病案管理对医疗保险工作的影响

The influence of medical record management to the work of medical insurance

实行医疗保险是投保人患病后对其医疗费用提供帮助,使之尽快恢复身体健康,突显出医疗保险的重要性。病案与医疗保险是一种互补互助关系,即保障了医疗保险工作的顺利进行又促进病案质量管理工作效率。病案质量管理工作主要采取的措施有:(1)规范化病案管理、狠抓质量;(2)保证电子病案信息质量;(3)建立病案质量检查制度;(4)完善病案借阅制度等,确保能为医疗保险行业提供既全面又准确可靠的病案信息,即保护医保人员的合法权利,又从根本上促进医疗保险行业与病案管理工作共同发展。

The function of medical insurance is to give the applicants some help in hospitalization costs after they get sick, its characters are in- evitable, random, and unpredictable, thus makes medical insurance very important to the recovery of the applicants. The relationship between medical record and medical insurance is Complementary and mutual assistant, not only guarantee the medical insurance continues but also improve the efficiency of medical record management. The measures mainly consist of standardized medical record management, guarantee the quality of electronic medical record, establish quality inspection system and complete .lending rules and so on. To ensure the information provide to medical insurance industry is comprehensive and accurate, thereby protect the rights of the applicants and promote the improvment of medical record management and medical insur- ance industry.