基于智能审核医保患者临床计费标准化实践与探讨

Practice and discussion of clinical billing standardization based on intelligent audit of medical insurance patients

通过智能审核系统对山西省医保基金监管中存在的违规问题进行分析与总结,针对问题分析原因并提出整改措施,以期为规范医疗机构的医保收费提供参考依据。

This paper analyzes and summarizes the violations in the supervision of the medical insurance fund through the intelli⁃gent audit system in Shanxi province,analyzes the causes of the problems,and puts forward rectification measures,to provide a refer⁃ence basis for standardizing the medical insurance charges of medical institutions.