Objective: The paper attempts to ensure the quality of medical insurance settlement list, improve the reliability and validity of the China Healthcare Security Diagnosis Related Groups (CHS-DRG) grouping scheme. Methods: By interpreting the information collection standard of medical insurance settlement list, medical institutions establish the relevant management and organization structure as well as job responsibilities, and form the collection and management process based on the medical insurance settlement list. Results: The standardized information collection standards, sound management and organization structure as well as job responsibilities are important guarantees for the completion of the information collection and management process of medical insurance settlement list. Conclusion: Standardized information collection standards are the premise of quality assurance, sound management and organization structure is the basis, clear job responsibilities are the core link, and excellent informatization construction is the assistance.
Key words
medical insurance settlement list /
collection standards /
organization structure /
job responsibilities
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