANGONGZHANG,YANGEGONGZHANGSHIYONGGUANLIGUIDING,BIMIANLUANYONG、LANYONG、BUGUIFANSHIYONGDEXIANXIANGFASHENG。

                      乐呵棋牌   DISANSHITIAO DINGDIANYILIAOJIGOUYINGKEGUAN、GONGZHENG、KEXUEDIZHIDINGQIEHESHIJIDEYILIAOBAOXIANGUANLIZHIBIAO,FANGZHI“ANXIANGCAOZUOHUOSIZISHOUSHOU”WENTIDEFASHENG。

                      乐呵棋牌   DISANSHIYITIAO ZAICHULIYUJUFUFEIYONGXIANGGUANDEKESHIHUOGERENSHI,YINGZUODAOSHIQIANGAOZHI、YOUXIAOGOUTONG、CHENGCHUYOUJU、JIANGCHENGSHIDU、GONGPINGGONGZHENG。JUFUFEIYONGDECHULIBUYINGJINJINTINGLIUZAIDUIKESHIHUOGERENCHENGFADECENGMIAN,HAIYINGTIXIANZAIXIANGYINGDEGUANLIKAOHEZHONG,YIQIANGHUAGEXIANGYILIAOBAOXIANZHENGCELUOSHIYUZHIXING。

                      乐呵棋牌   DISANSHIERTIAO SHELIYILIAOBAOXIANGUANLIJIANGLIKUANYINGZUNXUN“GONGKAI、TOUMING”DEYUANZE,YANGEZHIXINGXIANGGUANSHIYONGGUANLIGUIDING,BUDEWEIGUISHIYONG、BIANXIANGSHIYONGHUOLUANYONG。

                        DISANSHISANTIAO LIANZHENGGUANLIDEQUANGUOCHENGYINGZHIYUSHEHUIYULUNHEQUNZHONGDEJIANDUZHIXIA,JIESHOUSHEHUIGEJIEDEJUBAO、JIANDU,JIESHOUXINGYEZUZHIDEJIANDUHEZHIDAO。

                        第七章 附 则

                        DISANSHISITIAO BENGUIFANCONGERLINGYIWUNIANYIYUESHIWURIQISHISHI,WANGGEYIYUANZUNZHAOZHIXING。

                      乐呵棋牌   DISANSHIWUTIAO BENGUIFANYOUZHONGGUOYIYUANXIEHUIYIYUANYILIAOBAOXIANGUANLIZHUANYEWEIYUANHUIFUZEJIESHI。

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