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城镇职工医疗保险制度改革,是当前广大城镇劳动者关注的热点。医疗保险的审核报销工作,既是医疗保险的一个重要环节,又是一个难点问题,事关职工的切身利益和医保基金的合理支出及承受能力,因此,这项工作必须进一步强化。笔者现对加强这项工作提出几点建议。一、建立初审、复审制建立初审、复审制是由审核医生按照医疗保险文件规定对报销单据进行全
The reform of urban employee medical insurance system is currently a hot spot for the majority of urban workers. The review and reimbursement of medical insurance is not only an important link in medical insurance but also a difficult issue that concerns the immediate interests of workers and the reasonable expenses and affordability of medical insurance funds. Therefore, this work must be further strengthened. I now put forward some suggestions to strengthen this work. First, the establishment of the first instance, the review system to establish the first instance, the review system is reviewed by the doctor in accordance with the provisions of the medical insurance documents for reimbursement