安徽发布紧急通知：新冠感染门诊费用报销比例统一为70%
本帖最后由 妖怪的妖 于 2022-12-30 16:08 编辑 <br /><br /><div class="wx_rich_media_content" id="jsWxContainer"><p><br></p><section data-support="96编辑器" data-style-id="42489"><section><section><section data-role="outer" label="edit by 135editor" style="outline: 0px; max-width: 100%; font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; color: rgb(0, 0, 0); font-size: medium; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;"><section data-role="outer" label="edit by 135editor" style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section data-tools="135编辑器" data-id="7" style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><section style="margin: 10px auto;padding-left: 10px;outline: 0px;max-width: 100%;box-sizing: border-box;border-left: 5px solid rgb(170, 170, 170);visibility: visible;overflow-wrap: break-word !important;"><section style="outline: 0px;max-width: 100%;font-size: 13px;text-align: justify;letter-spacing: 1px;line-height: 1.75em;color: rgba(102, 102, 102, 0.8);visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><p style="outline: 0px;max-width: 100%;color: rgb(102, 102, 102);font-size: 14px;letter-spacing: 1.5px;caret-color: red;line-height: 2em;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="max-width: 100%;max-inline-size: 100%;cursor: text;color: rgb(123, 12, 0);font-size: 17px;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;visibility: visible;outline: none 0px !important;box-sizing: border-box !important;overflow-wrap: break-word !important;">不设起付线、报销限额，报销比例统一为70%；已开通基本医保统筹基金结算服务的定点医疗机构，临时全部纳入新冠感染门诊统筹结算范围；统一启用“新冠门诊（1102）”医疗类别，结算新冠感染的门诊费用……</strong></p></section></section></section><section style="margin-top: 32px;margin-bottom: 24px;outline: 0px;max-width: 100%;box-sizing: border-box;text-align: justify;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 2em;visibility: visible;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">12月29日，安徽省医疗保障局、安徽省财政厅、安徽省卫生健康委员会联合发布关于做好新型冠状病毒感染门诊救治保障工作的紧急通知，旨在全力以赴保健康、防重症，最大程度保护人民生命安全和身体健康，全面做好职工基本医疗保险、城乡居民基本医疗保险参保人员新型冠状病毒感染（以下简称“新冠感染”）的门诊救治保障工作。</span></section><section style="margin-bottom: 24px;outline: 0px;max-width: 100%;box-sizing: border-box;text-align: justify;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 2em;visibility: visible;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">通知明确，统一新冠感染门诊保障待遇。参保人员新冠感染在统筹区域内普通门（急）诊治疗时，</span><span style="outline: 0px;max-width: 100%;font-size: 17px;color: rgb(123, 12, 0);visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;"><strong style="outline: 0px;max-width: 100%;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">发生的符合新冠病毒肺炎诊疗方案及其他规定的医药费用，纳入基本医保统筹基金支付范围，不设起付线、报销限额，报销比例统一为70%。</strong></span></section><section style="margin-bottom: 24px;outline: 0px;max-width: 100%;box-sizing: border-box;text-align: justify;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 2em;visibility: visible;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;visibility: visible;box-sizing: border-box !important;overflow-wrap: break-word !important;">同时，取消定点机构结算级别限制。将统筹区域内已开通基本医保统筹基金结算服务的村卫生室（社区卫生服务站）、乡镇卫生院（社区卫生服务中心）、一级医院、二级医院、三级医院等定点医疗机构，临时全部纳入新冠感染门诊统筹结算范围，支持参保人员及时获得门诊救治和保障待遇。</span></section><section style="margin-bottom: 24px;outline: 0px;max-width: 100%;box-sizing: border-box;text-align: justify;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 2em;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;">针对新冠感染门诊费用的结算，通知指出，安徽省医保信息中心优化安徽省医保信息平台的结算系统模块，统一启用“新冠门诊（1102）”医疗类别，结算新冠感染的门诊费用。各定点医疗机构需通过“新冠门诊（1102）”医疗类别，选择新冠感染4个疾病诊断编码进行系统结算。医保结算系统根据医疗类别、疾病诊断自动判断待遇算法，实现联网即时结算报销。</span></section><section style="margin-bottom: 24px;outline: 0px;max-width: 100%;box-sizing: border-box;text-align: justify;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 2em;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;">参保人员因临时外出、探亲等新冠感染异地就诊，或在暂不具备联网结算条件的定点医疗机构就诊，或因跨年结转需暂停医保结算系统（停机），或因网络故障等导致不能现场即时结算的，可持相关门诊费用票据到参保地医保经办机构申请手工报销。</span></section><section style="margin-bottom: 24px;outline: 0px;max-width: 100%;box-sizing: border-box;text-align: justify;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 2em;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;">通知要求，医保支付新冠感染的门诊费用，不纳入年度基本医保普通门诊统筹总额预算范围，从医保当期预留风险金或历年结余基金中列支，实行单独统计、单独结算。各统筹地区要及时结算参保人员新冠感染门诊救治的医保资金。</span></section><section style="margin-bottom: 24px;outline: 0px;max-width: 100%;box-sizing: border-box;text-align: justify;font-family: mp-quote, -apple-system-font, BlinkMacSystemFont, Arial, sans-serif;line-height: 2em;overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;font-size: 17px;box-sizing: border-box !important;overflow-wrap: break-word !important;">另介绍，该《通知》执行期限为印发之日至2023年3月31日。</span></section><section data-role="paragraph" style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><p style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"><br style="outline: 0px;max-width: 100%;box-sizing: border-box !important;overflow-wrap: break-word !important;"></p></section></section></section><hr style="outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; border-style: solid; border-right-width: 0px; border-bottom-width: 0px; border-left-width: 0px; border-color: rgba(0, 0, 0, 0.1); transform-origin: 0px 0px 0px; transform: scale(1, 0.5); box-sizing: border-box !important; overflow-wrap: break-word !important;"><p style="outline: 0px; max-width: 100%; color: rgb(34, 34, 34); font-family: system-ui, -apple-system, BlinkMacSystemFont, Arial, sans-serif; letter-spacing: 0.544px; box-sizing: border-box !important; overflow-wrap: break-word !important;"><span style="outline: 0px;max-width: 100%;color: rgb(153, 153, 153);font-size: 14px;box-sizing: border-box !important;overflow-wrap: break-word !important;">来源：安徽省医保局</span></p></section></section></section></div><p></p> {:20_1041:} 过来看看的{:11_539:} {:20_1045:} 看看不说话！:lol {:20_1040:} 好！{:face_068:}{:face_068:}{:face_068:}
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