{"id":699,"date":"2018-04-01T10:36:22","date_gmt":"2018-04-01T10:36:22","guid":{"rendered":"http:\/\/bizlawyer.com.vn\/huong-dan-giai-quyet-mot-so-van-de-ve-ung-dung-cong-nghe-thong-tin-trong-quan-ly-kham-chua-benh-va-thanh-toan-bao-hiem-y-te-bhyt"},"modified":"2018-04-01T10:36:22","modified_gmt":"2018-04-01T10:36:22","slug":"huong-dan-giai-quyet-mot-so-van-de-ve-ung-dung-cong-nghe-thong-tin-trong-quan-ly-kham-chua-benh-va-thanh-toan-bao-hiem-y-te-bhyt","status":"publish","type":"post","link":"https:\/\/bizlawyer.vn\/vi\/huong-dan-giai-quyet-mot-so-van-de-ve-ung-dung-cong-nghe-thong-tin-trong-quan-ly-kham-chua-benh-va-thanh-toan-bao-hiem-y-te-bhyt","title":{"rendered":"H\u01b0\u1edbng d\u1eabn gi\u1ea3i quy\u1ebft m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 v\u1ec1 \u1ee9ng d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin trong qu\u1ea3n l\u00fd kh\u00e1m ch\u1eefa b\u1ec7nh v\u00e0 thanh to\u00e1n b\u1ea3o hi\u1ec3m y t\u1ebf (BHYT)"},"content":{"rendered":"

Ng\u00e0y 28\/03\/2018, B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh C\u00f4ng v\u0103n s\u1ed1 1677\/BYT-BH h\u01b0\u1edbng d\u1eabn gi\u1ea3i quy\u1ebft m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 v\u1ec1 \u1ee9ng d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin trong qu\u1ea3n l\u00fd kh\u00e1m ch\u1eefa b\u1ec7nh v\u00e0 thanh to\u00e1n BHYT. C\u00f4ng v\u0103n n\u00e0y c\u00f3 hi\u1ec7u l\u1ef1c k\u1ec3 t\u1eeb ng\u00e0y ban h\u00e0nh.<\/span><\/span><\/span><\/p>\n

Theo \u0111\u00f3, C\u00f4ng v\u0103n s\u1ed1 1677\/BYT-BH c\u00f3 m\u1ed9t s\u1ed1 n\u1ed9i dung ch\u00ednh nh\u01b0 sau: <\/span><\/span><\/span><\/p>\n

1. V\u1ec1 vi\u1ec7c tra c\u1ee9u th\u00f4ng tin th\u1ebb BHYT:<\/span><\/span><\/span><\/p>\n

– B\u1ea3o hi\u1ec3m x\u00e3 h\u1ed9i (BHXH) Vi\u1ec7t Nam \u0111\u00e3 cung c\u1ea5p c\u00e1c c\u00f4ng c\u1ee5 tra c\u1ee9u tr\u00ean C\u1ed5ng ti\u1ebfp nh\u1eadn ho\u1eb7c C\u1ed5ng th\u00f4ng tin \u0111i\u1ec7n t\u1eed ho\u1eb7c tra c\u1ee9u tr\u1ef1c ti\u1ebfp th\u00f4ng qua c\u00e1c h\u00e0m giao di\u1ec7n l\u1eadp tr\u00ecnh \u1ee9ng d\u1ee5ng. Y\u00eau c\u1ea7u c\u00e1c c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh th\u1ef1c hi\u1ec7n tra c\u1ee9u th\u00f4ng tin th\u1ebb BHYT khi \u0111\u00f3n ti\u1ebfp ng\u01b0\u1eddi c\u00f3 th\u1ebb BHYT \u0111\u1ebfn kh\u00e1m ch\u1eefa b\u1ec7nh b\u1eb1ng m\u1ed9t trong c\u00e1c c\u00f4ng c\u1ee5 n\u00e0y;<\/span><\/span><\/span><\/p>\n

– Vi\u1ec7c tra c\u1ee9u th\u00f4ng tin ti\u1ebfn h\u00e0nh t\u1ea1i th\u1eddi \u0111i\u1ec3m ng\u01b0\u1eddi b\u1ec7nh \u0111\u1ebfn kh\u00e1m ch\u1eefa b\u1ec7nh l\u00e0m c\u01a1 s\u1edf \u0111\u1ec3 x\u00e1c \u0111\u1ecbnh kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u1ed1i v\u1edbi ng\u01b0\u1eddi b\u1ec7nh theo ch\u1ebf \u0111\u1ed9 BHYT ho\u1eb7c kh\u00f4ng theo ch\u1ebf \u0111\u1ed9 BHYT;<\/span><\/span><\/span><\/p>\n

– Khi x\u1ea3y ra s\u1ef1 c\u1ed1 k\u1ef9 thu\u1eadt m\u00e0 c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh kh\u00f4ng tra c\u1ee9u \u0111\u01b0\u1ee3c th\u00f4ng tin, c\u1ea7n li\u00ean h\u1ec7 ngay \u0111\u1ebfn c\u01a1 quan BHXH n\u01a1i k\u00fd h\u1ee3p \u0111\u1ed3ng ho\u1eb7c qua T\u1ed5ng \u0111\u00e0i h\u1ed7 tr\u1ee3 kh\u00e1ch h\u00e0ng \u0111\u1ec3 ph\u1ed1i h\u1ee3p x\u1eed l\u00fd k\u1ecbp th\u1eddi.<\/span><\/span><\/span><\/p>\n

2. V\u1ec1 vi\u1ec7c thay \u0111\u1ed5i th\u00f4ng tin tr\u00ean th\u1ebb BHYT:<\/span><\/span><\/span><\/p>\n

– Tr\u01b0\u1eddng h\u1ee3p th\u00f4ng tin tr\u00ean th\u1ebb BHYT ho\u1eb7c th\u00f4ng tin ki\u1ec3m tra qua h\u00e0m giao di\u1ec7n l\u1eadp tr\u00ecnh \u1ee9ng d\u1ee5ng c\u1ee7a c\u01a1 quan BHXH cung c\u1ea5p kh\u00e1c th\u00f4ng tin tra c\u1ee9u t\u1ea1i th\u1eddi \u0111i\u1ec3m ng\u01b0\u1eddi c\u00f3 th\u1ebb BHYT \u0111\u1ebfn kh\u00e1m ch\u1eefa b\u1ec7nh, c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh ch\u1ec9 l\u1eadp 01 B\u1ea3ng k\u00ea chi ph\u00ed kh\u00e1m ch\u1eefa b\u1ec7nh v\u00e0 01 file d\u1eef li\u1ec7u \u0111i\u1ec7n t\u1eed hi\u1ec7u ch\u1ec9nh theo th\u00f4ng tin tra c\u1ee9u l\u1ea7n cu\u1ed1i c\u00f9ng;<\/span><\/span><\/span><\/p>\n

– Tr\u01b0\u1eddng h\u1ee3p trong th\u1eddi gian \u0111i\u1ec1u tr\u1ecb, ng\u01b0\u1eddi b\u1ec7nh c\u00f3 thay \u0111\u1ed5i th\u00f4ng tin th\u1ebb BHYT kh\u00e1c v\u1edbi th\u00f4ng tin \u0111\u00e3 tra c\u1ee9u, c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh l\u1eadp h\u1ed3 s\u01a1 thanh to\u00e1n theo th\u00f4ng tin \u0111\u00e3 ki\u1ec3m tra l\u00fac ng\u01b0\u1eddi c\u00f3 th\u1ebb BHYT \u0111\u1ebfn kh\u00e1m b\u1ec7nh;<\/span><\/span><\/span><\/p>\n

– Tr\u01b0\u1eddng h\u1ee3p ng\u01b0\u1eddi b\u1ec7nh \u0111\u01b0\u1ee3c c\u1ea5p Gi\u1ea5y chuy\u1ec3n tuy\u1ebfn s\u1eed d\u1ee5ng trong n\u0103m d\u01b0\u01a1ng l\u1ecbch c\u00f3 m\u00e3 th\u1ebb BHYT kh\u00e1c m\u00e3 th\u1ebb tra c\u1ee9u tr\u00ean h\u1ec7 th\u1ed1ng \u0111i\u1ec7n t\u1eed th\u00ec ng\u01b0\u1eddi \u0111\u00f3 kh\u00f4ng c\u1ea7n xin c\u1ea5p l\u1ea1i gi\u1ea5y chuy\u1ec3n tuy\u1ebfn, c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh v\u00e0 c\u01a1 quan BHXH c\u00f3 tr\u00e1ch nhi\u1ec7m ti\u1ebfp nh\u1eadn.<\/span><\/span><\/span><\/p>\n

3. V\u1ec1 tr\u01b0\u1eddng h\u1ee3p th\u1ebb BHYT c\u1ee7a ng\u01b0\u1eddi b\u1ec7nh g\u1ea7n h\u1ebft gi\u00e1 tr\u1ecb s\u1eed d\u1ee5ng khi kh\u00e1m ch\u1eefa b\u1ec7nh:<\/span><\/span><\/span><\/p>\n

– C\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh c\u00f3 tr\u00e1ch nhi\u1ec7m th\u00f4ng b\u00e1o th\u00f4ng tin n\u00e0y cho ng\u01b0\u1eddi b\u1ec7nh v\u00e0 th\u00e2n nh\u00e2n;<\/span><\/span><\/span><\/p>\n

– C\u01a1 quan BHXH c\u00f3 tr\u00e1ch nhi\u1ec7m thu ti\u1ec1n \u0111\u00f3ng BHYT ngay t\u1ea1i c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh trong v\u00f2ng 05 ng\u00e0y k\u1ec3 t\u1eeb ng\u00e0y ti\u1ebfp nh\u1eadn th\u00f4ng tin t\u1eeb c\u01a1 s\u1edf kh\u00e1m ch\u1eefa b\u1ec7nh \u0111\u1ec3 th\u1ef1c hi\u1ec7n vi\u1ec7c gia h\u1ea1n.<\/span><\/span><\/span><\/p>\n

Nh\u01b0 v\u1eady, C\u00f4ng v\u0103n s\u1ed1 1677\/BYT-BH \u0111\u00e3 quy \u0111\u1ecbnh r\u00f5 v\u1ec1 ph\u01b0\u01a1ng th\u1ee9c ki\u1ec3m tra th\u00f4ng tin th\u1ebb BHYT c\u0169ng nh\u01b0 c\u00e1ch th\u1ee9c thanh to\u00e1n BHYT th\u00f4ng qua ph\u01b0\u01a1ng ti\u1ec7n \u0111i\u1ec7n t\u1eed. \u0110\u00e2y \u0111\u01b0\u1ee3c xem l\u00e0 nhi\u1ec7m v\u1ee5 quan tr\u1ecdng c\u1ee7a ng\u00e0nh y t\u1ebf v\u00e0 b\u1ea3o hi\u1ec3m x\u00e3 h\u1ed9i, g\u00f3p ph\u1ea7n th\u1ef1c hi\u1ec7n ch\u00ednh s\u00e1ch minh b\u1ea1ch th\u00f4ng tin, \u0111\u1ea3m b\u1ea3o quy\u1ec1n l\u1ee3i c\u1ee7a c\u00e1c b\u00ean c\u00f3 li\u00ean quan, n\u00e2ng cao hi\u1ec7u qu\u1ea3 qu\u1ea3n l\u00fd, s\u1eed d\u1ee5ng qu\u1ef9 BHYT.<\/span><\/span><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Ng\u00e0y 28\/03\/2018, B\u1ed9 Y t\u1ebf \u0111\u00e3 ban h\u00e0nh C\u00f4ng v\u0103n s\u1ed1 1677\/BYT-BH h\u01b0\u1edbng d\u1eabn gi\u1ea3i quy\u1ebft m\u1ed9t s\u1ed1 v\u1ea5n \u0111\u1ec1 v\u1ec1 \u1ee9ng d\u1ee5ng c\u00f4ng ngh\u1ec7 th\u00f4ng tin trong qu\u1ea3n l\u00fd kh\u00e1m ch\u1eefa b\u1ec7nh v\u00e0 thanh to\u00e1n BHYT. C\u00f4ng v\u0103n n\u00e0y c\u00f3 hi\u1ec7u l\u1ef1c k\u1ec3 t\u1eeb ng\u00e0y ban h\u00e0nh. Theo \u0111\u00f3, C\u00f4ng v\u0103n s\u1ed1 1677\/BYT-BH c\u00f3 […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[],"class_list":["post-699","post","type-post","status-publish","format-standard","hentry","category-bai-viet"],"_links":{"self":[{"href":"https:\/\/bizlawyer.vn\/vi\/wp-json\/wp\/v2\/posts\/699","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bizlawyer.vn\/vi\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/bizlawyer.vn\/vi\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/bizlawyer.vn\/vi\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bizlawyer.vn\/vi\/wp-json\/wp\/v2\/comments?post=699"}],"version-history":[{"count":0,"href":"https:\/\/bizlawyer.vn\/vi\/wp-json\/wp\/v2\/posts\/699\/revisions"}],"wp:attachment":[{"href":"https:\/\/bizlawyer.vn\/vi\/wp-json\/wp\/v2\/media?parent=699"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/bizlawyer.vn\/vi\/wp-json\/wp\/v2\/categories?post=699"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bizlawyer.vn\/vi\/wp-json\/wp\/v2\/tags?post=699"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}