portant; overflow-wrap: break-word !important; clear: both; min-height: 1em; vertical-align: inherit; line-height: 2em; visibility: visible;">“跨省異地就醫”中可能存在的醫保違規使用問題首次被納入飛檢的聚焦範圍。
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;">4月28日，國家醫保局聯合財政部、國家衛生健康委、國家中醫藥局印發了《2024年醫療保障基金飛行檢查工作方案》（《方案》），全國範圍內(nei) 的2024年醫保飛檢工作正式啟動。
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;">
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; visibility: visible; box-sizing: border-box !important; overflow-wrap: break-word !important;">
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">相比去年8月啟動的全國醫保飛檢，今年的飛檢工作啟動更早，最顯著的變化是，抽查城市範圍進一步擴大。原則上，每個(ge) 省份抽查城市數由以往每年每省1個(ge) 增加為(wei) 2個(ge) ，其中各省省會(hui) 城市必查。
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">此外，今年的全國飛檢還將堅持機構類型全覆蓋。每省將同步檢查一定數量的公立定點醫療機構、民營定點醫療機構和定點零售藥店。
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">為(wei) 了避免已經查過的機構認為(wei) 幾年內(nei) 不會(hui) 再查，強化醫療機構對醫保基金進行內(nei) 部管理的意識，本年度飛檢工作還首次增加了“回頭看”機製。今年將從(cong) 往年已經飛行檢查過的定點醫療機構中，抽取一定比例進行“回頭看”。
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">去年的醫保飛檢，在醫療機構方麵聚焦的是醫學影像檢查、臨(lin) 床檢驗和康複三大領域，而今年飛檢選定的重點領域有所擴大，實施方案也有所細化。隨著異地就醫免備案、檢查檢驗報告互認等惠民舉(ju) 措的推行，“跨省異地就醫”中可能存在的醫保違規使用問題首次被納入飛檢的聚焦範圍。
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">《方案》中寫(xie) 道，針對定點醫療機構：
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portant; overflow-wrap: break-word !important; clear: both; min-height: 1em; letter-spacing: 0.578px; line-height: 1.75em;">一是聚焦重症醫學、麻醉、肺部腫瘤等領域，查處違法違規使用醫保基金行為(wei) ，重點查處欺詐騙保問題。
portant; overflow-wrap: break-word !important; clear: both; min-height: 1em; letter-spacing: 0.578px; line-height: 1.75em;">
portant; overflow-wrap: break-word !important; clear: both; min-height: 1em; letter-spacing: 0.578px; line-height: 1.75em;">二是聚焦心血管內(nei) 科、骨科、血液淨化、康複、醫學影像、臨(lin) 床檢驗等以前年度已經重點檢查並自查自糾的領域，檢查是否按要求自查整改。
portant; overflow-wrap: break-word !important; clear: both; min-height: 1em; letter-spacing: 0.578px; line-height: 1.75em;">
portant; overflow-wrap: break-word !important; clear: both; min-height: 1em; letter-spacing: 0.578px; line-height: 1.75em;">三是針對“回頭看”的定點醫療機構，重點關(guan) 注以前年度檢查發現的問題是否仍然存在，是否整改到位。
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portant; overflow-wrap: break-word !important; clear: both; min-height: 1em; letter-spacing: 0.578px; line-height: 1.75em;">四是聚焦藥品耗材網采情況，重點關(guan) 注公立醫療機構是否按規定在省級集中采購平台采購全部所需藥品耗材。
portant; overflow-wrap: break-word !important; clear: both; min-height: 1em; letter-spacing: 0.578px; line-height: 1.75em;">
portant; overflow-wrap: break-word !important; clear: both; min-height: 1em; letter-spacing: 0.578px; line-height: 1.75em;">五是針對收治跨省異地就醫患者，檢查是否存在違法違規使用醫保基金的行為(wei) 。
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">從(cong) 近年來飛行檢查情況看，定點醫藥機構違法違規使用醫保基金主要有幾種情形：
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">一是重複收費、超標準收費、分解項目收費，約占所有違法違規使用醫保基金問題的36%；二是串換藥品、醫用耗材、診療項目和服務設施，約占17%；三是違反診療規範過度診療、過度檢查，提供其他不必要的醫藥服務，約占14%；四是將不屬於(yu) 醫保基金支付範圍的醫藥費用納入醫保基金結算，約占14%。
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">
inkMacSystemFont, "Helvetica Neue", "PingFang SC", "Hiragino Sans GB", "Microsoft YaHei UI", "Microsoft YaHei", Arial, sans-serif; font-size: 17px; letter-spacing: 0.544px; text-align: justify; text-indent: 0px; line-height: 1.75em; box-sizing: border-box !important; overflow-wrap: break-word !important;">今年的國家飛行檢查，仍會(hui) 以“國家組織、各省交叉、屬地配合”的模式展開，重點檢查2022年1月1日—2023年12月31日期間醫保基金使用、管理及有關(guan) 內(nei) 部控製製度建設、實施等情況，必要時追溯檢查以前年度或延伸檢查至2024年度。
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