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Lu?t b?o hi?m y t? ng?y 14 th?ng 11 nm 2008; Lu?t s?a ?i, b? sung m?t s? i?u c?a Lu?t b?o hi?m y t? ng?y 13 th?ng 6 nm 2014;Cn c? Ngh? ?nh s? 89/2020/N-CP ng?y 04 th?ng 8 nm 2020 c?a Ch?nh ph? quy ?nh ch?c nng, nhi?m v?, quy?n h?n v? c? c?u t? ch?c c?a B?o hi?m x? h?i Vi?t Nam;Cn c? Ngh? ?nh s? 146/2018/N-CP ng?y 17 th?ng 10 nm 2018 c?a Ch?nh ph? quy ?nh chi ti?t v? h??ng d?n bi?n ph?p thi h?nh m?t s? i?u c?a Lu?t b?o hi?m y t?;Cn c? Th?ng t? s? 30/2020/TT-BYT ng?y 31 th?ng 12 nm 2020 c?a B? tr??ng B? Y t? quy ?nh chi ti?t v? h??ng d?n th?c hi?n m?t s? i?u c?a Ngh? ?nh s? 146/2018/N-CP; Th?ng t? s? 35/2021/TT-BYT ng?y 31 th?ng 12 nm 2021 c?a B? tr??ng B? Y t? s?a ?i, b? sung kho?n 1 i?u 9 Th?ng t? s? 30/2020/TT-BYT;Cn c? Th?ng t? s? 48/2017/TT-BYT ng?y 28/12/2017 c?a B? Y t? quy ?nh tr?ch chuy?n d? li?u i?n t? trong qu?n l? v? thanh to?n chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t?;Cn c? Th?ng t? s? 102/TT-BTC ng?y 14/11/2018 c?a B? T?i ch?nh h??ng d?n k? to?n B?o hi?m x? h?i;X?t ? ngh? c?a Tr??ng ban Th?c hi?n ch?nh s?ch b?o hi?m y t?.QUY?T ?NH:i?u 1. Ban h?nh k?m theo Quy?t ?nh n?y Quy tr?nh gi?m ?nh b?o hi?m y t?.i?u 2. Quy?t ?nh n?y c? hi?u l?c thi h?nh k? t? ng?y 01/01/2023, thay th? Quy?t ?nh s? 1456/Q-BHXH ng?y 01 th?ng 12 nm 2015 c?a T?ng Gi?m ?c B?o hi?m x? h?i Vi?t Nam. B?i b? c?c quy ?nh kh?c tr?i v?i Quy?t ?nh n?y.i?u 3. Tr??ng ban Th?c hi?n ch?nh s?ch b?o hi?m y t?, Gi?m ?c Trung t?m Gi?m ?nh b?o hi?m y t? v? Thanh to?n a tuy?n, Ch?nh Vn ph?ng B?o hi?m x? h?i Vi?t Nam, Th? tr??ng c?c ?n v? tr?c thu?c B?o hi?m x? h?i Vi?t Nam, Gi?m ?c B?o hi?m x? h?i c?c t?nh, th?nh ph? tr?c thu?c Trung ??ng, Gi?m ?c B?o hi?m x? h?i B? Qu?c ph?ng, Gi?m ?c B?o hi?m x? h?i C?ng an nh?n d?n ch?u tr?ch nhi?m thi h?nh Quy?t ?nh n?y./.? N?i nh?n: - Nh? i?u 3; - Vn ph?ng Ch?nh ph?; - B? Y t?, B? T?i ch?nh, B? T? ph?p; - H?i ?ng qu?n l? BHXH; - C?c Ph? T?ng Gi?m ?c; - UBND t?nh, TP tr?c thu?c T?; - BHXH B? Qu?c ph?ng, BHXH CAND; - C?c ?n v? tr?c thu?c BHXH VN; - L?u: VT, CSYT.T?NG GI?M ?C Nguy?n Th? M?nh?QUY TR?NHGI?M ?NH B?O HI?M Y T? (Ban h?nh k?m theo Quy?t ?nh s?: 3618/Q-BHXH ng?y 12 th?ng 12 nm 2022 c?a T?ng Gi?m ?c B?o hi?m x? h?i Vi?t Nam)Ch??ng IQUY ?NH CHUNGi?u 1. Ph?m vi i?u ch?nh v? ?i t??ng ?p d?ng1. Vn b?n n?y h??ng d?n v? h? s? t?i li?u, n?i dung, tr?nh t? v? th?i gian th?c hi?n c?c nghi?p v? th?m ?nh i?u ki?n k? h?p ?ng kh?m b?nh, ch?a b?nh b?o hi?m y t?; gi?m ?nh i?u ki?n thanh to?n thu?c, v?t t? y t?, d?ch v? kh?m b?nh, ch?a b?nh; gi?m ?nh chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t?; qu?n l?, khai th?c H? th?ng th?ng tin gi?m ?nh b?o hi?m y t? v? qu?n l? chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? tr?n c?c ph?n m?m nghi?p v? c?a c? quan b?o hi?m x? h?i.2. ?i t??ng ?p d?ng l? c? quan b?o hi?m x? h?i c?c c?p v? c?c t? ch?c, c? nh?n c? li?n quan ?n kh?m b?nh, ch?a b?nh b?o hi?m y t?.i?u 2. Gi?i th?ch t? ng?, c?c ch? vi?t t?t1. Gi?i th?ch t? ng?1.1. Gi?m ?nh b?o hi?m y t?: l? ho?t ?ng chuy?n m?n do c? quan b?o hi?m x? h?i th?c hi?n ho?c ph?i h?p v?i c? s? kh?m b?nh, ch?a b?nh ki?m tra th? t?c kh?m b?nh, ch?a b?nh b?o hi?m y t?; ki?m tra, ?nh gi? vi?c ch? ?nh i?u tr?, s? d?ng thu?c, h?a ch?t, v?t t?, thi?t b? y t?, d?ch v? k? thu?t y t? cho ng??i b?nh theo quy ?nh; ki?m tra, x?c ?nh chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t?.1.2. Quy tr?nh gi?m ?nh b?o hi?m y t?: l? vn b?n h??ng d?n tr?nh t?, th? t?c th?c hi?n c?c ho?t ?ng chuy?n m?n c?a c? quan b?o hi?m x? h?i ? th?c hi?n c?c quy ?nh c?a ph?p lu?t v? t? ch?c kh?m b?nh, ch?a b?nh cho ng??i tham gia b?o hi?m y t? v? thanh to?n chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t?.1.3. C?ng ti?p nh?n: C?ng ti?p nh?n d? li?u thu?c H? th?ng th?ng tin gi?m ?nh b?o hi?m y t? t?i ?a ch? https://gdbhyt.baohiemxahoi.gov.vn.1.4. Ph?n m?m Gi?m ?nh: l? ph?n m?m thu?c H? th?ng th?ng tin gi?m ?nh b?o hi?m y t? t?i ?a ch? https://giamdinh.baohiemxahoi.gov.vn.1.5. D? li?u XML: l? ch? vi?t t?t c?a c?m t? ti?ng Anh  Extensible Markup Language c? ngh)a l? ng?n ng? ?nh d?u m? r?ng, ??c t?o ra v?i m?c ?ch chia s? d? li?u i?n t? gi?a c?c h? th?ng c?ng ngh? th?ng tin kh?c nhau. D? li?u XML m? t? trong quy tr?nh n?y l? d? li?u i?n t? v? kh?m b?nh, ch?a b?nh theo quy ?nh c?a B? Y t?, ??c c? s? kh?m b?nh, ch?a b?nh g?i cho c? quan B?o hi?m x? h?i qua C?ng ti?p nh?n ? ph?c v? qu?n l? kh?m b?nh, ch?a b?nh, gi?m ?nh v? thanh to?n chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t?.1.6. K? s? d? li?u: l? d? li?u i?n t? ??c x?c th?c, ?m b?o t?nh to?n v?n theo quy ?nh c?a ph?p lu?t v? giao d?ch i?n t?.1.7. Gi?m ?nh ch? ?ng: l? vi?c ng??i ??c c? quan c? th?m quy?n giao nhi?m v? th?c hi?n c?ng vi?c gi?m ?nh tr?c ti?p h? s?, b?nh ?n, t?i li?u (b?n gi?y ho?c d? li?u i?n t?) li?n quan ?n thanh to?n chi ph? kh?m b?nh, ch?a b?nh c?a ng??i tham gia b?o hi?m y t?.1.8. Gi?m ?nh t? ?ng: l? vi?c s? d?ng ph?n m?m ki?m tra th?ng tin trong d? li?u i?n t? v?i c?c i?u ki?n, quy ?nh c?a ph?p lu?t v? thanh to?n chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t?.1.9. ?nh d?u tr?ng th?i: l? k?t qu? c?a gi?m ?nh t? ?ng, x?c ?nh d? li?u i?n t? c? sai s?t b? t? ch?i thanh to?n, i?u ch?nh m?c thanh to?n ho?c c?n gi?m ?nh ch? ?ng.2. C?c ch? vi?t t?t:2.1. BHXH: l? ch? vi?t t?t c?a c?m t?  b?o hi?m x? h?i ;2.2. BHXH t?nh: l? ch? vi?t t?t c?a c?m t?  b?o hi?m x? h?i t?nh, th?nh ph? tr?c thu?c trung ??ng ;2.3. BHXH huy?n: l? ch? vi?t t?t c?a c?m t?  b?o hi?m x? h?i qu?n, huy?n, th? x?, th?nh ph? tr?c thu?c B?o hi?m x? h?i t?nh, th?nh ph? tr?c thu?c trung ??ng ;2.4. BHYT: l? ch? vi?t t?t c?a c?m t?  b?o hi?m y t? ;2.5. TST: l? t?n vi?t t?t c?a ph?n m?m Qu?n l? thu - s?, th?;2.6. TCS: l? t?n vi?t t?t c?a ph?n m?m X?t duy?t ch?nh s?ch;2.7. KTTT: l? t?n vi?t t?t c?a ph?n m?m K? to?n t?p trung.Ch??ng IITH?M ?NH I?U KI?N K? H?P ?NG KH?M B?NH, CH?A B?NH B?O HI?M Y T? L?N ?Ui?u 3. H? s? t?i li?u th?m ?nh i?u ki?n k? h?p ?ng kh?m b?nh, ch?a b?nh b?o hi?m y t? l?n ?uH? s? t?i li?u th?m ?nh g?m to?n b? h? s? ? ngh? k? h?p ?ng quy ?nh t?i kho?n 1 i?u 16 Ngh? ?nh s? 146/2018/N-CP ng?y 17/10/2018 c?a Ch?nh ph? quy ?nh chi ti?t v? h??ng d?n bi?n ph?p thi h?nh m?t s? i?u c?a Lu?t BHYT, i?m b kho?n 2 i?u 2 Th?ng t? s? 09/2019/TT-BYT ng?y 10/6/2019 c?a B? tr??ng B? Y t? h??ng d?n th?m ?nh i?u ki?n k? h?p ?ng kh?m b?nh, ch?a b?nh BHYT ban ?u, chuy?n th?c hi?n d?ch v? c?n l?m s?ng v? m?t s? tr??ng h?p thanh to?n tr?c ti?p chi ph? trong kh?m b?nh, ch?a b?nh BHYT, c? th? nh? sau:1. C?ng vn ? ngh? k? h?p ?ng c?a c? s? kh?m b?nh, ch?a b?nh;2. B?n sao gi?y ph?p ho?t ?ng kh?m b?nh, ch?a b?nh do c? quan nh? n??c c? th?m quy?n c?p cho c? s? kh?m b?nh, ch?a b?nh;3. B?n ch?p c? ?ng d?u c?a c? s? ?i v?i quy?t ?nh ph?n h?ng b?nh vi?n c?a c?p c? th?m quy?n (n?u c?) ho?c quy?t ?nh v? tuy?n chuy?n m?n k? thu?t c?a c?p c? th?m quy?n ?i v?i c? s? kh?m b?nh, ch?a b?nh ngo?i c?ng l?p;4. Danh m?c thu?c, h?a ch?t, v?t t? y t?, d?ch v? k? thu?t y t? ??c c?p c? th?m quy?n ph? duy?t (b?ng vn b?n ho?c b?n i?n t?);5. Danh s?ch nh?n l?c ng k? h?nh ngh? t?i c? s? kh?m b?nh, ch?a b?nh c? ?y ? th?ng tin theo quy ?nh t?i Ph? l?c IV ban h?nh k?m theo Ngh? ?nh s? 109/2016/N-CP ng?y 01/7/2016 c?a Ch?nh ph? quy ?nh c?p ch?ng ch? h?nh ngh? ?i v?i ng??i h?nh ngh? v? c?p gi?y ph?p ho?t ?ng ?i v?i c? s? kh?m b?nh, ch?a b?nh.i?u 4. N?i dung th?m ?nh i?u ki?n k? h?p ?ng kh?m b?nh, ch?a b?nh b?o hi?m y t? l?n ?u1. H?nh th?c t? ch?c, ph?m vi ho?t ?ng chuy?n m?n, nh?n l?c c?a c? s? kh?m b?nh, ch?a b?nh t?i th?i i?m ? ngh? k? h?p ?ng ?p ?ng i?u ki?n ho?t ?ng kh?m b?nh, ch?a b?nh theo gi?y ph?p ??c c? quan c? th?m quy?n c?p theo quy ?nh c?a ph?p lu?t.2. i?u ki?n ?m b?o vi?c cung ?ng thu?c, h?a ch?t, v?t t? y t? ph? h?p v?i ph?m vi ho?t ?ng chuy?n m?n c?a c? s? kh?m b?nh, ch?a b?nh theo quy ?nh t?i i?m b kho?n 2 i?u 17 Ngh? ?nh s? 146/2018/N-CP.i?u 5. Quy tr?nh th?m ?nh i?u ki?n k? h?p ?ng kh?m b?nh, ch?a b?nh b?o hi?m y t? l?n ?u1. C?p nh?t th?ng tin ? ngh? k? h?p ?ng kh?m b?nh, ch?a b?nh BHYTSau khi nh?n ? h? s? ? ngh? k? h?p ?ng, BHXH t?nh h??ng d?n c? s? kh?m b?nh, ch?a b?nh ng k? t?i kho?n, c?p nh?t th?ng tin v? danh m?c theo c?c b?ng ?nh d?ng t?i M?u s? 01/QTG k?m theo Quy tr?nh n?y l?n C?ng ti?p nh?n, bao g?m:1.1. Th?ng tin c? s? kh?m b?nh, ch?a b?nh;1.2. Danh m?c c?c khoa l?m s?ng, khoa c?n l?m s?ng, khoa ho?c b? ph?n d??c, ?n v? i?u tr? kh?c (n?u c?);1.3. Danh s?ch ng??i h?nh ngh? t?i c? s? kh?m b?nh, ch?a b?nh ? ??c ng t?i tr?n C?ng th?ng tin i?n t? c?a B? Y t? ho?c Trang th?ng tin i?n t? c?a S? Y t?;1.4. C?c danh m?c: thu?c, h?a ch?t, v?t t? y t?, d?ch v? k? thu?t;1.5. Danh m?c thi?t b? y t? ? th?c hi?n x?t nghi?m c?n l?m s?ng, ch?n o?n h?nh ?nh, thm d? ch?c nng, ph?u thu?t, th? thu?t.2. ?i chi?u th?ng tin c?a c? s? kh?m b?nh, ch?a b?nhBHXH t?nh cn c? c?c th?ng tin ng t?i tr?n C?ng th?ng tin i?n t? c?a B? Y t? ho?c Trang th?ng tin i?n t? c?a S? Y t? theo quy ?nh t?i kho?n 3 i?u 45 Ngh? ?nh s? 109/2016/N-CP ? ki?m tra c?c th?ng tin c? s? kh?m b?nh, ch?a b?nh c?p nh?t tr?n C?ng ti?p nh?n v? cung c?p trong h? s? ? ngh? k? h?p ?ng v? s? gi?y ph?p ho?t ?ng, t?n c? s? kh?m b?nh, ch?a b?nh, ng??i ch?u tr?ch nhi?m chuy?n m?n k? thu?t, h?nh th?c t? ch?c, ?a i?m h?nh ngh?, th?i gian l?m vi?c h?ng ng?y, ph?n h?ng, ph?n tuy?n ?i v?i c? s? kh?m b?nh, ch?a b?nh, tr??ng h?p kh?ng c? th?ng tin ng t?i ho?c th?ng tin kh?ng th?ng nh?t, th?ng b?o b?ng vn b?n cho c? s? kh?m b?nh, ch?a b?nh.3. ?i chi?u th?ng tin ng??i h?nh ngh? t?i c? s? kh?m b?nh, ch?a b?nh3.1. Ph?n m?m Gi?m ?nh t? ?ng ?i chi?u c?c th?ng tin trong danh s?ch ng??i h?nh ngh? t?i c? s? kh?m b?nh, ch?a b?nh, g?m:3.1.1. H? t?n, s? ch?ng ch?, th?i gian h?nh ngh?, ph?m vi ho?t ?ng chuy?n m?n c?a ng??i h?nh ngh? do c? s? kh?m b?nh, ch?a b?nh cung c?p tr?ng kh?p v?i th?ng tin trong c? s? d? li?u nh?n vi?n y t? tr?n H? th?ng th?ng tin gi?m ?nh BHYT. C? s? d? li?u nh?n vi?n y t? tr?n H? th?ng th?ng tin gi?m ?nh BHYT ??c li?n th?ng t? c? s? d? li?u qu?c gia v? y t?, tr??ng h?p B? Y t? ch?a li?n th?ng d? li?u qu?c gia v? y t? v?i B?o hi?m x? h?i Vi?t Nam, BHXH t?nh c?p nh?t th?ng tin ng??i h?nh ngh? ng t?i tr?n C?ng th?ng tin i?n t? c?a B? Y t? ho?c Trang th?ng tin i?n t? c?a S? Y t? v?o ph?n m?m Gi?m ?nh;3.1.2. Th?i gian ng k? h?nh ngh? c?a ng??i h?nh ngh? t?i nhi?u c? s? kh?m b?nh, ch?a b?nh kh?ng tr?ng l?p v? th?i gian di chuy?n h?p l? gi?a c?c ?a i?m h?nh ngh? theo quy ?nh t?i kho?n 7 i?u 12 Ngh? ?nh s? 109/2016/N-CP;3.1.3. Ph?m vi ho?t ?ng chuy?n m?n c?a ng??i ch?u tr?ch nhi?m chuy?n m?n k? thu?t, tr??ng khoa l?m s?ng, c?n l?m s?ng v? s? l??ng ng??i h?nh ngh? c? h?u t?i c? s? kh?m b?nh, ch?a b?nh ?ng v?i quy ?nh t?i kho?n 4, 5, 7, 9 v? 10 i?u 11 Ngh? ?nh s? 155/2018/N-CP ng?y 12/11/2018 c?a Ch?nh ph? s?a ?i, b? sung m?t s? quy ?nh li?n quan ?n i?u ki?n ?u t? kinh doanh thu?c ph?m vi qu?n l? nh? n??c c?a B? Y t?.3.2. BHXH t?nh ki?m tra k?t qu? gi?m ?nh t? ?ng t?i i?m 3.1 kho?n n?y, th?ng b?o v?i c? s? kh?m b?nh, ch?a b?nh:3.2.1. Ho?n thi?n th?ng tin ng??i h?nh ngh? ?i v?i c?c tr??ng h?p kh?ng ?p ?ng y?u c?u t?i c?c ti?t 3.1.1, 3.1.2 i?m 3.1 kho?n n?y;3.2.2. Kh?ng ? i?u ki?n k? h?p ?ng n?u kh?ng ?p ?ng y?u c?u t?i ti?t 3.1.3 i?m 3.1 kho?n n?y.4. Kh?o s?t t?i c? s? kh?m b?nh, ch?a b?nhBHXH t?nh t? ch?c kh?o s?t th?c t? t?i c? s? kh?m b?nh, ch?a b?nh, tr??ng h?p m?t c? s? kh?m b?nh, ch?a b?nh c? nhi?u ?a i?m h?nh ngh? th? kh?o s?t t?t c? c?c ?a i?m; c?c n?i dung kh?o s?t bao g?m:4.1. ?a i?m h?nh ngh? tr?n gi?y ph?p ho?t ?ng ?ng v?i ?a i?m ang h?nh ngh? c?a c? s? kh?m b?nh, ch?a b?nh;4.2. B?n sao c?c t?i li?u trong h? s? ? ngh? k? h?p ?ng c? th?ng tin ?ng v?i b?n ch?nh l?u t?i c? s? kh?m b?nh, ch?a b?nh;4.3. Ng??i ??c ph?n c?ng th?c hi?n d?ch v? k? thu?t ngo?i ph?m vi ho?t ?ng chuy?n m?n ghi tr?n ch?ng ch? h?nh ngh? theo quy ?nh t?i kho?n 1 i?u 11 Ngh? ?nh s? 155/2018/N-CP c? ch?ng ch? ho?c ch?ng nh?n ?o t?o, c? vn b?n ph?n c?ng th?c hi?n d?ch v? k? thu?t c?a ng??i c? th?m quy?n;4.4. C?c khoa l?m s?ng, khoa c?n l?m s?ng, c?c chuy?n khoa kh?m b?nh, khoa ho?c b? ph?n d??c, ?n v? i?u tr? kh?c (n?u c?) v? s? gi??ng ??c ph? duy?t, s? gi??ng th?c k? thu?c m?i khoa, ?n v? i?u tr? kh?c kh?ng thay ?i so v?i th?i i?m c?p gi?y ph?p ho?t ?ng; tr??ng h?p thay ?i ph?i c? quy?t ?nh c?a c?p c? th?m quy?n;4.5. C? s? kh?m b?nh, ch?a b?nh c?ng l?p s? d?ng t?i s?n c?ng v?o m?c ?ch li?n doanh, li?n k?t ? h?nh th?nh khoa, ph?ng, ?n v? i?u tr?: ph?i c? ? ?n s? d?ng t?i s?n c?ng v?o m?c ?ch li?n doanh, li?n k?t ??c c?p c? th?m quy?n ph? duy?t theo quy ?nh t?i kho?n 4 i?u 44 Ngh? ?nh s? 151/2017/N-CP ng?y 26/12/2017 c?a Ch?nh ph? quy ?nh chi ti?t m?t s? i?u c?a Lu?t Qu?n l?, s? d?ng t?i s?n c?ng v? H?p ?ng li?n doanh, li?n k?t;4.6. ?i chi?u th?ng tin ng??i kh?ng tham gia BHXH, BHYT tr?n danh s?ch th?ng k? t? ph?n m?m Gi?m ?nh v?i h?p ?ng lao ?ng, b?ng l??ng ho?c b?ng ch?m c?ng ? x?c ?nh nh?ng ng??i l?m vi?c th?c t? t?i c? s? kh?m b?nh, ch?a b?nh;4.7. Ki?m tra i?u ki?n ?m b?o vi?c cung ?ng thu?c, h?a ch?t, v?t t? y t? cho ng??i b?nh BHYT:4.7.1. B?nh vi?n c? khoa D??c, nh?n l?c theo quy ?nh t?i c?c kho?n 1, 2, 4 v? 5 i?u 4, kho?n 1 c?c i?u 7, 8, 9 v? 11 Th?ng t? s? 22/2011/TT-BYT ng?y 10/6/2011 c?a B? tr??ng B? Y t? quy ?nh t? ch?c v? ho?t ?ng c?a khoa D??c b?nh vi?n; ph?ng kh?m, tr?m y t? v? c?c c? s? kh?m b?nh, ch?a b?nh BHYT kh?c ph?i c? thi?t b? b?o qu?n, c?p ph?t thu?c, nh?n l?c theo quy ?nh;4.7.2. C? s? kh?m b?nh, ch?a b?nh ? k? h?p ?ng ho?c ? c? k?t qu? l?a ch?n nh? th?u ho?c c? k? ho?ch mua s?m thu?c, h?a ch?t, v?t t? y t? theo c?c h?nh th?c ph?p lu?t quy ?nh ?i v?i c?c thu?c, h?a ch?t, v?t t? y t? trong danh m?c d? ki?n s? d?ng cho ng??i b?nh BHYT.5. ?nh gi? i?u ki?n k? h?p ?ng kh?m b?nh, ch?a b?nh BHYT: cn c? k?t qu? ki?m tra h? s? ? ngh? k? h?p ?ng v? kh?o s?t t?i c? s? kh?m b?nh, ch?a b?nh theo h??ng d?n c?a B?o hi?m x? h?i Vi?t Nam, BHXH t?nh ?nh gi? vi?c ?p ?ng c?c i?u ki?n k? h?p ?ng v? xem x?t k? h?p ?ng ho?c kh?ng k? h?p ?ng. Tr??ng h?p kh?ng k? h?p ?ng ph?i tr? l?i b?ng vn b?n cho c? s? kh?m b?nh, ch?a b?nh v? n?u r? l? do.6. BHXH t?nh c?p nh?t s? h?p ?ng, th?i gian th?c hi?n h?p ?ng, b?n ch?p h?p ?ng l?n ph?n m?m Gi?m ?nh ngay sau khi h?p ?ng ??c k? k?t.i?u 6. Th?i gian th?c hi?n1. BHXH t?nh ho?n th?nh vi?c th?m ?nh i?u ki?n k? h?p ?ng kh?m b?nh, ch?a b?nh BHYT trong th?i h?n 20 ng?y l?m vi?c, k? t? ng?y nh?n ? h? s? h?p l? (theo ng?y ghi tr?n d?u c?ng vn ?n) c?a c? s? kh?m b?nh, ch?a b?nh.2. BHXH t?nh th?c hi?n vi?c k? h?p ?ng kh?m b?nh, ch?a b?nh BHYT ho?c tr? l?i b?ng vn b?n cho c? s? kh?m b?nh, ch?a b?nh v? n?u r? l? do kh?ng k? h?p ?ng trong th?i h?n 30 ng?y k? t? ng?y nh?n ? h? s? h?p l? (theo ng?y ghi tr?n d?u c?ng vn ?n).Ch??ng IIIGI?M ?NH I?U KI?N THANH TO?N THU?C, V?T T? Y T? V? D?CH V? KH?M B?NH, CH?A B?NH M?c 1. GI?M ?NH I?U KI?N THANH TO?N THU?Ci?u 7. H? s?, t?i li?u gi?m ?nh i?u ki?n thanh to?n thu?c1. Danh m?c thu?c thu?c ph?m vi thanh to?n BHYT1.1. Thu?c h?a d??c, sinh ph?m, thu?c ph?ng x? v? ch?t ?nh d?u l?p theo m?u quy ?nh t?i Ph? l?c 1 ban h?nh k?m theo Th?ng t? s? 15/2019/TT-BYT ng?y 11/7/2019 c?a B? tr??ng B? Y t? quy ?nh vi?c ?u th?u thu?c t?i c?c c? s? y t? c?ng l?p;1.2. Thu?c ?ng y, thu?c t? d??c li?u v? v? thu?c y h?c c? truy?n l?p theo m?u t?i Ph? l?c 1 ban h?nh k?m theo Th?ng t? s? 05/2015/TT-BYT ng?y 17/3/2015 c?a B? tr??ng B? Y t? v? vi?c ban h?nh danh m?c thu?c ?ng y, thu?c t? d??c li?u v? v? thu?c y h?c c? truy?n thu?c ph?m vi thanh to?n c?a qu? BHYT;1.3. ?nh d?ng d? li?u c?c danh m?c tr?n theo B?ng 3 M?u s? 01/QTG, ghi ? th?ng tin trong c?c tr??ng h?p sau:1.3.1. S? d?ng thu?c h?a d??c, sinh ph?m quy ?nh t?i h?ng b?nh vi?n cao h?n ho?c thu?c ph?ng x? v? ch?t ?nh d?u ? th?c hi?n c?c d?ch v? k? thu?t ??c c?p th?m quy?n ph? duy?t: ghi m? c?c d?ch v? k? thu?t c? s? d?ng thu?c ?;1.3.2. C? s? kh?m b?nh, ch?a b?nh ngo?i c?ng l?p mua s?m theo k?t qu? tr?ng th?u c?a n?i kh?c: th?ng tin th?u ghi s? quy?t ?nh tr?ng th?u (bao g?m c? s? v? k? hi?u quy?t ?nh), g?i th?u, nh?m th?u, nm c?ng b? quy?t ?nh tr?ng th?u, m? t?nh ho?c m? c? s? kh?m b?nh, ch?a b?nh n?i t? ch?c ?u th?u;1.3.3. Thu?c t? b?o ch?, pha ch?, ch? bi?n: s? quy?t ?nh tr?ng th?u ghi s? v? k? hi?u vn b?n c?a c? s? kh?m b?nh, ch?a b?nh g?i c? quan BHXH.2. Vn b?n c?a ng??i ?ng ?u c? s? kh?m b?nh, ch?a b?nh ph? duy?t quy tr?nh s?n xu?t, ti?u chu?n ch?t l??ng, gi? thu?c theo quy ?nh t?i i?m d kho?n 7 i?u 4 Th?ng t? s? 30/2018/TT-BYT ng?y 30/10/2018 c?a B? tr??ng B? Y t? ban h?nh danh m?c v? t? l?, i?u ki?n thanh to?n ?i v?i thu?c h?a d??c, sinh ph?m, thu?c ph?ng x? v? ch?t ?nh d?u thu?c ph?m vi ??c h??ng c?a ng??i tham gia BHYT v? b?ng thuy?t minh gi? th?nh c?a thu?c t? b?o ch?, pha ch?, ch? bi?n theo quy ?nh t?i kho?n 6 i?u 5 Th?ng t? s? 05/2015/TT-BYT v? ??c s?a ?i t?i i?u 1 Th?ng t? s? 27/2020/TT-BYT ng?y 31/12/2020 c?a B? tr??ng B? Y t? v? vi?c b? sung, s?a ?i i?u 5 Th?ng t? s? 05/2015/TT-BYT.3. Vn b?n c?a c?p c? th?m quy?n cho ph?p th?c hi?n vi?c ch?n o?n, i?u tr? b?ng ph?ng x? theo quy ?nh t?i kho?n 2 i?u 2 Th?ng t? s? 30/2018/TT-BYT.4. Vn b?n c?a c?p c? th?m quy?n ph? duy?t k? ho?ch l?a ch?n nh? th?u, ph? duy?t k?t qu? l?a ch?n nh? th?u v? file i?n t? k?t qu? l?a ch?n nh? th?u l?p theo m?u quy ?nh t?i Ph? l?c 1, Ph? l?c 2 ban h?nh k?m theo Th?ng t? s? 15/2019/TT-BYT n?u c? s? kh?m b?nh, ch?a b?nh t? t? ch?c ?u th?u.i?u 8. N?i dung gi?m ?nh i?u ki?n thanh to?n thu?c1. X?c ?nh thu?c thu?c ph?m vi ??c h??ng c?a ng??i tham gia BHYT.2. i?u ki?n v? s? d?ng thu?c ph? h?p v?i m? h?nh t? ch?c, chuy?n khoa i?u tr?, ph?n h?ng b?nh vi?n, ph?m vi ho?t ?ng chuy?n m?n c?a ng??i h?nh ngh?.3. ?n gi?, gi? thanh to?n BHYT ?i v?i: thu?c h?a d??c, sinh ph?m, thu?c ph?ng x? v? ch?t ?nh d?u, thu?c ?ng y, thu?c t? d??c li?u, v? thu?c y h?c c? truy?n, thu?c t? b?o ch?, pha ch? ho?c ch? bi?n.i?u 9. Quy tr?nh gi?m ?nh i?u ki?n thanh to?n thu?c1. Thu th?p t?i li?u, c?p nh?t danh m?c thu?c l?n H? th?ng th?ng tin gi?m ?nh BHYT1.1. ?n v? ??c B? Y t? giao ?u th?u t?p trung c?p qu?c gia, ?m ph?n gi? thu?c c?p nh?t danh m?c thu?c tr?ng th?u t?p trung c?p qu?c gia, ?m ph?n gi? l?n C?ng ti?p nh?n, ki?m tra th?ng tin, k? s? d? li?u (n?u c?), g?i sang ph?n m?m Gi?m ?nh.1.2. BHXH t?nh1.2.1. H??ng d?n c? s? kh?m b?nh, ch?a b?nh g?i t?i li?u ?ng th?i c?p nh?t danh m?c n?u t?i i?u 7 Quy tr?nh n?y l?n C?ng ti?p nh?n, g?i sang ph?n m?m Gi?m ?nh khi ? ngh? k? h?p ?ng kh?m b?nh, ch?a b?nh BHYT ho?c khi c? thay ?i trong qu? tr?nh th?c hi?n h?p ?ng ho?c sau khi c? k?t qu? l?a ch?n nh? th?u ho?c quy?t ?nh mua s?m c?a c? s? y t? ngo?i c?ng l?p;1.2.2. C?p nh?t danh m?c thu?c mua s?m theo k?t qu? ?u th?u t?p trung c?p ?a ph??ng l?n ph?n m?m Gi?m ?nh.1.3. Thay ?i th?ng tin danh m?c thu?c ? ?p d?ng1.3.1. Khi nh?n ??c vn b?n c?a c?p c? th?m quy?n v? vi?c thay ?i th?ng tin thu?c theo quy ?nh t?i kho?n 6 i?u 37 Th?ng t? s? 15/2019/TT-BYT ho?c ph?n b?, i?u ti?t s? l??ng thu?c tr?ng th?u theo k?t qu? ?u th?u t?p trung:a) Trung t?m Gi?m ?nh BHYT v? Thanh to?n a tuy?n c?p nh?t th?ng tin thay ?i khi ti?p nh?n y?u c?u t? ?n v? ?u th?u, mua s?m t?p trung c?p qu?c gia;b) BHXH t?nh c?p nh?t th?ng tin thay ?i khi ti?p nh?n y?u c?u t? ?n v? mua s?m t?p trung c?a t?nh ho?c t? c? s? kh?m b?nh, ch?a b?nh.1.3.2. Tr??ng h?p c? s? kh?m b?nh, ch?a b?nh mua s?m b? sung thu?c tr?ng th?u: sau khi c? s? kh?m b?nh, ch?a b?nh g?i vn b?n th?ng b?o c?c thu?c mua s?m b? sung s? l??ng k?m theo ph? l?c h?p ?ng ho?c quy?t ?nh mua s?m b? sung, BHXH t?nh c?p nh?t s? l??ng thu?c mua b? sung tr?n ph?n m?m Gi?m ?nh.2. Gi?m ?nh danh m?c thu?c2.1. Ph?n m?m Gi?m ?nh ?i chi?u danh m?c thu?c n?u t?i kho?n 1 i?u 7 Quy tr?nh n?y v?i danh m?c thu?c thu?c ph?m vi thanh to?n BHYT ??c B? Y t? ban h?nh, t? ?ng tr? v? C?ng ti?p nh?n c?c thu?c sau ?y:2.1.1. T?n ho?t ch?t, t?n thu?c ph?ng x? v? ch?t ?nh d?u, ??ng d?ng ho?c d?ng d?ng kh?ng ?ng v?i th?ng tin t?i danh m?c thu?c h?a d??c, sinh ph?m, thu?c ph?ng x? v? ch?t ?nh d?u ban h?nh k?m theo Th?ng t? s? 30/2018/TT-BYT, Th?ng t? s? 01/2020/TT-BYT ng?y 16/01/2020 c?a B? tr??ng B? Y t? s?a ?i, b? sung m?t s? i?u c?a Th?ng t? s? 30/2018/TT-BYT v? Th?ng t? s? 20/2020/TT-BYT ng?y 26/11/2020 c?a B? tr??ng B? Y t? v? vi?c s?a ?i, b? sung Th?ng t? s? 30/2018/TT-BYT;2.1.2. Ho?t ch?t v? ??ng d?ng ho?c d?ng d?ng c?a thu?c kh?ng t??ng ?ng v?i h?ng b?nh vi?n c?a c? s? kh?m b?nh, ch?a b?nh, tr? c?c tr??ng h?p sau:a) Thu?c v??t h?ng s? d?ng ? th?c hi?n d?ch v? k? thu?t ? ??c c?p c? th?m quy?n ph? duy?t;b) Thu?c v??t h?ng s? d?ng t?i b?nh vi?n chuy?n khoa tuy?n t?nh ? ??c S? Y t? v? BHXH t?nh th?ng nh?t x?c ?nh, kh?ng cao h?n h?ng c?a b?nh vi?n a khoa t?nh.2.1.3. C?c ho?t ch?t c? quy ?nh i?u ki?n thanh to?n kh?ng ph? h?p v?i m? h?nh t? ch?c, chuy?n khoa i?u tr?; thu?c c? quy ?nh t? l? thanh to?n kh?ng t??ng ?ng v?i d?ng b?o ch?;2.1.4. Thu?c ph?ng x?, ch?t ?nh d?u s? d?ng trong c?c d?ch v? k? thu?t ch?a ??c c?p c? th?m quy?n ph? duy?t th?c hi?n;2.1.5. Th?nh ph?n v? ??ng d?ng c?a thu?c ?ng y, thu?c t? d??c li?u, t?n v? ngu?n g?c c?a v? thu?c y h?c c? truy?n kh?ng ?ng v?i danh m?c ban h?nh k?m theo Th?ng t? s? 05/2015/TT-BYT v? Th?ng t? s? 50/2017/TT-BYT ng?y 29/12/2017 c?a B? tr??ng B? Y t? s?a ?i, b? sung c?c quy ?nh li?n quan ?n thanh to?n chi ph? kh?m b?nh, ch?a b?nh;2.1.6. Thu?c ?ng y, thu?c t? d??c li?u s? d?ng t?i c? s? kh?m b?nh, ch?a b?nh kh?ng ph?i l? b?nh vi?n ho?c vi?n y h?c c? truy?n ho?c ph?n h?ng th?p h?n h?ng b?nh vi?n ??c thanh to?n quy ?nh t?i Danh m?c thu?c ?ng y, thu?c t? d??c li?u v? v? thu?c y h?c c? truy?n thu?c ph?m vi thanh to?n c?a qu? b?o hi?m y t? ban h?nh k?m theo Th?ng t? s? 05/2015/TT-BYT;2.1.7. Thu?c c? s? ng k? ho?c gi?y ph?p l?u h?nh s?n ph?m kh?ng ?ng v?i th?ng tin trong danh m?c thu?c ??c B? Y t? c?p ph?p l?u h?nh c?n hi?u l?c ??c c?ng b? tr?n Trang th?ng tin i?n t? c?a C?c Qu?n l? D??c - B? Y t? theo quy ?nh t?i Th?ng t? s? 08/2022/TT-BYT ng?y 05/9/2022 c?a B? tr??ng B? Y t? quy ?nh vi?c ng k? l?u h?nh thu?c, nguy?n li?u l?m thu?c;2.1.8. Thu?c h?a d??c, sinh ph?m, thu?c ph?ng x? v? ch?t ?nh d?u t? b?o ch?, pha ch? c? th?nh ph?n ho?t ch?t kh?ng ?ng quy ?nh; kh?ng ph? h?p v? ??ng d?ng, d?ng d?ng, h?ng b?nh vi?n ??c s? d?ng t?i Ph? l?c 01 ho?c Ph? l?c 02 ban h?nh k?m theo Th?ng t? s? 30/2018/TT-BYT, kho?n 1 v? 2 i?u 2 Th?ng t? s? 01/2020/TT-BYT, i?u 1 v? 2 Th?ng t? s? 20/2020/TT-BYT. Thu?c ?ng y, thu?c t? d??c li?u t? ch? bi?n, b?o ch? kh?ng ?ng c?c v? thu?c trong danh m?c ban h?nh k?m theo Th?ng t? s? 05/2015/TT-BYT, i?u 1 Quy?t ?nh s? 695/Q-BYT ng?y 29/02/2016 c?a B? tr??ng B? Y t? ?nh ch?nh Th?ng t? s? 05/2015/TT-BYT v? i?u 5 Th?ng t? s? 50/2017/TT-BYT;2.1.9. Danh m?c thu?c n?u t?i c?c i?m 1.1 v? 1.2 kho?n 1 i?u 7 Quy tr?nh n?y kh?ng tr?ng kh?p to?n b? th?ng tin v?i danh m?c thu?c ?u th?u t?p trung ho?c ?m ph?n gi? n?u mua s?m theo k?t qu? ?u th?u t?p trung ho?c ?m ph?n gi? (tr? s? l??ng ??c ph?n b?);2.1.10. Danh m?c thu?c t?i c? s? kh?m b?nh, ch?a b?nh ngo?i c?ng l?p mua s?m theo k?t qu? tr?ng th?u kh?ng tr?ng kh?p c?c th?ng tin theo quy ?nh t?i i?m c kho?n 7 i?u 50 Th?ng t? s? 15/2019/TT-BYT.2.2. BHXH t?nh2.2.1. ?i chi?u d? li?u danh m?c thu?c v?i b?n gi?y trong tr??ng h?p d? li?u ch?a ??c k? s?, tr? l?i danh m?c ? c? s? kh?m b?nh, ch?a b?nh i?u ch?nh n?u sai l?ch;2.2.2. ?i chi?u c?c th?ng tin v? h?nh th?c ?u th?u, danh m?c thu?c theo k?t qu? l?a ch?n nh? th?u ?m b?o tr?ng kh?p th?ng tin tr?n d? li?u danh m?c v? t?i li?u k?m theo, tr? l?i c? s? kh?m b?nh, ch?a b?nh ? i?u ch?nh n?u sai l?ch;2.2.3. X?c ?nh c? s? kh?m b?nh, ch?a b?nh ? ??c c?p c? th?m quy?n cho ph?p th?c hi?n vi?c ch?n o?n, i?u tr? b?ng ph?ng x? n?u ? ngh? thanh to?n thu?c ph?ng x?, ch?t ?nh d?u;2.2.4. X?c ?nh c? s? kh?m b?nh, ch?a b?nh ? ph? duy?t quy tr?nh s?n xu?t, ti?u chu?n ch?t l??ng v? gi? thu?c n?u ? ngh? thanh to?n thu?c t? b?o ch?, pha ch?.3. Gi?m ?nh s? l??ng v? gi? thu?c3.1. Ph?n m?m Gi?m ?nh ki?m tra s? l??ng, ?n gi? thu?c trong danh m?c n?u t?i kho?n 1 i?u 7 Quy tr?nh n?y, t? ?ng tr? v? C?ng ti?p nh?n c?c thu?c sau ?y:3.1.1. S? l??ng mua s?m v??t qu? s? l??ng theo k?t qu? l?a ch?n nh? th?u, i?u ch?nh, mua b? sung (n?u c?) theo quy ?nh t?i kho?n 1 ho?c kho?n 5 i?u 37 Th?ng t? s? 15/2019/TT-BYT trong tr??ng h?p c? s? kh?m b?nh, ch?a b?nh t? t? ch?c ?u th?u ho?c s? l??ng ??c ph?n b?, i?u ti?t theo k?t qu? ?u th?u t?p trung c?p ?a ph??ng, ?u th?u t?p trung c?p qu?c gia, ?m ph?n gi? (s? l??ng thu?c mua s?m t?i c? s? kh?m b?nh, ch?a b?nh k? h?p ?ng ? th?c hi?n kh?m b?nh, ch?a b?nh BHYT t?i c?c tr?m y t? x?, ph??ng, nh? h? sinh c?ng l?p, ph?ng kh?m a khoa khu v?c bao g?m s? l??ng thu?c s? d?ng t?i c?c c? s? y t? n?y);3.1.2. ?n gi? cao h?n ?n gi? t?i k?t qu? l?a ch?n nh? th?u ? ??c ph? duy?t ho?c cao h?n gi? k? khai, gi? k? khai l?i c?n hi?u l?c t?i th?i i?m ph? duy?t k?t qu? l?a ch?n nh? th?u ??c c?ng b? tr?n Trang th?ng tin i?n t? c?a C?c Qu?n l? D??c - B? Y t?;3.1.3. Thu?c t?i c? s? kh?m b?nh, ch?a b?nh ngo?i c?ng l?p mua s?m theo k?t qu? ?u th?u t?p trung ho?c theo k?t qu? ?u th?u c?a c?c c? s? c?ng l?p tuy?n t?nh tr?n c?ng ?a b?n:a) Kh?ng ?ng t?n th??ng m?i, s? gi?y ng k? l?u h?nh ho?c gi?y ph?p nh?p kh?u, n?ng ? ho?c h?m l??ng, ??ng d?ng, d?ng b?o ch?, quy c?ch ?ng g?i, c? s? s?n xu?t, n??c s?n xu?t;b) Gi? thanh to?n cao h?n ?n gi? thu?c theo k?t qu? tr?ng th?u.3.1.4. D??c li?u sau ch? bi?n, b?o qu?n c?n chia c? t? l? hao h?t cao h?n t? l? quy ?nh t?i kho?n 5 i?u 6 Th?ng t? s? 43/2017/TT-BYT ng?y 16/11/2017 c?a B? tr??ng B? Y t? quy ?nh t? l? hao h?t ?i v?i v? thu?c c? truy?n v? vi?c thanh to?n chi ph? hao h?t t?i c?c c? s? kh?m b?nh, ch?a b?nh.3.2. BHXH t?nh3.2.1. R? so?t gi? thanh to?n c?a thu?c t?n d??c t? b?o ch?, pha ch? tr?n c? s? b?ng thuy?t minh gi? th?nh c?a thu?c v? quy ?nh t?i i?m d kho?n 7 i?u 4 Th?ng t? s? 30/2018/TT-BYT;3.2.2. R? so?t gi? thanh to?n c?a v? thu?c y h?c c? truy?n do c? s? kh?m b?nh, ch?a b?nh t? mua d??c li?u ? ch? bi?n, b?o ch? v?i gi? c?a d??c li?u mua s?m theo k?t qu? tr?ng th?u c?ng v?i c?c kho?n chi ph? t?i b?ng thuy?t minh gi? th?nh c?a v? thu?c theo quy ?nh t?i i?u 1 Th?ng t? s? 27/2020/TT-BYT;3.2.3. R? so?t gi? thanh to?n c?a thu?c y h?c c? truy?n t? ch? bi?n ho?c b?o ch? v?i gi? d??c li?u, v? thu?c mua s?m theo k?t qu? ?u th?u c?ng v?i c?c kho?n chi ph? t?i b?ng thuy?t minh gi? th?nh c?a thu?c theo quy ?nh t?i i?u 1 Th?ng t? s? 27/2020/TT-BYT;3.2.4. R? so?t gi? thanh to?n c?a bao b? ?ng g?i ?i v?i c?c lo?i thu?c thang tr?n c? s? thuy?t minh gi? th?nh c?a bao b? khi c? s? kh?m b?nh, ch?a b?nh kh?ng s?c thu?c cho ng??i b?nh.Tr??ng h?p ph?t hi?n gi? thanh to?n c?a c?c thu?c, bao b? ?ng g?i n?u t?i i?m n?y ch?a h?p l? th? ? ngh? c? s? kh?m b?nh, ch?a b?nh c? vn b?n l?m r? c?c chi ph? ? x?c ?nh gi? th?nh c?a thu?c, bao b? ?ng g?i.i?u 10. Th?i gian th?c hi?n v? th?i i?m ?p d?ng danh m?c thu?c1. Trung t?m Gi?m ?nh BHYT v? Thanh to?n a tuy?n ho?n th?nh vi?c gi?m ?nh theo h??ng d?n t?i kho?n 2 v? 3 i?u 9 Quy tr?nh n?y trong th?i h?n 03 ng?y l?m vi?c k? t? ng?y nh?n ? t?i li?u v? danh m?c thu?c ?u th?u t?p trung c?p qu?c gia ho?c ?m ph?n gi?.2. BHXH t?nh: ho?n th?nh vi?c c?p nh?t v? gi?m ?nh danh m?c thu?c theo k?t qu? ?u th?u t?p trung c?p ?a ph??ng v? t?i c? s? kh?m b?nh, ch?a b?nh theo h??ng d?n t?i kho?n 2 v? 3 i?u 9 Quy tr?nh n?y trong th?i h?n 07 ng?y l?m vi?c k? t? ng?y nh?n ? t?i li?u v? danh m?c thu?c n?u t?i i?u 7 Quy tr?nh n?y.3. Th?i i?m ?p d?ng danh m?c thu?c tr?n H? th?ng th?ng tin gi?m ?nh BHYT k? t? ng?y nh?n ? t?i li?u v? danh m?c c?a c? s? kh?m b?nh, ch?a b?nh BHYT; tr??ng h?p h?p ?ng cung ?ng thu?c c? hi?u l?c sau ng?y c? quan BHXH nh?n ? t?i li?u v? danh m?c th? th?i i?m ?p d?ng k? t? ng?y h?p ?ng c? hi?u l?c.M?c 2. GI?M ?NH I?U KI?N THANH TO?N V?T T? Y T?i?u 11. H? s?, t?i li?u gi?m ?nh i?u ki?n thanh to?n v?t t? y t?1. Danh m?c v?t t? y t? trong ph?m vi thanh to?n BHYT ??c l?p theo Ph? l?c 02 ban h?nh k?m theo Th?ng t? s? 04/2017/TT-BYT ng?y 14/4/2017 c?a B? tr??ng B? Y t? ban h?nh danh m?c v? t? l?, i?u ki?n thanh to?n ?i v?i v?t t? y t? thu?c ph?m vi ??c h??ng c?a ng??i tham gia BHYT; c? s? kh?m b?nh, ch?a b?nh ngo?i c?ng l?p mua v?t t? y t? theo k?t qu? tr?ng th?u c?a c? s? y t? kh?c l?p danh m?c v?t t? y t? theo quy ?nh t?i Ph? l?c 03 ban h?nh k?m theo Th?ng t? s? 04/2017/TT-BYT; ?nh d?ng d? li?u danh m?c theo B?ng 4 M?u s? 01/QTG, ghi ? th?ng tin trong c?c tr??ng h?p sau:1.1. V?t t? y t? kh? ?nh l??ng khi s? d?ng ??c thanh to?n ri?ng ngo?i gi? d?ch v? y t?: ghi ?nh m?c cho m?t l?n s? d?ng d?ch v? k? thu?t;1.2. V?t t? y t? t?i s? d?ng: ghi s? l?n s? d?ng v? gi? thanh to?n;1.3. V?t t? y t? g?m nhi?u b? ph?n: ghi m? b? v? m? chi ti?t t?ng b? ph?n, gi? thanh to?n t?ng b? ph?n theo quy ?nh t?i Quy?t ?nh s? 5086/Q-BYT ng?y 04/11/2021 c?a B? tr??ng B? Y t? ban h?nh Danh m?c d?ng chung m? h?ng s?n xu?t v?t t? y t? (?t 1) v? nguy?n t?c m? ho? v?t t? y t? ph?c v? qu?n l? v? gi?m ?nh, thanh to?n chi ph? kh?m b?nh, ch?a b?nh BHYT;1.4. V?t t? y t? t? s?n xu?t: ghi s? v? k? hi?u vn b?n c?a c? s? kh?m b?nh, ch?a b?nh g?i c? quan BHXH v? gi? thanh to?n.2. Vn b?n c?a c?p c? th?m quy?n ph? duy?t k? ho?ch l?a ch?n nh? th?u v? k?t qu? l?a ch?n nh? th?u n?u c? s? kh?m b?nh, ch?a b?nh t? t? ch?c ?u th?u k?m file i?n t? theo quy ?nh t?i i?m d kho?n 5 i?u 6 Th?ng t? s? 04/2017/TT-BYT.3. Vn b?n th?ng b?o ?nh m?c v? t?i li?u x?y d?ng ?nh m?c ?i v?i v?t t? y t? kh? ?nh l??ng khi s? d?ng theo quy ?nh t?i kho?n 3 i?u 4 Th?ng t? s? 04/2017/TT-BYT.4. Vn b?n th?ng b?o v?t t? y t? c? ?n v? t?nh l?  b? kh?ng c? gi? ri?ng l? c?a t?ng b? ph?n trong  b? theo quy ?nh t?i i?m b kho?n 4 i?u 4 Th?ng t? s? 04/2017/TT-BYT.5. Vn b?n th?ng b?o s? l?n s? d?ng t?i a v? t?i li?u x?c ?nh gi? thanh to?n, quy tr?nh t?i s? d?ng ?i v?i t?ng lo?i v?t t? y t? t?i s? d?ng do ng??i ?ng ?u c? s? kh?m b?nh, ch?a b?nh ph? duy?t theo quy ?nh t?i kho?n 2 i?u 5 Th?ng t? s? 04/2017/TT-BYT.6. Vn b?n c?a ng??i ?ng ?u c? s? kh?m b?nh, ch?a b?nh ph? duy?t quy tr?nh s?n xu?t, ti?u chu?n ch?t l??ng, gi? th?nh s?n ph?m ?i v?i v?t t? y t? t? s?n xu?t theo quy ?nh t?i kho?n 4 i?u 3 Th?ng t? s? 04/2017/TT-BYT.i?u 12. N?i dung gi?m ?nh i?u ki?n thanh to?n v?t t? y t?1. X?c ?nh v?t t? y t? thu?c ph?m vi ??c h??ng c?a ng??i tham gia BHYT.2. Gi? thanh to?n BHYT ?i v?i v?t t? y t? thanh to?n ngo?i gi? d?ch v? y t?; v?t t? y t? kh? ?nh l??ng khi s? d?ng; v?t t? y t? t?i s? d?ng; v?t t? y t? do c? s? kh?m b?nh, ch?a b?nh t? s?n xu?t.3. V?t t? y t? c? quy ?nh t? l? thanh to?n, i?u ki?n thanh to?n; v?t t? y t? ho?c g?i v?t t? y t? c? quy ?nh m?c thanh to?n t?i a.i?u 13. Quy tr?nh gi?m ?nh i?u ki?n thanh to?n v?t t? y t?1. Thu th?p t?i li?u, c?p nh?t danh m?c v?t t? y t? l?n H? th?ng th?ng tin gi?m ?nh BHYT1.1. ?n v? ??c B? tr??ng B? Y t? giao ?u th?u v?t t? y t? t?p trung qu?c gia, ?m ph?n gi? c?p nh?t danh m?c v?t t? y t? theo k?t qu? ?u th?u ho?c ?m ph?n gi? l?n C?ng ti?p nh?n, ki?m tra th?ng tin, k? s? d? li?u (n?u c?), g?i sang ph?n m?m Gi?m ?nh.1.2. BHXH t?nh1.2.1. H??ng d?n c? s? kh?m b?nh, ch?a b?nh g?i t?i li?u quy ?nh t?i i?u 11 Quy tr?nh n?y ?ng th?i c?p nh?t danh m?c v?t t? y t? thu?c ph?m vi thanh to?n BHYT, k?t qu? tr?ng th?u v?t t? y t? do c? s? kh?m b?nh, ch?a b?nh t? t? ch?c ?u th?u l?n C?ng ti?p nh?n, g?i sang ph?n m?m Gi?m ?nh khi ? ngh? k? h?p ?ng kh?m b?nh, ch?a b?nh BHYT ho?c khi c? thay ?i trong qu? tr?nh th?c hi?n h?p ?ng ho?c sau khi c? k?t qu? l?a ch?n nh? th?u;1.2.2. C?p nh?t danh m?c v?t t? y t? mua s?m theo k?t qu? ?u th?u t?p trung c?p ?a ph??ng l?n ph?n m?m Gi?m ?nh.1.3. Thay ?i th?ng tin danh m?c v?t t? y t? ? ?p d?ng khi nh?n ??c vn b?n c?a c?p c? th?m quy?n v? vi?c i?u ti?t s? l??ng v?t t? y t? tr?ng th?u theo k?t qu? ?u th?u t?p trung ho?c thay ?i th?ng tin c?a v?t t? y t?:1.3.1. Trung t?m Gi?m ?nh BHYT v? Thanh to?n a tuy?n c?p nh?t th?ng tin thay ?i khi ti?p nh?n y?u c?u t? ?n v? ?u th?u, mua s?m t?p trung c?p qu?c gia;1.3.2. BHXH t?nh c?p nh?t th?ng tin thay ?i khi ti?p nh?n y?u c?u t? ?n v? mua s?m t?p trung c?a t?nh ho?c c? s? kh?m b?nh, ch?a b?nh.2. Gi?m ?nh danh m?c, s? l??ng v? gi? v?t t? y t?2.1. Ph?n m?m Gi?m ?nh ki?m tra th?ng tin, s? l??ng, ?n gi? c?a v?t t? y t? trong danh m?c n?u t?i kho?n 1 i?u 11 Quy tr?nh n?y, t? ?ng tr? v? C?ng ti?p nh?n c?c v?t t? y t? sau ?y:2.1.1. V?t t? y t? c? m? nh?m, t?n nh?m ho?c ?n v? t?nh kh?ng ?ng v?i th?ng tin t?i danh m?c v?t t? y t? ban h?nh k?m theo Th?ng t? s? 04/2017/TT-BYT, kho?n 2 i?u 1 Quy?t ?nh s? 2192/Q-BYT ng?y 31/5/2017 c?a B? tr??ng B? Y t? v? vi?c ?nh ch?nh Th?ng t? s? 04/2017/TT-BYT ho?c c?c th?ng tin kh?c kh?ng tr?ng kh?p v?i danh m?c v?t t? y t? theo k?t qu? l?a ch?n nh? th?u.2.1.2. V?t t? y t? s? d?ng t?i c? s? kh?m b?nh, ch?a b?nh ngo?i c?ng l?p mua s?m theo k?t qu? ?u th?u n?i kh?c nh?ng kh?ng ?ng m?t h?ng tr?ng th?u (kh?c t?n th??ng m?i, ch?ng lo?i, ti?u ch? k? thu?t, ti?u chu?n ch?t l??ng, nh? s?n xu?t, n??c s?n xu?t) ho?c th?i gian th?c hi?n h?p ?ng kh?ng ?ng th?i gian quy ?nh t?i quy?t ?nh ph? duy?t k?t qu? l?a ch?n nh? th?u theo quy ?nh t?i kho?n 6 i?u 3 Th?ng t? s? 04/2017/TT-BYT;2.1.3. S? l??ng v?t t? y t? v??t qu? s? l??ng ??c x?c ?nh trong k?t qu? l?a ch?n nh? th?u ??c ph? duy?t ho?c s? l??ng sau i?u ti?t ?i v?i c?c v?t t? y t? ?u th?u t?p trung c?p ?a ph??ng, ?u th?u t?p trung c?p qu?c gia (s? l??ng v?t t? y t? mua s?m t?i c? s? kh?m b?nh, ch?a b?nh k? h?p ?ng ? th?c hi?n kh?m b?nh, ch?a b?nh BHYT t?i c?c tr?m y t? x?, ph??ng, nh? h? sinh c?ng l?p, ph?ng kh?m a khoa khu v?c bao g?m s? l??ng t?i c?c c? s? y t? n?y);2.1.4. ?n gi? v?t t? y t? mua s?m cao h?n ?n gi? theo k?t qu? l?a ch?n nh? th?u c?a c? s? kh?m b?nh, ch?a b?nh ho?c k?t qu? ?u th?u t?p trung c?p ?a ph??ng, ?u th?u t?p trung c?p qu?c gia.2.2. BHXH t?nh2.2.1. ?i chi?u d? li?u danh m?c v?i b?n gi?y trong tr??ng h?p d? li?u ch?a ??c k? s?, tr? l?i danh m?c ? c? s? kh?m b?nh, ch?a b?nh i?u ch?nh n?u sai l?ch;2.2.2. ?i chi?u h?nh th?c ?u th?u, mua s?m v?t t? y t? ?ng v?i k? ho?ch ??c c?p c? th?m quy?n ph? duy?t; s? l??ng tr?ng th?u kh?ng cao h?n s? l??ng theo k? ho?ch l?a ch?n nh? th?u ? ??c ph? duy?t; gi? tr?ng th?u kh?ng cao h?n ?n gi? t?i k? ho?ch l?a ch?n nh? th?u ? ??c ph? duy?t; c?c tr??ng h?p x? l? t?nh hu?ng theo quy ?nh t?i i?m b kho?n 5 i?u 117 Ngh? ?nh s? 63/2014/N-CP ng?y 26/6/2014 c?a Ch?nh ph? quy ?nh chi ti?t thi h?nh m?t s? i?u c?a Lu?t ?u th?u v? l?a ch?n nh? th?u;2.2.3. ?i chi?u c?c th?ng tin v? h?nh th?c ?u th?u, mua s?m v?t t? y t? ?m b?o tr?ng kh?p th?ng tin trong danh m?c v? t?i li?u k?m theo, tr? l?i c? s? kh?m b?nh, ch?a b?nh ? i?u ch?nh n?u sai l?ch;2.2.4. ?i v?i v?t t? y t? kh? ?nh l??ng khi s? d?ng: cn c? t?i li?u n?u t?i kho?n 3 i?u 11 Quy tr?nh n?y, s? l??ng, t?n su?t th?c hi?n d?ch v? k? thu?t v? s? l??ng v?t t? y t? ? s? d?ng ? r? so?t ?nh m?c x?y d?ng, ? ngh? i?u ch?nh n?u ph?t hi?n ?nh m?c ch?a ph? h?p;2.2.5. ?i v?i c?c v?t t? y t? c? th? t?i s? d?ng m? ch?a c? h??ng d?n v? quy tr?nh t?i s? d?ng, s? l?n t?i s? d?ng c?a B? Y t? ho?c c?a nh? s?n xu?t: cn c? vn b?n th?ng b?o c?a c? s? kh?m b?nh, ch?a b?nh k?m theo quy tr?nh t?i s? d?ng, s? l?n t?i s? d?ng ? ??c ph? duy?t ? r? so?t gi? thanh to?n theo quy ?nh t?i kho?n 2, kho?n 3 i?u 5 Th?ng t? s? 04/2017/TT-BYT, ? ngh? i?u ch?nh n?u ph?t hi?n gi? ch?a ph? h?p;2.2.6. ?i v?i c?c lo?i v?t t? y t? c? ?n v? t?nh l?  b? : ?i chi?u vn b?n v? danh m?c c? s? kh?m b?nh, ch?a b?nh cung c?p ? ki?m tra c?c v?t t? y t? ph?i s? d?ng to?n b? c?c b? ph?n, v?t t? y t? c? th? s? d?ng m?t ho?c m?t s? b? ph?n m? c?c b? ph?n c?n l?i c? ho?c kh?ng th? s? d?ng ti?p;2.2.7. ?i v?i v?t t? y t? t? s?n xu?t: r? so?t t?i li?u n?u t?i kho?n 6 i?u 11 Quy tr?nh n?y; tr??ng h?p ph?t hi?n gi? thanh to?n ch?a ph? h?p th? ? ngh? c? s? kh?m b?nh, ch?a b?nh l?m r? c?c chi ph? ? x?c ?nh gi? v?t t? y t?.i?u 14. Th?i gian gi?m ?nh v? th?i i?m ?p d?ng danh m?c v?t t? y t?1. Trung t?m Gi?m ?nh BHYT v? Thanh to?n a tuy?n ho?n th?nh vi?c gi?m ?nh theo h??ng d?n t?i kho?n 2 i?u 13 Quy tr?nh n?y trong th?i h?n 03 ng?y l?m vi?c k? t? ng?y nh?n ? t?i li?u v? danh m?c v?t t? y t? ?u th?u t?p trung c?p qu?c gia.2. BHXH t?nh ho?n th?nh vi?c c?p nh?t v? gi?m ?nh danh m?c v?t t? y t? mua s?m theo k?t qu? ?u th?u t?p trung c?p ?a ph??ng v? t?i c? s? kh?m b?nh, ch?a b?nh theo h??ng d?n t?i kho?n 2 i?u 13 Quy tr?nh n?y trong th?i h?n 07 ng?y l?m vi?c k? t? ng?y nh?n ? t?i li?u v? danh m?c v?t t? y t? n?u t?i i?u 11 Quy tr?nh n?y.3. Th?i i?m ?p d?ng danh m?c v?t t? y t? tr?n H? th?ng th?ng tin gi?m ?nh BHYT k? t? ng?y nh?n ? t?i li?u v? danh m?c c?a c? s? kh?m b?nh, ch?a b?nh BHYT; tr??ng h?p h?p ?ng mua s?m v?t t? y t? c? hi?u l?c sau ng?y BHXH t?nh nh?n ? t?i li?u v? danh m?c th? th?i i?m ?p d?ng k? t? ng?y h?p ?ng c? hi?u l?c.M?c 3. GI?M ?NH I?U KI?N THANH TO?N D?CH V? KH?M B?NH, CH?A B?NH B?O HI?M Y T?i?u 15. H? s?, t?i li?u gi?m ?nh i?u ki?n thanh to?n d?ch v? kh?m b?nh, ch?a b?nh1. Danh m?c d?ch v? k? thu?t s? d?ng cho ng??i b?nh BHYT v? quy tr?nh k? thu?t ho?c h??ng d?n chuy?n m?n do ng??i ?ng ?u c? s? kh?m b?nh, ch?a b?nh ban h?nh; ?nh d?ng d? li?u theo B?ng 5 M?u s? 01/QTG.2. Danh m?c thi?t b? y t? ? th?c hi?n d?ch v? k? thu?t cho ng??i b?nh BHYT theo B?ng 6 M?u s? 01/QTG.3. Danh s?ch chuy?n khoa kh?m b?nh, danh s?ch khoa, ph?ng i?u tr? theo quy ?nh c?a B? Y t?, l?p theo B?ng 1 M?u s? 01/QTG, danh s?ch ng??i h?nh ngh? l?p theo B?ng 2 M?u s? 01/QTG.4. Tr??ng h?p d?ch v? c?n l?m s?ng c?n chuy?n th?c hi?n t?i c? s? y t? kh?c: vn b?n th?ng b?o k?m theo h?p ?ng nguy?n t?c v?i c? s? y t? n?i th?c hi?n, danh m?c d?ch v? c?n l?m s?ng c?n chuy?n; ph? l?c h?p ?ng k? k?t gi?a BHXH t?nh v? c? s? kh?m b?nh, ch?a b?nh v? vi?c thanh to?n theo ch? ? BHYT ?i v?i c?c d?ch v? c?n l?m s?ng c?n chuy?n th?c hi?n t?i c? s? y t? kh?c; vn b?n c?a c?p c? th?m quy?n ph? duy?t th?c hi?n d?ch v? c?n l?m s?ng t?i c? s? y t? n?i th?c hi?n d?ch v? c?n l?m s?ng kh?ng k? h?p ?ng kh?m b?nh, ch?a b?nh BHYT.5. Tr??ng h?p nh?n chuy?n giao k? thu?t theo ch??ng tr?nh ch? ?o tuy?n, ? ?n n?ng cao nng l?c chuy?n m?n ho?c h?p ?ng chuy?n giao k? thu?t theo quy ?nh c?a B? Y t?: danh s?ch nh?n vi?n y t? c?a c? s? kh?m b?nh, ch?a b?nh kh?c ??c ph?n c?ng th?c hi?n; k? ho?ch, quy?t ?nh c? ng??i h?nh ngh? i lu?n phi?n h? tr? tuy?n d??i c?a c?p c? th?m quy?n; danh m?c d?ch v? k? thu?t nh?n chuy?n giao n?u ch?a ??c c?p c? th?m quy?n ph? duy?t th?c hi?n.6. Tr??ng h?p c? th?c hi?n d?ch v? k? thu?t b?ng c?c thi?t b? y t? thu? ho?c li?n doanh, li?n k?t: ? ?n k?m theo quy?t ?nh ph? duy?t c?a c?p c? th?m quy?n, h?p ?ng c?n hi?u l?c.7. Tr??ng h?p c? th?c hi?n c?c d?ch v? k? thu?t b?ng c?c thi?t b? y t? ch?a ??c h?ch to?n v?o ng?n s?ch nh? n??c v? h?nh th?c chuy?n giao quy?n s? h?u kh?c cho Nh? n??c Vi?t Nam: vn b?n x?c l?p quy?n s? h?u to?n d?n c?a t?i s?n c?a c?p c? th?m quy?n theo quy ?nh t?i Ngh? ?nh s? 29/2018/N-CP ng?y 05/3/2018 c?a Ch?nh ph? quy ?nh tr?nh t?, th? t?c x?c l?p quy?n s? h?u to?n d?n v? t?i s?n v? x? l? ?i v?i t?i s?n ??c x?c l?p quy?n s? h?u to?n d?n.i?u 16. N?i dung gi?m ?nh i?u ki?n thanh to?n d?ch v? kh?m b?nh, ch?a b?nh1. X?c ?nh d?ch v? kh?m b?nh, ch?a b?nh ??c c?p c? th?m quy?n ph? duy?t, trong ph?m vi thanh to?n c?a qu? BHYT.2. i?u ki?n v? ch? ?nh v? th?c hi?n d?ch v? k? thu?t ph? h?p v?i lo?i h?nh ho?t ?ng, ph?n tuy?n chuy?n m?n k? thu?t, thi?t b? y t?, ng??i h?nh ngh? t?i c? s? kh?m b?nh, ch?a b?nh.3. Gi? d?ch v? kh?m b?nh, ch?a b?nh BHYT ?ng quy ?nh c?a B? tr??ng B? Y t?.i?u 17. Quy tr?nh gi?m ?nh i?u ki?n thanh to?n d?ch v? kh?m b?nh, ch?a b?nh1. Thu th?p t?i li?uBHXH t?nh h??ng d?n c? s? kh?m b?nh, ch?a b?nh g?i t?i li?u n?u t?i i?u 15 Quy tr?nh n?y (tr? ph? l?c h?p ?ng n?u t?i kho?n 4 i?u 15 Quy tr?nh n?y) v? c?p nh?t danh m?c d?ch v? kh?m b?nh, ch?a b?nh l?n C?ng ti?p nh?n, g?i sang ph?n m?m Gi?m ?nh khi ? ngh? k? h?p ?ng kh?m b?nh, ch?a b?nh BHYT ho?c khi c? thay ?i trong qu? tr?nh th?c hi?n h?p ?ng.Tr??ng h?p ? ngh? thanh to?n d?ch v? k? thu?t n?u t?i kho?n 5 i?u 15 Quy tr?nh n?y, c? s? kh?m b?nh, ch?a b?nh c?p nh?t danh s?ch nh?n vi?n y t? c?a c? s? kh?m b?nh, ch?a b?nh kh?c ??c ph?n c?ng th?c hi?n theo ?nh d?ng d? li?u t?i B?ng 2 M?u s? 01/QTG.2. Gi?m ?nh danh m?c, gi? d?ch v? kh?m b?nh, ch?a b?nh2.1. Ph?n m?m Gi?m ?nh ki?m tra, t? ?ng tr? v? C?ng ti?p nh?n c?c d?ch v? kh?m b?nh, ch?a b?nh sau ?y:2.1.1. D?ch v? kh?m b?nh, ch?a b?nh kh?ng c? trong danh m?c d?ch v? k? thu?t t??ng ??ng do B? Y t? ban h?nh, kh?ng ph? h?p v?i chuy?n khoa v? h?nh th?c kh?m b?nh, ch?a b?nh;2.1.2. D?ch v? k? thu?t ch?a ??c B? Y t? ho?c ng??i ?ng ?u c? s? kh?m b?nh, ch?a b?nh ban h?nh quy tr?nh chuy?n m?n k? thu?t;2.1.3. Gi? d?ch v? k? thu?t, ti?n kh?m b?nh, ti?n gi??ng b?nh theo c?c chuy?n khoa cao h?n gi? d?ch v? kh?m b?nh, ch?a b?nh do B? tr??ng B? Y t? quy ?nh;2.1.4. D?ch v? c?n l?m s?ng chuy?n th?c hi?n t?i c? s? kh?m b?nh, ch?a b?nh kh?c kh?ng c? trong danh m?c d?ch v? k? thu?t ??c ph? duy?t c?a c? s? kh?m b?nh, ch?a b?nh BHYT n?i th?c hi?n;2.1.5. D?ch v? k? thu?t ti?p nh?n chuy?n giao n?u t?i kho?n 5 i?u 15 Quy tr?nh n?y kh?ng ph? h?p v?i ph?m vi ho?t ?ng chuy?n m?n c?a nh?n vi?n y t? th?c hi?n chuy?n giao.2.2. BHXH t?nh?i chi?u d? li?u v?i b?n gi?y trong tr??ng h?p d? li?u danh m?c ch?a ??c k? s?, tr? l?i danh m?c ? c? s? kh?m b?nh, ch?a b?nh i?u ch?nh n?u sai l?ch; ki?m tra t?i li?u, tr? l?i c? s? kh?m b?nh, ch?a b?nh qua C?ng ti?p nh?n c?c d?ch v? k? thu?t sau:2.2.1. D?ch v? k? thu?t s? d?ng cho ng??i b?nh BHYT kh?ng c? trong danh m?c d?ch v? k? thu?t ??c c?p c? th?m quy?n ph? duy?t;2.2.2. D?ch v? k? thu?t s? d?ng cho ng??i b?nh BHYT th?c hi?n b?ng thi?t b? y t? kh?ng c? trong danh m?c do c? s? kh?m b?nh, ch?a b?nh cung c?p;2.2.3. D?ch v? k? thu?t kh?ng ??c c? s? kh?m b?nh, ch?a b?nh cung c?p ?y ? t?i li?u trong c?c tr??ng h?p n?u t?i c?c kho?n 4, 5, 6 v? 7 i?u 15 Quy tr?nh n?y.i?u 18. Th?i gian gi?m ?nh v? th?i i?m ?p d?ng danh m?c d?ch v? kh?m b?nh, ch?a b?nh1. BHXH t?nh ho?n th?nh vi?c gi?m ?nh theo h??ng d?n t?i kho?n 2 i?u 17 Quy tr?nh n?y trong th?i h?n 05 ng?y l?m vi?c k? t? ng?y k? h?p ?ng l?n ?u v?i c? s? kh?m b?nh, ch?a b?nh, 03 ng?y l?m vi?c trong c?c tr??ng h?p kh?c k? t? ng?y nh?n ? t?i li?u v? danh m?c d?ch v? kh?m b?nh, ch?a b?nh n?u t?i i?u 15 Quy tr?nh n?y.2. Th?i i?m ?p d?ng danh m?c d?ch v? kh?m b?nh, ch?a b?nh tr?n H? th?ng th?ng tin gi?m ?nh BHYT k? t? ng?y nh?n ? t?i li?u v? danh m?c c?a c? s? kh?m b?nh, ch?a b?nh BHYT.Ch??ng IVC?C NGHI?P V? GI?M ?NH CHI PH? KH?M B?NH, CH?A B?NH B?O HI?M Y T?M?c 1. GI?M ?NH CHI PH? KH?M B?NH, CH?A B?NH B?O HI?M Y T? TR?N D? LI?Ui?u 19. D? li?u ? gi?m ?nh chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t?1. D? li?u chi ti?t chi ph? kh?m b?nh, ch?a b?nh c?a ng??i b?nh BHYT ? ngh? thanh to?n theo quy ?nh c?a B? Y t? (d? li?u XML) theo th?i h?n theo quy ?nh t?i i?u 7 ho?c i?u 8 Th?ng t? s? 48/2017/TT-BYT ng?y 28/12/2017 c?a B? tr??ng B? Y t? v? tr?ch chuy?n d? li?u i?n t? ph?c v? qu?n l? v? gi?m ?nh, thanh to?n chi ph? kh?m b?nh, ch?a b?nh BHYT.2. D? li?u t?ng h?p chi ph? kh?m b?nh, ch?a b?nh c?a ng??i tham gia BHYT theo M?u s? C79-HD ban h?nh k?m theo Th?ng t? s? 102/2018/TT-BTC ng?y 14/11/2018 c?a B? tr??ng B? T?i ch?nh h??ng d?n k? to?n BHXH theo th?i h?n g?i k?m theo b?ng t?ng h?p quy ?nh t?i kho?n 2 i?u 32 Lu?t B?o hi?m y t?.3. D? li?u t?ng h?p v?t t? y t?, thu?c, d?ch v? k? thu?t s? d?ng cho ng??i b?nh BHYT theo M?u s? 19/BHYT, M?u s? 20/BHYT v? M?u s? 21/BHYT ban h?nh k?m theo C?ng vn s? 3762/BHXH-CSYT ng?y 22/11/2021 c?a B?o hi?m x? h?i Vi?t Nam v? vi?c t?m th?i s? d?ng m?t s? m?u bi?u trong chi tr? chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t?.3.1. C? s? kh?m b?nh, ch?a b?nh ch?a th?c hi?n k? s? c?c d? li?u t?i kho?n 1 v? 2 i?u n?y theo quy ?nh v? giao d?ch i?n t? ph?i g?i d? li?u v? b?n gi?y c?c M?u s? C79-HD, M?u s? 19/BHYT, M?u s? 20/BHYT v? M?u s? 21/BHYT.3.2. Tr??ng h?p c? s? kh?m b?nh ch?a b?nh ? k? s? d? li?u XML kh?ng ph?i g?i d? li?u t?ng h?p n?u t?i i?m 3.1 kho?n n?y.i?u 20. N?i dung gi?m ?nh chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? tr?n d? li?u1. C?u tr?c, ?nh d?ng d? li?u, t?nh logic c?a c?c tr??ng th?ng tin trong d? li?u XML.2. T?nh th?ng nh?t c?a s? li?u tr?n c?c M?u s? C79-HD, M?u s? 19/BHYT, M?u s? 20/BHYT, M?u s? 21/BHYT v? d? li?u XML.3. Th?ng tin th? BHYT v?i d? li?u ph?t h?nh th? BHYT.4. M?c h??ng, quy?n l?i h??ng BHYT tr?n d? li?u XML.5. Chi ph? thu?c, v?t t? y t?, d?ch v? kh?m b?nh, ch?a b?nh thu?c ph?m vi ??c h??ng BHYT, ph? h?p v?i i?u ki?n thanh to?n t?i c? s? kh?m b?nh, ch?a b?nh.6. S? l??t kh?m b?nh, ch?a b?nh BHYT.7. Ph?t hi?n c?c ch? s?, th?ng tin b?t th??ng c?n gi?m ?nh ch? ?ng.i?u 21. Quy tr?nh gi?m ?nh chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? tr?n d? li?u1. Thu th?p d? li?u: d? li?u i?n t? g?i l?n C?ng ti?p nh?n ??c t? ?ng ki?m tra v? c?u tr?c, ?nh d?ng d? li?u, s? li?u gi?a c?c b?ng, c?c tr??ng th?ng tin. C? s? kh?m b?nh, ch?a b?nh ki?m tra, k? s? d? li?u (n?u c?), g?i d? li?u ? ngh? thanh to?n sang ph?n m?m Gi?m ?nh.2. Sau khi ti?p nh?n d? li?u XML, ph?n m?m Gi?m ?nh t? ?ng ki?m tra c?c n?i dung sau:2.1. Th?ng tin th? BHYT bao g?m: m? th?, h? v? t?n, gi?i t?nh, ng?y sinh, n?i ng k? kh?m b?nh, ch?a b?nh ban ?u, m? khu v?c, gi? tr? s? d?ng c?a th? tr?ng kh?p v?i th?ng tin trong d? li?u ph?t h?nh th? BHYT (tr? c?c m? ?i t??ng QN, HC, XK, LS, CA do BHXH B? Qu?c ph?ng ho?c BHXH C?ng an nh?n d?n ph?t h?nh).2.1.1. Tr??ng h?p th?ng tin th? BHYT tr?n d? li?u XML kh?ng ?ng v?i th?ng tin tr?n d? li?u ph?t h?nh th? BHYT ??c c? s? kh?m b?nh, ch?a b?nh tra c?u t?i th?i i?m ng??i b?nh ?n kh?m b?nh, ch?a b?nh theo quy ?nh t?i Th?ng t? s? 48/2017/TT-BYT: th?ng tin ??c t? ?ng g?i sang ph?n m?m TST ? ki?m tra, i?u ch?nh n?u sai th?ng tin ph?t h?nh th? BHYT; d? li?u XML sai th?ng tin th? BHYT sau ki?m tra kh?ng do l?i ph?t h?nh th? ??c ?nh d?u tr?ng th?i  t? ch?i thanh to?n v? tr? v? C?ng ti?p nh?n;2.1.2. Tr??ng h?p th?ng tin th? BHYT tr?n d? li?u XML ??c x?c ?nh h?t gi? tr? s? d?ng tr??c ng?y kh?m b?nh do ng??i b?nh ? t? vong: th?ng tin ??c t? ?ng g?i sang ph?n m?m TST ho?c TCS ? ki?m tra, x?c nh?n tr?n ph?n m?m TST ho?c TCS, k?t qu? ki?m tra ??c li?n th?ng sang ph?n m?m Gi?m ?nh, c?c tr??ng h?p t? vong tr??c ng?y kh?m b?nh b? t? ?ng t? ch?i thanh to?n;2.1.3. Tr??ng h?p c? s? kh?m b?nh, ch?a b?nh kh?ng tra c?u ??c th?ng tin th? BHYT do s? c? k? thu?t th?c hi?n theo h??ng d?n c?a B? Y t? t?i C?ng vn s? 1677/BYT-BH ng?y 28/3/2018 v? vi?c h??ng d?n gi?i quy?t m?t s? v?n ? v? ?ng d?ng c?ng ngh? th?ng tin trong qu?n l? kh?m b?nh, ch?a b?nh v? thanh to?n BHYT;2.1.4. Tr??ng h?p c? s? kh?m b?nh, ch?a b?nh kh?ng th?c hi?n tra c?u th?ng tin th? BHYT theo quy ?nh t?i Th?ng t? s? 48/2017/TT-BYT, d? li?u XML ??c ?nh d?u tr?ng th?i  kh?ng tra c?u th?ng tin th? BHYT v? tr? v? C?ng ti?p nh?n.2.2. X?c ?nh m?c h??ng, quy?n l?i h??ng BHYT ph? h?p v?i ?i t??ng, khu v?c n?i sinh s?ng, h?nh th?c kh?m b?nh, ch?a b?nh, l? do v?o vi?n, ph?n tuy?n kh?m b?nh, ch?a b?nh, i?u ki?n mi?n c?ng chi tr? chi ph? kh?m b?nh, ch?a b?nh BHYT, th?i gian i?u tr? v? gi? tr? s? d?ng c?a th? BHYT; c?c tr??ng h?p sai v? m?c h??ng, quy?n l?i h??ng ??c i?u ch?nh theo ?ng quy ?nh.2.3. Ki?m tra th?ng tin chi ph? ? ngh? thanh to?n2.3.1. C?c th?ng tin c?a t?ng lo?i thu?c, v?t t? y t?, d?ch v? k? thu?t v? c?c kho?n chi kh?c ?ng v?i c?c danh m?c ? ??c ki?m tra theo h??ng d?n t?i c?c i?u 9, 13 v? 17 Quy tr?nh n?y; c?c chi ph? c? th?ng tin kh?ng ?ng v?i danh m?c ??c t? ?ng t? ch?i thanh to?n;2.3.2. C?c chi ph? ??c ch? ?nh ho?c th?c hi?n t? ng??i h?nh ngh?, th?c hi?n t? thi?t b? y t? trong danh m?c c? s? kh?m b?nh, ch?a b?nh ? c?p nh?t cho c? quan BHXH; t? ?ng t? ch?i thanh to?n trong c?c tr??ng h?p:a) Ng??i ch? ?nh ho?c th?c hi?n kh?ng c? trong danh s?ch h?nh ngh? ho?c ngo?i th?i gian h?nh ngh? t?i c? s? kh?m b?nh, ch?a b?nh; kh?ng ph? h?p v?i d?ch v? k? thu?t ??c c?p c? th?m quy?n ph?n c?ng th?c hi?n;b) Thi?t b? y t? kh?ng c? trong danh m?c ho?c ngo?i th?i h?n hi?u l?c c?a h?p ?ng li?n doanh, li?n k?t ho?c thu?.2.3.3. Gi? d?ch v? k? thu?t, ?n gi? thu?c, v?t t? y t? v? c?c kho?n chi kh?c kh?ng cao h?n gi?, ?n gi? c? s? kh?m b?nh, ch?a b?nh ? th?ng nh?t v?i c? quan BHXH; c?c lo?i chi ph? c? gi?, ?n gi? cao h?n ??c i?u ch?nh v? gi? ?ng;2.3.4. Ti?n kh?m b?nh ??c i?u ch?nh khi ? ngh? thanh to?n kh?ng ?ng quy ?nh trong c?c tr??ng h?p:a) T? ch?i thanh to?n ti?n kh?m b?nh trong m?t l?n ?n kh?m b?nh, ch?a b?nh khi kh?m t? l?n th? hai tr? l?n t?i m?t chuy?n khoa ho?c thanh to?n ti?n kh?m b?nh trong th?i gian i?u tr? n?i tr? theo quy ?nh t?i kho?n 1 v? 3 i?u 5 Th?ng t? s? 39/2018/TT-BYT ng?y 30/11/2018 c?a B? tr??ng B? Y t? quy ?nh th?ng nh?t gi? d?ch v? kh?m b?nh, ch?a b?nh BHYT gi?a c?c b?nh vi?n c?ng h?ng tr?n to?n qu?c v? h??ng d?n ?p d?ng gi?, thanh to?n chi ph? kh?m b?nh, ch?a b?nh trong m?t s? tr??ng h?p;b) i?u ch?nh t? l? thanh to?n n?u trong m?t l?n ?n kh?m b?nh, ch?a b?nh x?c ?nh sai ti?n kh?m c?c chuy?n khoa ho?c khi s? ti?n kh?m b?nh l?n h?n 02 l?n m?c gi? c?a 01 l?n kh?m b?nh theo quy ?nh t?i kho?n 3 i?u 5 Th?ng t? s? 39/2018/TT-BYT; i?u ch?nh ti?n kh?m b?nh khi ? ngh? thanh to?n kh?ng ?ng m?c gi? ??c ?p d?ng theo h?ng b?nh vi?n;c) i?u ch?nh t? l? thanh to?n b?ng 50% m?c gi? kh?m b?nh t? l??t kh?m th? 66 tr? l?n ?i v?i c?c b?n kh?m kh?m tr?n 65 l??t kh?m/01 ng?y; kh?ng thanh to?n ti?n kh?m b?nh t? l??t kh?m th? 66 tr? l?n sau th?i gian t?i a 01 qu? n?u c? s? y t? v?n c?n c? b?n kh?m kh?m tr?n 65 l??t/ng?y theo quy ?nh t?i kho?n 6 i?u 5 Th?ng t? s? 39/2018/TT-BYT.2.3.5. Ti?n gi??ng b?nh ??c i?u ch?nh khi ? ngh? thanh to?n kh?ng ?ng quy ?nh ho?c ?nh d?u ? ki?m tra trong c?c tr??ng h?p sau:a) T? ch?i thanh to?n ti?n gi??ng b?nh v??t s? ng?y quy ?nh t?i kho?n 1 i?u 6 Th?ng t? s? 39/2018/TT-BYT;b) i?u ch?nh ti?n gi??ng khi v??t qu? 10 ng?y gi??ng b?nh ngo?i khoa sau m?t l?n ph?u thu?t theo quy ?nh t?i kho?n 3 i?u 6 Th?ng t? s? 39/2018/TT-BYT ho?c khi gi? ti?n gi??ng b?nh kh?ng ?ng v?i gi? ??c ?p d?ng theo h?ng b?nh vi?n, chuy?n khoa i?u tr?; m?c gi? gi??ng b?nh ngo?i khoa kh?ng ph? h?p v?i ph?n lo?i ph?u thu?t ho?c m?c gi? t?i khoa t? ch?c theo h?nh th?c li?n chuy?n khoa;c) i?u ch?nh t? l? thanh to?n khi x?c ?nh sai t? l? ho?c m?c thanh to?n trong tr??ng h?p nhi?u ng??i b?nh c?ng s? d?ng m?t gi??ng b?nh trong c?ng th?i gian, n?m c?ng, bng ca, chuy?n nhi?u khoa trong ng?y;d) i?u ch?nh t? l? thanh to?n khi x?c ?nh sai t? l? trong tr??ng h?p s? l??ng gi??ng b?nh ? ngh? thanh to?n trong k? quy?t to?n cao h?n 120% s? gi??ng k? ho?ch quy ?nh t?i i?m c kho?n 16 i?u 6 Th?ng t? s? 39/2018/TT-BYT;) ?nh d?u ki?m tra n?u s? l??ng gi??ng b?nh ? ngh? thanh to?n trong ng?y t?i m?i khoa ph?ng nhi?u h?n s? gi??ng b?nh th?c k? ??c thanh to?n theo quy ?nh.2.3.6. Chi ph? thu?c ??c i?u ch?nh khi ? ngh? thanh to?n kh?ng ?ng quy ?nh ho?c ?nh d?u ? ki?m tra i?u ki?n thanh to?n trong c?c tr??ng h?p sau:a) T? ch?i thanh to?n khi s? d?ng thu?c c?a h?ng b?nh vi?n cao h?n nh?ng kh?ng ? th?c hi?n d?ch v? k? thu?t ? ??c c?p c? th?m quy?n ph? duy?t ho?c khi b?nh vi?n chuy?n khoa s? d?ng thu?c cao h?n h?ng c?a b?nh vi?n a khoa t?nh;b) T? ch?i thanh to?n s? l??ng thu?c s? d?ng v??t qu? s? l??ng ??c mua s?m, i?u ti?t theo quy ?nh;c) i?u ch?nh t? l? thanh to?n khi t? l? cao h?n quy ?nh v? quy?n l?i ??c h??ng theo nh?m ?i t??ng tham gia BHYT ho?c cao h?n t? l? thanh to?n c?a c?c thu?c trong danh m?c s? d?ng t?i c? s? kh?m b?nh, ch?a b?nh;d) T? ch?i ho?c i?u ch?nh t? l? thanh to?n khi ch? ?nh s? d?ng thu?c sai i?u ki?n c? th? v? d?ng b?o ch?, tu?i, ch?n o?n ? x?c ?nh trong danh m?c s? d?ng t?i c? s? kh?m b?nh, ch?a b?nh ho?c ?nh d?u ki?m tra ?i v?i c?c thu?c c? quy ?nh c?c i?u ki?n thanh to?n kh?c.2.3.7. Chi ph? v?t t? y t? ??c i?u ch?nh khi ? ngh? thanh to?n kh?ng ?ng quy ?nh ho?c ?nh d?u ? ki?m tra i?u ki?n thanh to?n trong c?c tr??ng h?p sau:a) i?u ch?nh t? l? thanh to?n khi t? l? cao h?n quy ?nh v? quy?n l?i ??c h??ng theo nh?m ?i t??ng tham gia BHYT;b) i?u ch?nh ?n gi? thanh to?n BHYT khi v??t m?c thanh to?n t?i a; i?u ch?nh s? ti?n thanh to?n BHYT khi v??t m?c thanh to?n t?ng chi ph? v?t t? y t? cho m?t l?n s? d?ng d?ch v? k? thu?t;c) T? ch?i thanh to?n khi s? l??ng v?t t? y t? s? d?ng v??t qu? s? l??ng ??c mua s?m, i?u ti?t theo quy ?nh;d) ?nh d?u ki?m tra ?i v?i v?t t? y t? c? quy ?nh i?u ki?n, t? l? thanh to?n.2.3.8. Chi ph? d?ch v? k? thu?t ??c i?u ch?nh khi ? ngh? thanh to?n kh?ng ?ng quy ?nh ho?c ?nh d?u ? ki?m tra trong c?c tr??ng h?p sau:a) T? ch?i ho?c i?u ch?nh t? l? thanh to?n khi s? d?ng d?ch v? k? thu?t sai i?u ki?n c? th? ? x?c ?nh trong danh m?c s? d?ng t?i c? s? kh?m b?nh, ch?a b?nh ho?c ?nh d?u ki?m tra ?i v?i d?ch v? k? thu?t c? quy ?nh c?c i?u ki?n thanh to?n kh?c;b) i?u ch?nh t? l? thanh to?n khi x?c ?nh sai t? l? trong tr??ng h?p s? l?n ? ngh? thanh to?n d?ch v? k? thu?t ch?p X-quang th??ng ho?c s? h?a, ch?p CT Scanner ?n 32 d?y, si?u ?m, ch?p c?ng h??ng t? cao h?n 120% s? ca t?i a ??c th?c hi?n trong qu? theo quy ?nh t?i kho?n 8 i?u 7 Th?ng t? s? 39/2018/TT-BYT.2.4. Ki?m tra th?ng tin h?nh th?c kh?m b?nh, ch?a b?nh ph? h?p v?i th?i gian i?u tr?, ch? ?nh i?u tr?, tr? l?i C?ng ti?p nh?n c?c tr??ng h?p th?ng k? sai h?nh th?c kh?m b?nh, ch?a b?nh.2.5. Ki?m tra th?ng tin m? b?nh ch?nh, m? b?nh k?m theo c? trong danh m?c m? h?a b?nh t?t, ph? h?p v?i tu?i, gi?i t?nh theo quy ?nh c?a B? Y t?; t? ch?i thanh to?n n?u kh?ng c? trong danh m?c ho?c kh?ng ph? h?p v?i tu?i, gi?i t?nh.2.6. Ki?m tra th?i gian ch? ?nh, th?i gian s? d?ng thu?c, v?t t? y t?, th?c hi?n d?ch v? k? thu?t v? c?c chi ph? kh?c ph? h?p v?i th?i gian kh?m b?nh, ch?a b?nh; t? ch?i thanh to?n n?u ch? ?nh ho?c th?c hi?n tr??c th?i gian kh?m b?nh ho?c sau th?i gian ra vi?n.2.7. Ki?m tra d? li?u XML c?a m?t ng??i b?nh trong c?c l?n kh?m b?nh, ch?a b?nh, t? ?ng i?u ch?nh ho?c ?nh d?u tr?ng th?i  gi?m ?nh ch? ?ng trong c?c tr??ng h?p sau:2.7.1. L?p nhi?u h? s? thanh to?n trong th?ng ?i v?i tr??ng h?p i?u tr? ngo?i tr? b?nh m?n t?nh d?i ng?y li?n t?c trong nm: i?u ch?nh h?nh th?c  i?u tr? ngo?i tr? v? t?ng h?p chi ph? v?o l?n kh?m b?nh th? nh?t, kh?ng t?nh l??t ?i v?i c?c h? s? c?n l?i; ?nh d?u tr?ng th?i  gi?m ?nh ch? ?ng ?i v?i c?c h? s? kh?ng thay ?i ch? ?nh i?u tr? nh?ng c? thanh to?n ti?n kh?m b?nh.2.7.2. L?p h? s? thanh to?n ngo?i tr? sau khi kh?m b?nh c? ch? ?nh v?o i?u tr? n?i tr? ho?c ng??i b?nh ti?p t?c ??c ch? ?nh s? d?ng thu?c d??i 07 ng?y ngay sau khi k?t th?c i?u tr? n?i tr?: t?ng h?p chi ph? v?o h? s? n?i tr?, ?nh d?u tr?ng th?i  kh?ng t?nh l??t v? t? ch?i ti?n kh?m b?nh ?i v?i h? s? ngo?i tr?;2.7.3. L?p nhi?u h? s? thanh to?n ?i v?i ng??i b?nh lu?n chuy?n gi?a c?c khoa trong 01 ?t i?u tr? n?i tr?: t?ng h?p chi ph? v?o h? s? th? nh?t, ?nh d?u tr?ng th?i  kh?ng t?nh l??t ?i v?i c?c h? s? c?n l?i;2.7.4. L?p nhi?u h? s? thanh to?n m?i l?n ng??i b?nh ?n th?c hi?n c?c d?ch v? k? thu?t trong m?t ?t i?u tr? ngo?i tr?: i?u ch?nh h?nh th?c  i?u tr? ngo?i tr? v? t?ng h?p chi ph? v?o h? s? th? nh?t, ?nh d?u tr?ng th?i  kh?ng t?nh l??t v? t? ch?i ti?n kh?m b?nh ?i v?i c?c h? s? c?n l?i;2.7.5. L?p nhi?u h? s? thanh to?n trong tr??ng h?p kh?m b?nh c?ng ng?y ho?c ng?y k? ti?p ho?c i?u tr? n?i tr? c? ng?y ra vi?n v? ng?y v?o vi?n trong th?i gian ng?n: ?nh d?u tr?ng th?i  gi?m ?nh ch? ?ng .2.8. Ki?m tra c?c h? s? thanh to?n c?a m?t ng??i b?nh tr?ng th?i gian kh?m b?nh, ch?a b?nh, t? ?ng i?u ch?nh c?c tr??ng h?p sau:2.8.1. Nhi?u h? s? ? ngh? thanh to?n t?i m?t c? s? kh?m b?nh, ch?a b?nh tr?ng to?n b? th?i gian v? chi ph?: ti?p nh?n 01 h? s? v? t? ch?i thanh to?n c?c h? s? c?n l?i;2.8.2. Nhi?u h? s? ? ngh? thanh to?n t?i m?t c? s? kh?m b?nh, ch?a b?nh tr?ng m?t ph?n th?i gian: t? ?ng tr? to?n b? h? s? v? C?ng ti?p nh?n ? c? s? kh?m b?nh, ch?a b?nh ki?m tra, i?u ch?nh;2.8.3. H? s? ? ngh? thanh to?n t?i c?c c? s? kh?m b?nh, ch?a b?nh tr?ng m?t ph?n ho?c to?n b? th?i gian i?u tr? ho?c th?i gian ra, v?o vi?n v? th?i gian di chuy?n gi?a hai c? s? kh?m b?nh, ch?a b?nh kh?ng h?p l?: ?nh d?u tr?ng th?i  gi?m ?nh ch? ?ng , ri?ng c?c tr??ng h?p i?u tr? ngo?i tr? b?nh m?n t?nh i?u tr? d?i ng?y trong nm ??c quy ?nh th?ng k? thanh to?n m?t l?n trong th?ng, ?nh d?u tr?ng th?i  gi?m ?nh ch? ?ng n?u c?c c? s? kh?m b?nh, ch?a b?nh ch? ?nh tr?ng l?p thu?c, d?ch v? k? thu?t ho?c ng?y y l?nh.2.9. L?p c?c b?ng th?ng k? s? l??ng thu?c, v?t t? y t?, d?ch v? kh?m b?nh, ch?a b?nh theo ng??i kh?m v? ch? ?nh, ng??i th?c hi?n d?ch v? k? thu?t, thi?t b? y t?, s? l??ng ng??i b?nh i?u tr? n?i tr? theo ng?y t?i t?ng khoa, ph?ng.3. Sau khi nh?n ??c d? li?u c?c b?o c?o t?ng h?p, ph?n m?m Gi?m ?nh ?i chi?u gi?a d? li?u XML v? d? li?u c?c b?o c?o theo c?c M?u s? C79-HD, M?u s? 19/BHYT, M?u s? 20/BHYT, M?u s? 21/BHYT; t? ?ng tr? v? C?ng ti?p nh?n c?c h? s? thi?u, sai l?ch chi ph? gi?a d? li?u chi ti?t v? d? li?u t?ng h?p ho?c sai l?ch d? li?u gi?a c?c b?o c?o t?ng h?p. C?c h? s? thay th? ho?c i?u ch?nh th?ng tin ??c ?nh d?u tr?ng th?i  gi?m ?nh ch? ?ng .4. BHXH t?nh4.1. Xem x?t ph?n h?i c?a c? s? kh?m b?nh, ch?a b?nh v? sai l?ch th?ng tin th? BHYT, tr? l?i d? li?u XML ? c? s? kh?m b?nh, ch?a b?nh hi?u ch?nh n?u sai s?t do nguy?n nh?n kh?ch quan, b?t kh? kh?ng.4.2. ?i chi?u b?o c?o b?n gi?y v? d? li?u trong tr??ng h?p c? s? kh?m b?nh, ch?a b?nh ch?a th?c hi?n k? s? d? li?u theo h??ng d?n t?i kho?n 1 v? 2 i?u 19 Quy tr?nh n?y, ?m b?o tr?ng kh?p v? s? l??t, s? chi kh?m b?nh, ch?a b?nh BHYT t?ng h?p tr?n c?c b?o c?o; tr? l?i c? s? kh?m b?nh, ch?a b?nh n?u s? li?u kh?ng th?ng nh?t.4.3. Xem x?t nguy?n nh?n g?i d? li?u XML ch?m ho?c kh?ng ?y ? ho?c ph?i thay th? khi nh?n ??c vn b?n gi?i th?ch c?a c? s? kh?m b?nh, ch?a b?nh; ? ngh? m? C?ng ti?p nh?n ? c? s? kh?m b?nh, ch?a b?nh b? sung, thay th? d? li?u n?u do nguy?n nh?n kh?ch quan, b?t kh? kh?ng theo quy ?nh t?i i?u 8 v? kho?n 9 i?u 13 Th?ng t? s? 48/2017/TT-BYT.4.4. Khai th?c th?ng tin t? ph?n m?m Gi?m s?t, ph?n t?ch d? li?u, x?c ?nh c?c c? s? kh?m b?nh, ch?a b?nh c? gia tng s? l??t ho?c s? chi kh?ng h?p l?, c? s? chi chi?m t? tr?ng l?n, ?nh h??ng c?c n?i dung ? th?c hi?n gi?m ?nh, t?p trung v?o c?c n?i dung sau:4.4.1. C?c ch? ti?u chung nh? s? l??t, s? chi v? t?c ? gia tng theo c?c nh?m ?i t??ng, h?nh th?c kh?m b?nh, ch?a b?nh, nh?m chi ph?, g?m:a) Di?n bi?n v? s? l??t kh?m b?nh h?ng ng?y, tu?n, th?ng; v? t?n su?t kh?m b?nh, ch?a b?nh theo n?i ng k? ban ?u, c?p c?u, chuy?n tuy?n, tr?i tuy?n;b) Di?n bi?n v? chi ph?, c? c?u chi ph? kh?m b?nh, ch?a b?nh so v?i th?ng tr??c, qu? tr??c v? c?ng k? nm tr??c;c) Ph?t hi?n s? ch?nh l?ch l?n v? s? l??t kh?m b?nh, ch?a b?nh, v? chi ph? gi?a c?c c? s? kh?m b?nh, ch?a b?nh c? c?ng m? h?nh t? ch?c, h?ng, tuy?n, tr?n c?ng ?a b?n t?nh ho?c gi?a c?c t?nh.4.4.2. Ph?n t?ch, ?nh gi? t?n su?t kh?m b?nh, t? l? i?u tr? n?i tr?:a) ?nh gi? t?nh h?p l? c?a ch? ?nh v?o i?u tr? n?i tr?, t?p trung ph?n t?ch c?c tr??ng h?p c? th? i?u tr? ngo?i tr? nh?ng ??c ch? ?nh v?o i?u tr? n?i tr? ho?c chuy?n sang i?u tr? n?i tr? t?i b?nh vi?n kh?c;b) Ph?n t?ch c?c b?nh, lo?i b?nh c? s? l??t, t? l? v?o i?u tr? n?i tr?, ng?y i?u tr? b?nh qu?n tng so v?i k? tr??c ho?c tng so v?i c?c b?nh vi?n c?ng h?ng, c?ng tuy?n tr?n ?a b?n, trong khu v?c;c) Ph?n t?ch c?c b?nh, lo?i b?nh th??ng ??c th?c hi?n can thi?p, ph?u thu?t ? ngo?i tr? nh?ng ??c ch? ?nh v?o i?u tr? n?i tr?;d) Ph?n t?ch c?c tr??ng h?p i?u tr? n?i tr? kh?ng d?ng thu?c ho?c ch? s? d?ng thu?c th?ng th??ng, kh?ng c? can thi?p ho?c ph?u thu?t nh?ng c? t? l? v?o i?u tr? n?i tr? cao.4.4.3. Ph?n t?ch, ?nh gi? v? chuy?n tuy?n:a) Theo d?i, gi?m s?t s? l??t, t? l? ng??i b?nh ng k? kh?m b?nh, ch?a b?nh BHYT ban ?u t?i n?i kh?c ?n kh?m b?nh, ch?a b?nh, sau ? ??c chuy?n i c? s? kh?m b?nh, ch?a b?nh kh?c, ?nh gi? t?nh h?p l? c?a ch? ?nh chuy?n tuy?n, l?u ? c?c tr??ng h?p chuy?n tuy?n v?i c?c b?nh, lo?i b?nh c? chi ph? i?u tr? ngo?i tr? ho?c n?i tr? cao ? ??c i?u tr? trong c?c k? tr??c ho?c khi chuy?n i c?c c? s? kh?m b?nh, ch?a b?nh tuy?n huy?n, tuy?n x?;b) Ph?n t?ch, ph?t hi?n b?t th??ng v? s? l??t, t? l? a tuy?n ?n theo n?i ng k? ban ?u trong c?ng m?t th?i i?m.4.4.4. Ph?n t?ch, ?nh gi? v? a tuy?n i: theo d?i, gi?m s?t s? l??t, t? l? chuy?n ng??i b?nh ng k? kh?m b?nh, ch?a b?nh ban ?u i kh?m b?nh, ch?a b?nh t?i n?i kh?c, t?p trung gi?m ?nh, ?nh gi? t?nh h?p l? c?a ch? ?nh chuy?n tuy?n khi c? thay ?i b?t th??ng, th?ng b?o ? c? s? kh?m b?nh, ch?a b?nh i?u ch?nh c?c ch? ?nh chuy?n vi?n ch?a h?p l?; l?u ? c?c tr??ng h?p i?u tr? c?c b?nh, lo?i b?nh c? chi ph? i?u tr? ngo?i tr? ho?c n?i tr? cao, c?c tr??ng h?p chuy?n i c?c c? s? kh?m b?nh, ch?a b?nh tuy?n huy?n kh?c trong t?nh;4.4.5. Ph?n t?ch c?c tr??ng h?p ch? ?nh thu?c, v?t t? y t?, d?ch v? k? thu?t c? ?n gi? cao ho?c gi? tr? thanh to?n cao, t? tr?ng l?n, ch? ?nh ? nhi?u b?nh l? kh?c nhau, c?ng c? ch?, t?c d?ng i?u tr? nh?ng ch?nh l?ch l?n v? ?n gi?;4.4.6. Ph?n t?ch c?c ch? ?nh ?i v?i c?c tr??ng h?p kh?m b?nh, ch?a b?nh nhi?u l?n ? ph?t hi?n tr?ng l?p v? thu?c, nh?m thu?c, v?t t? y t?, d?ch v? k? thu?t.4.5. X?c ?nh c?c n?i dung gi?m ?nhCn c? quy ?nh v? kh?m b?nh, ch?a b?nh BHYT, h??ng d?n ch?n o?n v? i?u tr?, quy tr?nh chuy?n m?n k? thu?t, h??ng d?n s? d?ng thu?c, v?t t? y t? ? x?c ?nh c?c n?i dung c?n gi?m ?nh ch?a ??c c?p nh?t theo c?c chuy?n ? tr?n ph?n m?m Gi?m ?nh, l?u ? ph?t hi?n c?c v?n ? sau:4.5.1. Thu?c, v?t t? y t? ? k?t c?u trong gi? d?ch v? k? thu?t ho?c kh?ng quy ?nh thanh to?n ngo?i gi? d?ch v? k? thu?t.4.5.2. Thu?c ch?ng ch? ?nh ho?c ch? ?nh kh?ng ?ng h??ng d?n s? d?ng thu?c k?m theo h? s? ng k? thu?c ? ??c c?p ph?p ho?c h??ng d?n ch?n o?n v? i?u tr?; ch? ?nh qu? li?u l??ng, th?i gian s? d?ng; thu?c thu?c danh m?c t?i Quy?t ?nh s? 5948/Q-BYT ng?y 30/12/2021 c?a B? tr??ng B? Y t? ban h?nh danh m?c t??ng t?c thu?c ch?ng ch? ?nh trong th?c h?nh l?m s?ng t?i c?c c? s? kh?m b?nh, ch?a b?nh.4.5.3. Ch? ?nh v?t t? y t? kh?ng ph? h?p v?i d?ch v? k? thu?t ??c th?c hi?n ho?c thu?c ??c s? d?ng.4.5.4. Ch? ?nh thu?c, v?t t? y t?, d?ch v? k? thu?t kh?ng ph? h?p tu?i, gi?i t?nh c?a ng??i b?nh.4.5.5. D?ch v? k? thu?t thu?c quy tr?nh chuy?n m?n c?a m?t d?ch v? k? thu?t kh?c m? chi ph? c?a d?ch v? k? thu?t n?y ? ??c t?nh trong c? c?u gi? c?a d?ch v? k? thu?t kh?c.4.5.6. C?c x?t nghi?m c? k?t qu? ??c t?nh to?n, x?c ?nh t? k?t qu? c?a x?t nghi?m kh?c.4.5.7. C?c can thi?p kh?ng th? th?c hi?n ??c sau ph?u thu?t, th? thu?t kh?c ho?c c?c can thi?p th?c hi?n trong c?ng m?t l?n ph?u thu?t ? ngh? thanh to?n sai t? l? quy ?nh.4.6. Tr??ng h?p c? s? kh?m b?nh, ch?a b?nh c? i?u ch?nh, b? sung, thay th? c?c danh m?c khoa ph?ng, ng??i h?nh ngh?, thi?t b? y t? ? th?c hi?n d?ch v? k? thu?t ph?i th?c hi?n gi?m ?nh danh m?c theo h??ng d?n t?i i?u 5 Quy tr?nh n?y tr??c khi gi?m ?nh d? li?u ? ngh? thanh to?n.i?u 22. Th?i gian gi?m ?nh chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? tr?n d? li?u1. ?i chi?u th?ng tin th? BHYT1.1. Trong th?i h?n 03 ng?y l?m vi?c k? t? ng?y ti?p nh?n y?u c?u ki?m tra th?ng tin th? BHYT tr?n ph?n m?m TST ho?c TCS ph?i ho?n th?nh vi?c ki?m tra, x?c nh?n th?ng tin ph?t h?nh th? BHYT.1.2. Trong th?i h?n 03 ng?y l?m vi?c k? t? ng?y nh?n ??c d? li?u XML sai th?ng tin th? BHYT, c? s? kh?m b?nh, ch?a b?nh ph?i cung c?p th?ng tin, t?i li?u x?c th?c t?nh ch?nh x?c c?a d? li?u. Sau khi nh?n ??c ph?n h?i t? c? s? kh?m b?nh, ch?a b?nh, BHXH t?nh tr? l?i d? li?u ? c? s? kh?m b?nh, ch?a b?nh hi?u ch?nh, g?i l?i d? li?u ? ngh? thanh to?n.2. K?t qu? gi?m ?nh t? ?ng d? li?u XML c? chi ph? t? ch?i thanh to?n ??c th?ng b?o cho c? s? kh?m b?nh, ch?a b?nh qua C?ng ti?p nh?n trong th?i h?n 07 ng?y l?m vi?c k? t? ng?y nh?n ??c d? li?u XML ? ngh? thanh to?n; k?t qu? ?i chi?u gi?a d? li?u XML v? d? li?u b?o c?o t?ng h?p ??c t? ?ng th?ng b?o cho c? s? kh?m b?nh, ch?a b?nh qua C?ng ti?p nh?n trong th?i h?n 02 ng?y l?m vi?c n?u th?ng tin kh?ng tr?ng kh?p.3. K?t qu? ?i chi?u d? li?u XML tr?ng th?i gian i?u tr? gi?a c?c c? s? kh?m b?nh, ch?a b?nh ??c th?ng b?o cho c? s? kh?m b?nh, ch?a b?nh qua C?ng ti?p nh?n ngay khi ph?t hi?n c? tr?ng l?p.4. K?t qu? gi?m ?nh ch? ?ng ??c th?ng b?o sau khi ho?n th?nh ?t gi?m ?nh t?i c? s? kh?m b?nh, ch?a b?nh.M?c 2. GI?M ?NH CHI PH? KH?M B?NH, CH?A B?NH B?O HI?M Y T? TR?N H? S?, T?I LI?Ui?u 23. H? s?, t?i li?u ? th?c hi?n gi?m ?nh chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t?H? s?, t?i li?u ? th?c hi?n gi?m ?nh chi ph? kh?m b?nh, ch?a b?nh BHYT g?m h? s? b?nh ?n do c? s? kh?m b?nh, ch?a b?nh l?p theo quy ?nh t?i i?u 59 Lu?t Kh?m b?nh, ch?a b?nh s? 40/2009/QH12, c?c s? chuy?n m?n, b?ng k? chi ph? kh?m b?nh, ch?a b?nh theo quy ?nh c?a B? Y t?, ch?ng t? v? c?c t?i li?u kh?c li?n quan ?n thanh to?n chi ph? kh?m b?nh, ch?a b?nh c?a ng??i b?nh BHYT; h? s? b?nh ?n ??c l?p d??i d?ng b?n i?n t? ?i v?i c?c c? s? kh?m b?nh, ch?a b?nh ?p ?ng quy ?nh t?i Th?ng t? s? 46/2018/TT-BYT ng?y 28/12/2018 c?a B? tr??ng B? Y t? quy ?nh h? s? b?nh ?n i?n t?. H? s?, t?i li?u bao g?m:1. B?ng k? chi ph? kh?m b?nh, ch?a b?nh theo M?u s? 01/KBCB ban h?nh k?m theo Quy?t ?nh s? 6556/Q-BYT ng?y 30/10/2018 c?a B? tr??ng B? Y t? v? vi?c ban h?nh m?u b?ng k? chi ph? kh?m b?nh, ch?a b?nh s? d?ng t?i c?c c? s? kh?m b?nh, ch?a b?nh (sau ?y g?i t?t l? M?u s? 01/KBCB), t??ng ?ng v?i c?c b?o c?o t?ng h?p, d? li?u ? ngh? thanh to?n h??ng d?n t?i i?u 19 Quy tr?nh n?y;2. ?n thu?c;3. H? s? b?nh ?n i?u tr? ngo?i tr?, h? s? b?nh ?n i?u tr? n?i tr?;4. C?c s? chuy?n m?n: kh?m b?nh, v?o vi?n - ra vi?n - chuy?n vi?n, ph?u thu?t, th? thu?t, x?t nghi?m, ch?n o?n h?nh ?nh, thm d? ch?c nng, h?i ch?n, s? t?ng h?p thu?c h?ng ng?y;5. Phi?u c?ng khai d?ch v? kh?m b?nh, ch?a b?nh n?i tr? h?ng ng?y;6. B?o c?o xu?t, nh?p, t?n thu?c, ho? ch?t, v?t t? y t? h?ng th?ng; h?a ?n mua thu?c, h?a ch?t, v?t t? y t?;7. C?c t?i li?u kh?c li?n quan ?n thanh to?n chi ph? kh?m b?nh, ch?a b?nh c?a ng??i b?nh b?o hi?m y t?.i?u 24. N?i dung gi?m ?nh chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? tr?n h? s?, t?i li?u1. Th?ng tin c?a ng??i b?nh, m?c h??ng BHYT.2. Chi ph? ? ngh? thanh to?n BHYT.3. ?nh gi? t?nh h?p l? trong vi?c cung c?p d?ch v? ? ch?n o?n v? i?u tr?, ?m b?o quy?n l?i c?a ng??i b?nh BHYT.i?u 25. Quy tr?nh gi?m ?nh chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? tr?n h? s?, t?i li?u1. L?p k? ho?ch gi?m ?nh1.1. X?y d?ng k? ho?ch, ? c??ng gi?m ?nh h?ng th?ng ho?c h?ng qu?1.1.1. X?y d?ng ? c??ng gi?m ?nh d?a tr?n k?t qu? ph?n t?ch t?nh h?nh chi kh?m b?nh, ch?a b?nh BHYT theo h??ng d?n t?i i?m 4.4 kho?n 4 i?u 21 Quy tr?nh n?y v? c?c n?i dung c?n gi?m ?nh theo h??ng d?n t?i i?m 4.5 kho?n 4 i?u 21 Quy tr?nh n?y, c?c c?nh b?o tr?n ph?n m?m v? c?c n?i dung gi?m ?nh theo h??ng d?n c?a Trung t?m Gi?m ?nh BHYT v? Thanh to?n a tuy?n.1.1.2. X?y d?ng k? ho?ch v? x?c ?nh th?nh vi?n c?c T? ho?c Nh?m gi?m ?nh ? th?ng b?o cho c? s? kh?m b?nh, ch?a b?nh.1.2. Ph?n c?ng nhi?m v? gi?m ?nh t?i c? s? kh?m b?nh, ch?a b?nh1.2.1. T? tr??ng ho?c Tr??ng nh?m gi?m ?nh ph?n c?ng nhi?m v? cho c?c th?nh vi?n.1.2.2. T? ch?c l?m vi?c nh?m, th?o lu?n ? c??ng gi?m ?nh, c?c b?o c?o, th?ng tin v? nh?n l?c, thi?t b? y t?, c? s? v?t ch?t:a) Nh?n ?nh v? di?n bi?n, xu h??ng ch? ?nh d?ch v? c?a t?ng khoa ph?ng, nh?n vi?n y t?.b) ?nh gi? s? b? t?nh h?p l? gi?a ch?n o?n, ch? ?nh c?n l?m s?ng v? ch? ?nh i?u tr? th?ng qua d? li?u chi ti?t v? c?c th?ng tin ti?p nh?n t? b? ph?n gi?m s?t, b? ph?n gi?m ?nh chuy?n ?; ?nh h??ng c?ch th?c gi?m ?nh ?i v?i c?c v?n ? b?t th??ng.2. X?c ?nh h? s? gi?m ?nh2.1. Gi?m ?nh c?c h? s? x?c ?nh t?i c?c ti?t 2.7.1 v? 2.7.5 i?m 2.7, ti?t 2.8.3 i?m 2.8 kho?n 2 v? kho?n 3 i?u 21 Quy tr?nh n?y v? c?c h? s? theo c?c chuy?n ? do Trung t?m Gi?m ?nh BHYT v? Thanh to?n a tuy?n th?ng b?o ho?c chuy?n ? do BHXH t?nh x?y d?ng.2.2. Gi?m ?nh c?c h? s? kh?c sau khi ti?p nh?n b?ng t?ng h?p ? ngh? thanh to?n chi ph? kh?m b?nh, ch?a b?nh BHYT theo th?ng v? qu? c?a c? s? kh?m b?nh, ch?a b?nh (M?u s? C79-HD). T?ng s? h? s? gi?m ?nh ?i v?i c?c c? s? kh?m b?nh, ch?a b?nh BHYT th?c hi?n theo h??ng d?n c?a B?o hi?m x? h?i Vi?t Nam.2.3. Ti?p nh?n v? b?o qu?n t?i li?u, h? s? b?nh ?n2.3.1. BHXH t?nh g?i danh s?ch h? s? b?nh ?n ? ngh? c? s? kh?m b?nh, ch?a b?nh cung c?p c?ng v?i c?c t?i li?u kh?c n?u t?i i?u 23 Quy tr?nh n?y 01 ng?y l?m vi?c tr??c khi t? ch?c gi?m ?nh; tr??ng h?p s? l??ng h? s? b?nh ?n c?n gi?m ?nh l?n th? cung c?p danh s?ch t??ng ?ng v?i s? l??ng h? s? r?t ??c trong ng?y.2.3.2. Ng??i ti?p nh?n c?c t?i li?u gi?m ?nh ghi s? b?n giao t?i li?u, c? x?c nh?n c?a ng??i giao; h? s? b?nh ?n ph?i ??c b?o qu?n theo ?ng quy ?nh c?a ph?p lu?t trong qu? tr?nh t? ch?c gi?m ?nh t?i c? s? kh?m b?nh, ch?a b?nh.3. Gi?m ?nh chi ph? ? ngh? thanh to?n BHYT3.1. ?i chi?u th?ng tin, gi?m ?nh m?c h??ng BHYT3.1.1. ?i chi?u th?ng tin tr?n b?ng k? chi ph? kh?m b?nh, ch?a b?nh v?i d? li?u XML, s? kh?m b?nh, ?n thu?c, h? s? b?nh ?n, s? v?o vi?n v? c?c t?i li?u kh?c.a) B?ng k? chi ph? kh?m b?nh, ch?a b?nh ??c l?p ?ng M?u s? 01/KBCB, t?ng h?p ?y ? th?ng tin, chi ph? i?u tr? c?a ng??i b?nh, ??c nh?n vi?n c? s? kh?m b?nh, ch?a b?nh v? ng??i b?nh k? x?c nh?n theo quy ?nh.b) Th?ng tin ng??i b?nh, th?i gian kh?m b?nh, ch?a b?nh, ch?n o?n, t?nh tr?ng v?o vi?n, ra vi?n tr?ng kh?p tr?n c?c t?i li?u, ch?ng t? thanh to?n.B?ng k? chi ph? kh?m b?nh, ch?a b?nh l?p kh?ng ?ng m?u, kh?ng ?y ? th?ng tin ho?c th?ng tin kh?ng tr?ng kh?p tr?n c?c t?i li?u, ch?ng t? thanh to?n ho?c kh?ng c? h? s? b?nh ?n khi ng??i b?nh i?u tr? ngo?i tr? ho?c i?u tr? n?i tr? kh?ng ? i?u ki?n ? gi?m ?nh, thanh to?n chi ph? kh?m b?nh, ch?a b?nh BHYT.3.1.2. Gi?m ?nh m?c h??ng BHYT x?c ?nh tr?n M?u s? 01/KBCB v?i gi?y t? li?n quan ?n th? t?c kh?m b?nh, ch?a b?nh BHYT, x?c nh?n v? t?nh tr?ng c?p c?u tr?n h? s? b?nh ?n, xem x?t c?c d?u hi?u l?m s?ng, k?t qu? x?t nghi?m c?n l?m s?ng, thu?c, d?ch v? k? thu?t ? ch? ?nh v? t?nh tr?ng ng??i b?nh khi ?n kh?m b?nh, ch?a b?nh; i?u ch?nh m?c h??ng BHYT n?u x?c ?nh sai quy ?nh.3.2. Gi?m ?nh s? l??ng d?ch v? k? thu?t, s? l?n kh?m b?nh, s? ng?y gi??ng b?nh3.2.1. ?i chi?u s? l??ng v? th?i gian ch? ?nh, th?c hi?n c?c d?ch v? kh?m b?nh, ch?a b?nh th?ng k? theo h??ng d?n t?i i?m 2.9 kho?n 2 i?u 21 Quy tr?nh n?y v?i c?c s? chuy?n m?n: kh?m b?nh, ph?u thu?t, th? thu?t, x?t nghi?m, ch?n o?n h?nh ?nh, thm d? ch?c nng, th?i gian l?m vi?c tr?n b?ng ch?m c?ng, b?ng ph?n c?ng kh?m b?nh, th?i gian ho?t ?ng c?a m?y tr?n s? qu?n l?, s?a ch?a thi?t b? y t?; t? ch?i thanh to?n n?u s? l??ng th?ng k? cao h?n s? l??ng ghi ch?p trong s? chuy?n m?n ho?c ngo?i th?i gian l?m vi?c c?a ng??i h?nh ngh? ho?c kh?ng ?ng v?i nhi?m v? ??c ph?n c?ng; d?ch v? c?n l?m s?ng ? ??c c?p c? th?m quy?n ph? duy?t, th?c hi?n ??c nh?ng chuy?n i c? s? kh?m b?nh, ch?a b?nh kh?c.3.2.2. ?i chi?u s? l??ng ng??i b?nh i?u tr? n?i tr? th?ng k? theo t?ng khoa, ph?ng v?i s? v?o vi?n - ra vi?n - chuy?n vi?n v? s? gi??ng th?c k?, s? gi??ng h?i s?c t?ch c?c, h?i s?c c?p c?u ? ti?u chu?n theo quy ?nh c?a B? Y t?; i?u ch?nh ho?c t? ch?i thanh to?n ti?n gi??ng b?nh ? ngh? thanh to?n sai quy ?nh.3.2.3. ?i chi?u s? l?n kh?m v? s? ng?y gi??ng b?nh theo c?c chuy?n khoa, s? l??ng d?ch v? k? thu?t th?ng k? tr?n b?ng k? chi ph? kh?m b?nh, ch?a b?nh v?i d? li?u XML, h? s? b?nh ?n, phi?u c?ng khai d?ch v? kh?m b?nh, ch?a b?nh n?i tr? h?ng ng?y; t? ch?i thanh to?n n?u th?ng k? sai ho?c s? l??ng cao h?n s? l??ng ch? ?nh, s? d?ng cho ng??i b?nh.3.3. Gi?m ?nh s? l??ng, ?n gi? thanh to?n thu?c, v?t t? y t?3.3.1. ?i chi?u s? l??ng, ?n gi?, gi? thanh to?n thu?c, v?t t? y t? th?ng k? theo h??ng d?n t?i i?m 2.9 kho?n 2 i?u 21 Quy tr?nh n?y v?i h?a ?n, b?o c?o s? d?ng thu?c, v?t t? y t?, b?o c?o nh?p, xu?t, t?n; t? ch?i thanh to?n ph?n ch?nh l?ch n?u ?n gi? thanh to?n cao h?n gi? mua v?o ho?c s? l??ng th?ng k? cao h?n s? l??ng trong c?c b?o c?o c?a c? s? kh?m b?nh, ch?a b?nh;3.3.2. ?i chi?u s? l??ng thu?c, v?t t? y t? th?ng k? tr?n b?ng k? chi ph? kh?m b?nh, ch?a b?nh v?i d? li?u XML, h? s? b?nh ?n, phi?u c?ng khai d?ch v? kh?m b?nh, ch?a b?nh n?i tr? h?ng ng?y; t? ch?i thanh to?n n?u th?ng k? sai ho?c s? l??ng cao h?n s? l??ng ch? ?nh, s? d?ng cho ng??i b?nh;3.3.3. ?i chi?u s? l??ng v?t t? y t? t?i s? d?ng th?c t? t??ng ?ng v?i s? l??ng d?ch v? k? thu?t ? th?c hi?n v? b?o c?o nh?p, xu?t, t?n v?t t? y t? trong nm ? i?u ch?nh s? ti?n thanh to?n v?t t? y t? nm ? v? x?c ?nh s? l?n s? d?ng trung b?nh cho nm ti?p theo.3.4. Gi?m ?nh t?nh h?p l? c?a ch?n o?n v? i?u tr?, ?m b?o quy?n l?i kh?m b?nh, ch?a b?nh BHYT c?a ng??i b?nhCn c? h??ng d?n ch?n o?n v? i?u tr?, quy tr?nh chuy?n m?n k? thu?t, h??ng d?n s? d?ng thu?c theo quy ?nh c?a B? Y t? v? ch? ?nh tr?n h? s? b?nh ?n ? gi?m ?nh c?c n?i dung sau:3.4.1. Ch?n o?n ph? h?p v?i tu?i, gi?i t?nh, di?n bi?n l?m s?ng, k?t qu? c?n l?m s?ng theo h??ng d?n ch?n o?n v? i?u tr? c?a B? Y t?.3.4.2. Ch? ?nh d?ch v? k? thu?t ph? h?p v?i ch?n o?n, th?c hi?n ?ng quy tr?nh ban h?nh theo quy ?nh c?a B? Y t?.3.4.3. Ch? ?nh thu?c ph? h?p v?i ch?n o?n, tu?i, gi?i t?nh, c?n n?ng c?a ng??i b?nh, t?nh tr?ng b?nh l?, th?i gian s? d?ng, ph?i h?p thu?c theo h??ng d?n s? d?ng thu?c c?a B? Y t?.3.4.4. Thu?c c? d?u (*) ??c h?i ch?n tr??c khi s? d?ng tr? tr??ng h?p c?p c?u, k?t qu? h?i ch?n ??c ghi trong S? bi?n b?n h?i ch?n.3.4.5. S? d?ng v?t t? y t? ph? h?p v?i ng??i b?nh, thu?c, d?ch v? k? thu?t th?c hi?n cho ng??i b?nh.3.4.6. S? d?ng gi??ng h?i s?c t?ch c?c (ICU), h?i s?c c?p c?u ph? h?p v?i ch?n o?n, di?n bi?n b?nh ghi tr?n h? s? b?nh ?n, phi?u theo d?i, chm s?c ng??i b?nh.3.4.7. Ch? ?nh i?u tr? n?i tr? khi ch?a c?n thi?t, k?o d?i ng?y n?m vi?n, t?ch ?t i?u tr? ngo?i tr? ho?c n?i tr?.3.4.8. C?c kho?n chi ph? trong ph?m vi quy?n l?i h??ng BHYT c?a ng??i b?nh nh?ng ch? ?nh ? ng??i b?nh t? mua ho?c thu th?m c?a ng??i b?nh.4. X? l? k?t qu? gi?m ?nh4.1. ?i v?i h? s? t? ch?i theo k?t qu? gi?m ?nh t? ?ng: chi ph? t? ch?i ??c gi?m tr? tr?c ti?p tr?n t?ng h? s?.4.2. ?i v?i h? s? gi?m ?nh ch? ?ng:4.2.1. Chi ph? sai s?t ??c gi?m tr? tr?c ti?p v? c?p nh?t v?o d? li?u XML tr?n ph?n m?m Gi?m ?nh.4.2.2. Ch?a t?ng h?p thanh to?n c?c h? s? sau gi?m ?nh ch? ?ng v?n tr?ng l?p th?i gian, ch? ?nh, chi ph? i?u tr?.5. Th?ng nh?t k?t qu? gi?m ?nh5.1. K?t th?c ?t gi?m ?nh, BHXH t?nh l?p b?n t?ng h?p k?t qu? t? ph?n m?m Gi?m ?nh ? th?ng b?o cho c? s? kh?m b?nh, ch?a b?nh; d? li?u chi ti?t c?c tr??ng h?p t? ch?i ??c g?i qua C?ng ti?p nh?n.5.2. Tr??ng h?p c? s? kh?m b?nh, ch?a b?nh c? ? ki?n v? c?c n?i dung t? ch?i thanh to?n, BHXH t?nh x?c ?nh c?c n?i dung gi?i th?ch h?p l?, i?u ch?nh k?t qu? gi?m ?nh.5.3. BHXH t?nh th?ng b?o k?t qu? gi?m ?nh trong k? quy?t to?n b?ng vn b?n cho c? s? kh?m b?nh, ch?a b?nh k?m theo b?ng t?ng h?p chi ph? kh?m b?nh, ch?a b?nh BHYT ?a v?o quy?t to?n l?p theo M?u s? C80-HD ban h?nh k?m theo Th?ng t? s? 102/2018/TT-BTC.i?u 26. Th?i gian gi?m ?nh chi ph? kh?m b?nh, ch?a b?nh b?o hi?m y t? tr?n h? s?, b?nh ?n1. Trong th?i h?n 05 ng?y l?m vi?c ?u m?i th?ng ho?c ?u m?i qu? (?i v?i tr??ng h?p gi?m ?nh h?ng th?ng ho?c h?ng qu?), BHXH t?nh th?ng b?o k? ho?ch gi?m ?nh cho c? s? kh?m b?nh, ch?a b?nh.2. Trong th?i h?n 30 ng?y k? t? ng?y nh?n ??c b?o c?o quy?t to?n chi ph? kh?m b?nh, ch?a b?nh BHYT c?a c? s? kh?m b?nh, ch?a b?nh, BHXH t?nh ho?n th?nh vi?c gi?m ?nh v? th?ng b?o k?t qu? gi?m ?nh cho c? s? kh?m b?nh, ch?a b?nh.M?c 3. GI?M ?NH H? S? THANH TO?N TR?C TI?Pi?u 27. H? s?, t?i li?u ? ngh? thanh to?n tr?c ti?pH? s? ? ngh? thanh to?n tr?c ti?p c?a ng??i b?nh theo quy ?nh t?i i?u 28 Ngh? ?nh s? 146/2018/N-CP, bao g?m:1. C?c gi?y t? l? b?n ch?p (k?m theo b?n g?c ? ?i chi?u) g?m:1.1. Th? b?o hi?m y t?, gi?y ch?ng minh nh?n th?n; ?i v?i tr? em d??i 6 tu?i ch?a ??c c?p th? BHYT ch? c?n b?n sao gi?y khai sinh ho?c gi?y ch?ng sinh;1.2. Gi?y ra vi?n ho?c Gi?y ch?ng t? (?i v?i tr??ng h?p ? t? vong), phi?u kh?m b?nh ho?c S? kh?m b?nh c?a ng??i b?nh trong l?n kh?m b?nh, ch?a b?nh ? ngh? thanh to?n;1.3. Gi?y ch?ng nh?n kh?ng c?ng chi tr? trong nm (n?u c?).2. H?a ?n v? c?c ch?ng t? c? li?n quan.i?u 28. N?i dung gi?m ?nh h? s? thanh to?n tr?c ti?p1. X?c ?nh i?u ki?n ??c thanh to?n tr?c ti?p.2. Ki?m tra chi ph? kh?m b?nh, ch?a b?nh ng??i b?nh ??c thanh to?n tr?c ti?p.i?u 29. Quy tr?nh v? th?i gian gi?m ?nh h? s? thanh to?n tr?c ti?p1. Ti?p nh?n h? s?: BHXH t?nh ti?p nh?n h? s? theo quy ?nh t?i Quy?t ?nh s? 2192/Q-BHXH ng?y 10/12/2019 c?a T?ng Gi?m ?c B?o hi?m x? h?i Vi?t Nam ban h?nh Quy ch? t? ch?c v? ho?t ?ng c?a b? ph?n ti?p nh?n v? tr? k?t qu? gi?i quy?t th? t?c h?nh ch?nh theo c? ch? m?t c?a, m?t c?a li?n th?ng trong ng?nh BHXH.2. Gi?m ?nh tr?n h? s? ng??i b?nh cung c?p n?u t?i i?u 27 Quy tr?nh n?y.2.1. H? s? ? ngh? thanh to?n tr?c ti?p chi ph? c?ng chi tr? trong tr??ng h?p ng??i b?nh tham gia BHYT ? 05 nm li?n t?c tr? l?n v? c? s? ti?n c?ng chi tr? c?a nh?ng l?n kh?m b?nh, ch?a b?nh BHYT ?ng tuy?n trong nm v??t 6 th?ng l??ng c? s?, c? ?y ? th?ng tin ? x?c ?nh s? ti?n c?ng chi tr? trong nm: l?p B?ng thanh to?n tr?c ti?p chi ph? kh?m b?nh, ch?a b?nh BHYT theo M?u C78-HD ban h?nh k?m theo Th?ng t? s? 102/2018/TT-BTC ? thanh to?n cho ng??i b?nh; c?p Gi?y ch?ng nh?n kh?ng c?ng chi tr? trong nm cho ng??i b?nh trong th?i h?n 07 ng?y l?m vi?c.2.2. H? s? kh?ng thu?c c?c tr??ng h?p thanh to?n tr?c ti?p theo quy ?nh t?i kho?n 2 i?u 31 Lu?t BHYT, kho?n 1 i?u 4 Th?ng t? s? 09/2019/TT-BYT v? i?m a kho?n 2 i?u 11 Th?ng t? s? 30/2020/TT-BYT.2.2.1. H? s? ? ngh? thanh to?n kh?ng thu?c ph?m vi chi tr? c?a qu? BHYT: l?p Phi?u t? ch?i ti?p nh?n gi?i quy?t h? s? theo M?u s? 03 ban h?nh k?m theo Quy?t ?nh s? 2192/Q-BHXH, chuy?n B? ph?n m?t c?a k?m theo h? s? g?c tr? cho ng??i b?nh trong th?i h?n 07 ng?y l?m vi?c.2.2.2. H? s? ? ngh? thanh to?n chi ph? thu?c, v?t t? y t? ho?c c?c chi ph? kh?m b?nh, ch?a b?nh kh?c khi ng??i b?nh ? ??c h??ng quy?n l?i BHYT trong l?n kh?m b?nh, ch?a b?nh BHYT ?: BHXH t?nh g?i vn b?n ? ngh? c? s? kh?m b?nh, ch?a b?nh gi?i th?ch cho ng??i b?nh n?u mua theo y?u c?u ho?c ho?n tr? theo quy ?nh ?ng th?i th?ng b?o cho ng??i b?nh trong th?i h?n 07 ng?y l?m vi?c.3. Gi?m ?nh c?c tr??ng h?p ??c thanh to?n tr?c ti?p theo quy ?nh t?i kho?n 2 i?u 31 Lu?t BHYT, kho?n 1 i?u 4 Th?ng t? s? 09/2019/TT-BYT v? i?m a kho?n 2 i?u 11 Th?ng t? s? 30/2020/TT-BYT.3.1. Ph?n c?ng gi?m ?nh ho?c l?p Phi?u y?u c?u gi?m ?nh trong th?i h?n 02 ng?y l?m vi?c k? t? ng?y ti?p nh?n h? s? ? ngh? thanh to?n tr?c ti?p, g?i c? quan BHXH n?i ph?t sinh chi ph? kh?m b?nh, ch?a b?nh ? gi?m ?nh; h? s? k?m theo Phi?u y?u c?u gi?m ?nh.3.2. X?c ?nh l? do ng??i b?nh ch?a ??c h??ng BHYT v? gi?m ?nh c?c n?i dung y?u c?u thanh to?n theo h??ng d?n t?i kho?n 3 i?u 25 Quy tr?nh n?y.3.3. Th?ng b?o k?t qu? gi?m ?nh chi ph? kh?m b?nh, ch?a b?nh BHYT trong th?i h?n 20 ng?y l?m vi?c k? t? ng?y ti?p nh?n ??c Phi?u y?u c?u gi?m ?nh.3.4. Tr??ng h?p sau gi?m ?nh c? chi ph? ??c thanh to?n tr?c ti?p: l?p B?ng thanh to?n tr?c ti?p chi ph? kh?m b?nh, ch?a b?nh BHYT theo M?u C78-HD.Ch??ng VQU?N L?, KHAI TH?C H? TH?NG TH?NG TIN GI?M ?NH B?O HI?M Y T? V? QU?N L? CHI KH?M B?NH, CH?A B?NH B?O HI?M Y T? TR?N C?C PH?N M?M NGHI?P V?M?c 1. QU?N L?, KHAI TH?C H? TH?NG TH?NG TIN GI?M ?NH B?O HI?M Y T?i?u 30. Th?ng tin tr?n H? th?ng th?ng tin gi?m ?nh b?o hi?m y t?1. Th?ng tin d?ng chung to?n qu?c1.1. Danh m?c c? s? kh?m b?nh, ch?a b?nh.1.2. Danh m?c thu?c, v?t t? y t? v? d?ch v? k? thu?t trong ph?m vi thanh to?n BHYT.1.3. Danh m?c b?ng gi? d?ch v? kh?m b?nh, ch?a b?nh.1.4. Danh m?c k? thu?t theo ph?n tuy?n chuy?n m?n k? thu?t; danh m?c ph?n lo?i ph?u thu?t, th? thu?t.1.5. Danh m?c thu?c ??c c?p gi?y ng k? l?u h?nh c?n hi?u l?c; danh m?c thu?c k? khai, k? khai l?i gi?.1.6. Danh m?c thu?c, v?t t? y t? theo k?t qu? ?u th?u t?p trung c?p qu?c gia ho?c ?m ph?n gi?; danh m?c thu?c c? gi? tr?ng th?u trung b?nh theo k?t qu? ?u th?u c?a t?ng c? s? kh?m b?nh, ch?a b?nh, ?a ph??ng, B? Y t?.1.7. B? m? danh m?c d?ng chung ?p d?ng trong qu?n l? kh?m b?nh, ch?a b?nh v? thanh to?n BHYT do B? Y t? ban h?nh.1.8. C?c danh m?c kh?c c? li?n quan.2. Th?ng tin d?ng chung t?i t?nh2.1. Danh m?c thu?c, v?t t? y t? theo k?t qu? ?u th?u t?p trung c?p ?a ph??ng.2.2. D? li?u chi kh?m b?nh, ch?a b?nh BHYT tr?n ?a b?n t?nh.2.3. B?o c?o t?m ?ng, thanh quy?t to?n, th?m ?nh quy?t to?n chi ph? kh?m b?nh, ch?a b?nh BHYT c?a BHXH t?nh.3. Th?ng tin t?i c? s? kh?m b?nh, ch?a b?nh BHYT3.1. Danh m?c khoa ph?ng.3.2. Danh m?c ng??i h?nh ngh?.3.3. Danh m?c thu?c, v?t t? y t?, d?ch v? kh?m b?nh, ch?a b?nh thanh to?n BHYT.3.4. Danh m?c thi?t b? y t? ? th?c hi?n d?ch v? k? thu?t.3.5. D? li?u, b?o c?o ? ngh? thanh to?n chi ph? kh?m b?nh, ch?a b?nh BHYT.3.6. K?t qu? gi?m ?nh danh m?c, gi?m ?nh chi ph? kh?m b?nh, ch?a b?nh BHYT.3.7. C?c th?ng tin kh?c c? li?n quan.i?u 31. Qu?n l?, khai th?c th?ng tin tr?n H? th?ng th?ng tin gi?m ?nh b?o hi?m y t?1. ?n v? ??c c?p quy?n khai th?c th?ng tin, d? li?u tr?n H? th?ng th?ng t?i Gi?m ?nh BHYT c? tr?ch nhi?m qu?n l? t?i kho?n, s? d?ng th?ng tin, d? li?u ?ng m?c ?ch, ?m b?o an to?n th?ng tin theo quy ?nh c?a ph?p lu?t v? c?a B?o hi?m x? h?i Vi?t Nam.2. C?c ?n v? tr?c thu?c B?o hi?m x? h?i Vi?t Nam2.1. C?c ?n v? tr?c thu?c B?o hi?m x? h?i Vi?t Nam qu?n l? t?i kho?n ??c c?p ? tra c?u, k?t xu?t danh m?c, b?o c?o tr?n H? th?ng th?ng tin gi?m ?nh BHYT ph? h?p v?i ch?c nng, nhi?m v? c?a ?n v?;2.2. Ban Th?c hi?n ch?nh s?ch BHYT, V? Thanh tra - Ki?m tra, V? Ki?m to?n n?i b? ? ngh? Trung t?m Gi?m ?nh BHYT v? Thanh to?n a tuy?n k?t xu?t d? li?u chi ti?t t?i c?c c? s? kh?m b?nh, ch?a b?nh BHYT ??c ki?m tra, ki?m to?n theo quy?t ?nh c?a T?ng Gi?m ?c B?o hi?m x? h?i Vi?t Nam ho?c theo ch? ?o c?a T?ng Gi?m ?c, c?c Ph? T?ng Gi?m ?c;2.3. Ban Th?c hi?n ch?nh s?ch BHYT2.3.1. C?p nh?t danh m?c thu?c ??c c?p gi?y ng k? l?u h?nh c?n hi?u l?c v? danh m?c thu?c k? khai, k? khai l?i gi? ??c C?c Qu?n l? D??c - B? Y t? c?ng b? quy ?nh t?i i?m 1.5 kho?n 1 i?u 30 Quy tr?nh n?y;2.3.2. Qu?n l? vi?c c?p nh?t danh m?c thu?c, v?t t? y t? c?a BHXH c?c t?nh; c?p nh?t gi? thu?c tr?ng th?u trung b?nh theo k?t qu? ?u th?u c?a t?ng c? s? kh?m b?nh, ch?a b?nh, ?a ph??ng, B? Y t?.2.4. Trung t?m C?ng ngh? th?ng tin2.4.1. Qu?n l? to?n b? c? s? d? li?u c?a H? th?ng th?ng tin gi?m ?nh BHYT;2.4.2. ?ng b? danh m?c d?ng chung gi?a c?c ph?n m?m nghi?p v? c?a B?o hi?m x? h?i Vi?t Nam;2.4.3. Qu?n l? t?i kho?n qu?n tr? h? th?ng c?a B?o hi?m x? h?i Vi?t Nam; c?p t?i kho?n qu?n tr?, t?i kho?n ph?n quy?n c?a BHXH t?nh; c?p t?i kho?n cho c?c ?n v? ngo?i ng?nh theo ch? ?o c?a B?o hi?m x? h?i Vi?t Nam.2.5. Trung t?m Gi?m ?nh BHYT v? Thanh to?n a tuy?n2.5.1. Ph?n quy?n khai th?c danh m?c, d? li?u v? c?c th?ng tin kh?c c?a H? th?ng th?ng tin gi?m ?nh BHYT;2.5.2. C?p nh?t c?c danh m?c quy ?nh t?i kho?n 1 i?u 30 Quy tr?nh n?y tr? danh m?c thu?c ??c c?p gi?y ng k? l?u h?nh c?n hi?u l?c v? danh m?c thu?c k? khai, k? khai l?i gi?;2.5.3. Qu?n l?, c?p nh?t c?c chuy?n ? gi?m ?nh.3. BHXH t?nh3.1. Qu?n l? c?c t?i kho?n do BHXH t?nh c?p; ph?n quy?n khai th?c danh m?c, d? li?u kh?m b?nh, ch?a b?nh, k?t qu? gi?m ?nh, b?o c?o quy?t to?n v? c?c th?ng tin kh?c t?i c?c c? s? kh?m b?nh, ch?a b?nh tr?n ?a b?n t?nh;3.2. Khai th?c b?o c?o, danh m?c d?ng chung to?n qu?c; b?o c?o, danh m?c, d? li?u t?i c?c c? s? kh?m b?nh, ch?a b?nh BHYT tr?n ?a b?n t?nh; d? li?u a tuy?n i ngo?i t?nh;3.3. C?p nh?t danh m?c thu?c, v?t t? y t? theo k?t qu? ?u th?u t?p trung c?p ?a ph??ng;3.4. C?p nh?t, b?o c?o k?t qu? gi?m ?nh v? B?o hi?m x? h?i Vi?t Nam sau m?i k? quy?t to?n;3.5. Th?c hi?n gi?m ?nh, ghi nh?n k?t qu? gi?m ?nh, l?p b?o c?o quy?t to?n, b?o c?o th?ng k? tr?n ph?n m?m Gi?m ?nh;3.6. Th?ng b?o b?ng vn b?n, h??ng d?n c? s? kh?m b?nh, ch?a b?nh:3.6.1. Qu?n l? c?c t?i kho?n ??c c?p ? truy c?p v?o C?ng ti?p nh?n.3.6.2. Tra c?u, k?t xu?t c?c danh m?c, th?ng tin th? BHYT, l?ch s? kh?m b?nh, ch?a b?nh trong 06 th?ng g?n nh?t c?a ng??i c? th? BHYT ?n kh?m b?nh, ch?a b?nh.3.6.3. G?i c?c danh m?c theo quy ?nh t?i kho?n 3 i?u 30 Quy tr?nh n?y l?n C?ng ti?p nh?n; b? sung, i?u ch?nh, thay th? danh m?c ch?a th?ng nh?t v?i c? quan BHXH.3.6.4. G?i d? li?u danh m?c thu?c, v?t t? y t? trong th?i h?n 5 ng?y l?m vi?c khi c? k?t qu? tr?ng th?u ho?c mua s?m b?ng c?c h?nh th?c h?p ph?p kh?c; g?i c?c danh m?c kh?c ngay khi c? thay ?i, i?u ch?nh, b? sung.3.6.5. G?i d? li?u theo quy ?nh t?i kho?n 1 i?u 6 Th?ng t? s? 48/2017/TT-BYT; i?u ch?nh, thay th? d? li?u chi ti?t tr?n C?ng ti?p nh?n ch?a g?i c? quan BHXH.3.6.6. G?i d? li?u chi ti?t ? ngh? thanh to?n BHYT sang ph?n m?m Gi?m ?nh theo quy ?nh t?i kho?n 1 i?u 7 Th?ng t? s? 48/2017/TT-BYT; d? li?u ? g?i gi?m ?nh ch? ??c hi?u ch?nh khi c? s? th?ng nh?t v?i BHXH t?nh theo quy ?nh t?i kho?n 9 i?u 13 Th?ng t? s? 48/2017/TT-BYT; g?i d? li?u t?ng h?p ? ngh? thanh to?n BHYT h?ng th?ng trong 5 ng?y ?u th?ng k? ti?p.3.6.7. Tra c?u, k?t xu?t th?ng b?o k?t qu? gi?m ?nh, b?o c?o quy?t to?n chi ph? kh?m b?nh, ch?a b?nh BHYT.4. C?c t? ch?c v? c? nh?n c? li?n quan ?n kh?m b?nh, ch?a b?nh BHYT ??c truy c?p H? th?ng th?ng tin gi?m ?nh BHYT khi c? y?u c?u v? ??c Trung t?m C?ng ngh? th?ng tin c?p t?i kho?n truy c?p.M?c 2. LI?N TH?NG C?C PH?N M?M QU?N L? CHI KH?M B?NH, CH?A B?NH B?O HI?M Y T?i?u 32. C?p kinh ph? t?m ?ng chi kh?m b?nh, ch?a b?nh b?o hi?m y t?1. Ph?ng Gi?m ?nh BHYT: ch?m nh?t ng?y 09 th?ng ?u m?i qu? ho?n th?nh vi?c ?i chi?u b?n g?c b?o c?o ? ngh? quy?t to?n qu? tr??c v?i kinh ph? ? ngh? t?m ?ng l?p theo M?u s? 12/BHYT ban h?nh k?m theo C?ng vn s? 3762/BHXH-CSYT tr?n ph?n m?m Gi?m ?nh, g?i M?u s? 12/BHYT sang ph?n m?m KTTT.2. Ph?ng K? ho?ch - T?i ch?nh2.1. Trong th?i h?n 03 ng?y l?m vi?c k? t? ng?y nh?n ??c M?u s? 12/BHYT, ho?n th?nh vi?c l?p B?ng t?ng h?p ? ngh? t?m ?ng kinh ph? kh?m b?nh, ch?a b?nh BHYT trong k?, k? s? g?i V? T?i ch?nh - K? to?n tr?n ph?n m?m KTTT.2.2. Trong th?i h?n 02 ng?y l?m vi?c k? t? ng?y nh?n ??c kinh ph?, th?c hi?n t?m ?ng kinh ph? kh?m b?nh, ch?a b?nh cho c?c c? s? kh?m b?nh, ch?a b?nh theo quy ?nh; ?y nhi?m chi ph?i ??c l?p tr?n ph?n m?m KTTT.3. V? T?i ch?nh - K? to?n3.1. Ch?m nh?t ng?y 06 th?ng ?u m?i qu?, d?a tr?n d? li?u i?n t? ? ngh? thanh to?n chi kh?m b?nh, ch?a b?nh BHYT qu? tr??c tr?n ph?n m?m Gi?m ?nh ? c?p kinh ph? t?m ?ng chi kh?m b?nh, ch?a b?nh trong k? cho BHXH t?nh theo quy ?nh.3.2. Trong th?i h?n 02 ng?y l?m vi?c k? t? ng?y nh?n ??c M?u s? 12/BHYT c?a BHXH t?nh, c?n ?i v?i s? kinh ph? ? t?m ?ng ? c?p b? sung ? s? ti?n t?m ?ng theo quy ?nh.i?u 33. Quy?t to?n chi kh?m b?nh, ch?a b?nh b?o hi?m y t? t?i c? s? kh?m b?nh, ch?a b?nh1. Ph?ng Gi?m ?nh BHYT1.1. H?ng qu?, trong th?i h?n 30 ng?y k? t? ng?y nh?n ??c b?o c?o quy?t to?n qu? tr??c v? thuy?t minh chi ph? tng gi?m trong qu? (Cn) c?a c? s? kh?m b?nh, ch?a b?nh, Ph?ng Gi?m ?nh BHYT x?c ?nh, c?p nh?t c?c ch? ti?u tr?n M?u s? C82-HD t?i ph?n m?m Gi?m ?nh; ch? tr? ph?i h?p v?i Ph?ng K? ho?ch - T?i ch?nh th?c hi?n quy?t to?n h?ng qu? v?i c? s? kh?m b?nh, ch?a b?nh theo quy ?nh;1.2. Tr??c ng?y 15 th?ng th? hai m?i qu?, Ph?ng Gi?m ?nh BHYT ho?n th?nh t?ng h?p s? li?u quy?t to?n theo M?u s? C82-HD tr?n ph?n m?m Gi?m ?nh, chuy?n Ph?ng K? ho?ch - T?i ch?nh tr?n ph?n m?m KTTT.2. Ph?ng K? ho?ch - T?i ch?nh: trong th?i h?n 05 ng?y k? t? ng?y nh?n ??c s? li?u quy?t to?n chi kh?m b?nh, ch?a b?nh BHYT theo M?u C82-HD tr?n ph?n m?m KTTT, ?i chi?u s? ti?n t?m ?ng v? ki?m tra c?c ch? ti?u v? s? ti?n thanh to?n, in m?u C82-HD t? ph?n m?m KTTT, ph?i h?p v?i Ph?ng Gi?m ?nh BHYT ? quy?t to?n v?i c? s? kh?m b?nh, ch?a b?nh.i?u 34. C?p kinh ph? thanh to?n chi kh?m b?nh, ch?a b?nh b?o hi?m y t?1. Ph?ng K? ho?ch - T?i ch?nh1.1. Ch?m nh?t ng?y 15 th?ng th? hai m?i qu?, Ph?ng K? ho?ch - T?i ch?nh ch? tr?, ph?i h?p v?i Ph?ng Gi?m ?nh BHYT, Ph?ng Qu?n l? thu - S?, Th? l?p b?o c?o t?ng h?p thanh quy?t to?n chi kh?m b?nh, ch?a b?nh BHYT tr?n ph?n m?m KTTT theo M?u s? 15/BHYT ban h?nh k?m theo C?ng vn s? 3762/BHXH-CSYT, k? s? chuy?n V? T?i ch?nh - K? to?n.1.2. Trong th?i h?n 05 ng?y k? t? ng?y nh?n ??c kinh ph?, ph?i ho?n th?nh vi?c thanh to?n v?i c?c c? s? kh?m b?nh, ch?a b?nh v? c?p nh?t ?y ? tr?n ph?n m?m KTTT.2. V? T?i ch?nh - K? to?n: trong th?i h?n 05 ng?y k? t? ng?y nh?n ??c b?o c?o theo M?u 15/BHYT c?a BHXH t?nh tr?n ph?n m?m KTTT, c?p ? kinh ph? theo quy ?nh ? BHXH t?nh ho?n th?nh vi?c thanh to?n v?i c?c c? s? kh?m b?nh, ch?a b?nh.i?u 35. Thanh to?n tr?c ti?p1. Ph?ng Gi?m ?nh BHYT: sau khi ho?n th?nh gi?m ?nh l?p B?ng thanh to?n tr?c ti?p chi ph? kh?m b?nh, ch?a b?nh BHYT theo M?u s? C78-HD tr?n ph?n m?m Gi?m ?nh, chuy?n sang ph?n m?m KTTT.2. Ph?ng K? ho?ch - T?i ch?nh: ti?p nh?n B?ng thanh to?n tr?c ti?p chi ph? kh?m b?nh, ch?a b?nh BHYT tr?n ph?n m?m KTTT, l?p phi?u chi thanh to?n tr?c ti?p ho?c tr? l?i Ph?ng Gi?m ?nh BHYT n?u ph?i i?u ch?nh.i?u 36. T?ng h?p chi a tuy?n ngo?i t?nh1. T?ng h?p chi a tuy?n ngo?i t?nh h?ng qu?1.1. Ph?ng Gi?m ?nh BHYT ki?m tra c?c tr??ng h?p a tuy?n ngo?i t?nh ?n ch?a ? i?u ki?n th?ng b?o a tuy?n trong qu?, ho?n th?nh vi?c gi?m ?nh tr??c khi quy?t to?n, c?c tr??ng h?p ch?a ? i?u ki?n ??c x?c ?nh tr?n ph?n m?m Gi?m ?nh v?o ng?y 10 h?ng th?ng; tr? l?i y?u c?u gi?m ?nh trong th?i h?n 30 ng?y k? t? ng?y ti?p nh?n y?u c?u c?a BHXH t?nh n?i ph?t h?nh th? tr?n ph?n m?m Gi?m ?nh.1.2. Trong th?i h?n 30 ng?y k? t? ng?y nh?n ??c th?ng b?o a tuy?n i ngo?i t?nh qu? tr??c, Ph?ng Gi?m ?nh BHYT ki?m tra c?c tr??ng h?p kh?m b?nh, ch?a b?nh ngo?i t?nh, ? ngh? gi?m ?nh (n?u c?); c?c tr??ng h?p a tuy?n ngo?i t?nh i qu? tr??c ??c t?ng h?p tr?n ph?n m?m Gi?m ?nh v?o ng?y 25 c?a th?ng th? hai m?i qu?.1.3. Trong th?i h?n 10 ng?y k? t? ng?y nh?n ??c th?ng b?o c?c tr??ng h?p kh?m b?nh, ch?a b?nh th?ng tr??c kh?ng tra c?u ??c d? li?u ph?t h?nh th? BHYT tr?n H? th?ng th?ng tin gi?m ?nh BHYT, BHXH B? Qu?c ph?ng, BHXH C?ng an nh?n d?n ki?m tra, x?c ?nh c?c tr??ng h?p kh?ng ?ng v?i d? li?u ph?t h?nh th? BHYT, c?p nh?t tr?n ph?n m?m Gi?m ?nh; c?c tr??ng h?p kh?ng c? d? li?u ph?t h?nh th? BHYT ??c th?ng b?o tr?n ph?n m?m Gi?m ?nh v?o ng?y 10 h?ng th?ng.2. T?ng h?p chi a tuy?n ngo?i t?nh trong nm2.1. Chi chm s?c s?c kho? ban ?u2.1.1. Ph?ng Qu?n l? thu - S?, Th?: sau khi c?p nh?t danh s?ch ?i t??ng ??c tr?ch chuy?n kinh ph? chi chm s?c s?c kh?e ban ?u theo t?ng ?n v? qu?n l? ?i t??ng, chuy?n s? li?u t?ng h?p t? ph?n m?m TST sang ph?n m?m KTTT ? Ph?ng K? ho?ch - T?i ch?nh th?c hi?n tr?ch chuy?n kinh ph? chi chm s?c s?c kh?e ban ?u; chuy?n d? li?u chi ti?t sang ph?n m?m gi?m ?nh ? th?c hi?n th?ng b?o a tuy?n ngo?i t?nh ?n.2.1.2. Ph?ng K? ho?ch - T?i ch?nh: th?c hi?n chuy?n kinh ph? chi chm s?c s?c kh?e ban ?u.2.2. Chi thanh to?n tr?c ti?p: tr??c ng?y 15 th?ng 02, Ph?ng K? ho?ch - T?i ch?nh ph?i h?p v?i Ph?ng Gi?m ?nh BHYT ho?n th?nh vi?c ?i chi?u c?c h? s? thanh to?n tr?c ti?p ngo?i t?nh nm tr??c, ?m b?o tr?ng kh?p tr?n ph?n m?m KTTT v? ph?n m?m Gi?m ?nh.2.3. Chi a tuy?n ngo?i t?nh2.3.1. Ban Th?c hi?n ch?nh s?ch BHYT c?p nh?t k?t qu? th?m ?nh quy?t to?n chi a tuy?n ngo?i t?nh ?n tr?n ph?n m?m Th?m ?nh quy?t to?n t?i Ph? bi?u 05/CSYT ban h?nh k?m theo Quy?t ?nh s? 1753/Q-BHXH ng?y 30/12/2021 c?a T?ng Gi?m ?c B?o hi?m x? h?i Vi?t Nam v? vi?c ban h?nh quy tr?nh x?t duy?t, th?m ?nh quy?t to?n tr?n ph?n m?m th?m ?nh quy?t to?n, l?p b?o c?o quy?t to?n, b?o c?o t?i ch?nh, b?o c?o t?i ch?nh qu? b?o hi?m, b?o c?o b? sung th?ng tin t?i ch?nh tr?n ph?n m?m k? to?n t?p trung.2.3.2. Cn c? k?t qu? th?m ?nh tr?n Ph? bi?u 05/CSYT, Trung t?m Gi?m ?nh BHYT v? Thanh to?n a tuy?n t?ng h?p c?ng v?i s? chi chm s?c s?c kh?e ban ?u, s? chi thanh to?n tr?c ti?p ngo?i t?nh, l?p b?ng T?ng h?p thanh to?n a tuy?n ngo?i t?nh theo M?u s? C88-HD ban h?nh k?m theo Th?ng t? s? 102/2018/TT-BTC tr?n ph?n m?m Gi?m ?nh, chuy?n sang ph?n m?m Th?m ?nh quy?t to?n ? t?ng h?p s? li?u quy?t to?n nm.i?u 37. Li?n th?ng c?c b?o c?o th?m ?nh quy?t to?n nm1. Ph?ng Gi?m ?nh BHYT1.1. C?p nh?t s? chi c?c nm tr??c ??c quy?t to?n b? sung (n?u c?) tr?n ph?n m?m Gi?m ?nh. ?i v?i s? ph?i thu h?i nm tr??c, chuy?n Ph?ng K? ho?ch - T?i ch?nh h?ch to?n theo nghi?p v? k? to?n.1.2. L?p b?ng th?ng k? c?c chi ph? ph?t sinh tng ho?c gi?m trong nm (Cn), ?i chi?u v?i b?o c?o c?a c? s? kh?m b?nh, ch?a b?nh, ghi nh?n k?t qu? th?m ?nh tr?n ph?n m?m Gi?m ?nh.1.3. L?p c?c bi?u m?u th?m ?nh quy?t to?n, i?u ch?nh theo k?t qu? th?m ?nh tr?n ph?n m?m Gi?m ?nh, chuy?n c?c bi?u m?u sang ph?n m?m Th?m ?nh quy?t to?n.2. T? th?m ?nh quy?t to?n c?a B?o hi?m x? h?i Vi?t Nam: th?m ?nh s? li?u quy?t to?n, ghi nh?n k?t qu? tr?n ph?n m?m Th?m ?nh quy?t to?n, k?t qu? th?m ?nh t? ?ng chuy?n sang ph?n m?m Gi?m ?nh.i?u 38. M? h?a chuy?n ? gi?m ?nh1. C?c v?n ? sai s?t ? ??c ph?t hi?n qua c?ng t?c gi?m ?nh BHYT ??c x?y d?ng th?nh c?c chuy?n ? tr?n ph?n m?m Gi?m ?nh ? ki?m tra d? li?u ? ngh? thanh to?n chi ph? kh?m b?nh, ch?a b?nh BHYT.2. Chuy?n ? gi?m ?nh ??c m? h?a theo ?nh d?ng X.YYY.ZZZ, trong ?:2.1. K? t? X ? ph?n lo?i c?c chuy?n ? theo m?c h??ng BHYT (M), ?n gi? thanh to?n (D), s? l??ng (S), t? l? thanh to?n ?i v?i thu?c, v?t t? y t?, d?ch v? k? thu?t (T), c?c n?i dung kh?c (K);2.2. Ba k? t? YYY th? hi?n nh?m chi ph?, ?nh s? t? 001 ?n 999;2.3. Ba k? t? ZZZ th? hi?n l? do i?u ch?nh, ?nh s? t? 001 ?n 999.3. X?y d?ng chuy?n ? gi?m ?nh3.1. BHXH t?nh t?ng h?p c?c sai s?t trong qu? tr?nh gi?m ?nh, s? d?ng ch?c nng ghi nh?n l? do i?u ch?nh tr?n ph?n m?m Gi?m ?nh ? ? xu?t x?y d?ng v? m? h?a c?c chuy?n ? ch?a c? tr?n ph?n m?m.3.2. Trung t?m Gi?m ?nh BHYT v? Thanh to?n a tuy?n ki?m tra ? xu?t c?a BHXH t?nh, c?p nh?t c?c chuy?n ? ??c ph? duy?t ?p d?ng trong c?ng t?c gi?m ?nh v? th?ng b?o ? BHXH c?c t?nh th?c hi?n.Ch??ng VIT? CH?C TH?C HI?Ni?u 39. T? ch?c c?ng t?c gi?m ?nh b?o hi?m y t? t?i ?a ph??ngGi?m ?c BHXH t?nh cn c? s? l??ng, tr?nh ? c?a ng??i l?m c?ng t?c gi?m ?nh hi?n c? v? t?nh h?nh th?c ti?n t?i ?a ph??ng ? b? tr? ng??i l?m c?ng t?c gi?m ?nh v?o c?c b? ph?n ? th?c hi?n c?c nhi?m v? ch? y?u nh? sau:1. Qu?n l? h?p ?ng v? thanh to?n tr?c ti?p1.1. Ph?i h?p x?c ?nh c? s? y t? ? i?u ki?n kh?m b?nh, ch?a b?nh ban ?u v? ph?n b? th? ng k? kh?m b?nh, ch?a b?nh ban ?u;1.2. Th?m ?nh h? s?, i?u ki?n ?i v?i c? s? y t? l?n ?u k? h?p ?ng kh?m b?nh, ch?a b?nh BHYT; t? ch?c k? k?t h?p ?ng kh?m b?nh, ch?a b?nh BHYT h?ng nm, k? ph? l?c h?p ?ng b? sung trong nm; c?p nh?t, i?u ch?nh th?ng tin v? c? s? kh?m b?nh, ch?a b?nh BHYT;1.3. T? ch?c gi?m ?nh danh m?c d?ch v? k? thu?t ph? duy?t l?n ?u, ph? duy?t b? sung t?i c?c c? s? y t?;1.4. L?u tr? h?p ?ng v? ph? l?c h?p ?ng, c?c t?i li?u li?n quan ?n ph?m vi ho?t ?ng chuy?n m?n c?a c? s? kh?m b?nh, ch?a b?nh;1.5. Qu?n l? h? s? thanh to?n tr?c ti?p, g?i y?u c?u gi?m ?nh, duy?t ho?c y?u c?u th?c hi?n l?i vi?c gi?m ?nh h? s? thanh to?n tr?c ti?p;1.6. Gi?i quy?t ?n th? c?a c?c c? nh?n, t? ch?c li?n quan ?n vi?c t? ch?c th?c hi?n ch?nh s?ch BHYT.2. Ph?n t?ch d? li?u, th?ng k? t?ng h?p2.1. Khai th?c th?ng tin t? ph?n m?m Gi?m s?t, ph?n t?ch d? li?u t?ng h?p ? th?c hi?n c?c n?i dung theo h??ng d?n t?i i?m 4.4 kho?n 4 i?u 21 Quy tr?nh n?y;2.2. Theo d?i, h? tr? c?c c? s? kh?m b?nh, ch?a b?nh li?n th?ng d? li?u;2.3. ? xu?t t?m ?ng kinh ph?, thanh quy?t to?n chi kh?m b?nh, ch?a b?nh h?ng qu?;2.4. T?ng h?p, x?c ?nh t?ng m?c thanh to?n chi ph? kh?m b?nh, ch?a b?nh;2.5. X?y d?ng d? to?n, i?u ch?nh d? to?n chi kh?m b?nh, ch?a b?nh BHYT h?ng nm theo h??ng d?n c?a B?o hi?m x? h?i Vi?t Nam.3. Qu?n l? thu?c v? v?t t? y t?3.1. Ph?i h?p v?i S? Y t? v? c?c c? s? kh?m b?nh, ch?a b?nh t?ng h?p, x?y d?ng nhu c?u ?i v?i thu?c ?u th?u t?p trung c?p qu?c gia, thu?c thu?c danh m?c ??c ?p d?ng h?nh th?c ?m ph?n gi? quy ?nh t?i i?m a kho?n 3 i?u 77 Ngh? ?nh s? 63/2014/N-CP;3.2. Tham gia ?u th?u thu?c, mua s?m thu?c t?p trung c?p ?a ph??ng ho?c t?i c? s? kh?m b?nh, ch?a b?nh theo h??ng d?n c?a B?o hi?m x? h?i Vi?t Nam;3.3. Gi?m ?nh danh m?c thu?c, danh m?c v?t t? y t? s? d?ng t?i c? s? kh?m b?nh, ch?a b?nh;3.4. Gi?m ?nh gi? thanh to?n thu?c, v?t t? y t? t?i c?c c? s? kh?m b?nh, ch?a b?nh.4. Gi?m ?nh chuy?n ?4.1. X?y d?ng k? ho?ch, ? c??ng gi?m ?nh ?nh k? h?ng th?ng ho?c qu?;4.2. Ti?p nh?n c?c chuy?n ? do B?o hi?m x? h?i Vi?t Nam th?ng b?o; ph?n t?ch, ph?t hi?n v?n ? ? ?nh h??ng c?ng t?c gi?m ?nh; H??ng d?n, h? tr? chuy?n m?n c?c T?/nh?m gi?m ?nh t?i c? s? kh?m b?nh, ch?a b?nh;4.3. Qu?n l? th?ng tin, k?t qu? gi?m ?nh; ph?n t?ch, x?c ?nh n?i dung c?n t?p trung gi?m ?nh v? x? l? d? li?u tr?n ph?m vi to?n t?nh.5. T?/nh?m gi?m ?nh t?i c? s? kh?m b?nh, ch?a b?nh5.1. Ti?p nh?n h? s?, t?i li?u ph?c v? c?ng t?c gi?m ?nh;5.2. Th?c hi?n c?ng t?c gi?m ?nh theo quy ?nh t?i M?c 2 Ch??ng IV Quy tr?nh n?y;5.3. Gi?m ?nh c?c h? s? ? ngh? thanh to?n tr?c ti?p;5.4. Ph?i h?p v?i c? s? kh?m b?nh, ch?a b?nh gi?i quy?t v??ng m?c li?n quan ?n th? t?c, quy?n l?i c?a ng??i b?nh BHYT.i?u 40. T? ch?c th?c hi?n1. C?c ?n v? tr?c thu?c B?o hi?m x? h?i Vi?t Nam1.1. Ban Th?c hi?n ch?nh s?ch BHYT1.1.1. Ch? tr?, ph?i h?p v?i c?c ?n v? c? li?n quan h??ng d?n, ki?m tra vi?c th?c hi?n Quy tr?nh gi?m ?nh BHYT;1.1.2. Ph?i h?p th?m ?nh, x?y d?ng chuy?n ? gi?m ?nh;1.1.3. Ch? tr?, ph?i h?p v?i c?c V?, C?c c?a B? Y t? gi?i quy?t c?c v??ng m?c trong qu? tr?nh th?c hi?n gi?m ?nh gi?a c? quan BHXH v? c? s? kh?m b?nh, ch?a b?nh.1.2. Trung t?m Gi?m ?nh BHYT v? Thanh to?n a tuy?n1.2.1. Ch? tr? x?y d?ng chuy?n ? gi?m ?nh; ph?i h?p v?i c?c ?n v? c? li?n quan t? ch?c h??ng d?n, ki?m tra vi?c th?c hi?n Quy trinh gi?m ?nh BHYT;1.2.2. Qu?n l?, v?n h?nh, ph?t tri?n c?c ph?n m?m thu?c H? th?ng th?ng tin gi?m ?nh BHYT.1.3. Trung t?m C?ng ngh? th?ng tin1.3.1. Qu?n l? v? ?m b?o v? m?t k? thu?t ? duy tr? ho?t ?ng c?a H? th?ng th?ng tin gi?m ?nh BHYT;1.3.2. Ph?i h?p x?y d?ng, ph?t tri?n c?c ph?n m?m thu?c H? th?ng th?ng tin gi?m ?nh BHYT.1.4. Th? tr??ng c?c ?n v? li?n quan theo ch?c nng nhi?m v? ??c giao c? tr?ch nhi?m t? ch?c th?c hi?n Quy tr?nh gi?m ?nh BHYT.2. BHXH t?nh2.1. T? ch?c th?c hi?n Quy tr?nh gi?m ?nh BHYT t?i ?a ph??ng; ph?n c?ng c?c ph?ng, b? ph?n, c? nh?n th?c hi?n c?c nhi?m v? c? li?n quan v? ch?u tr?ch nhi?m v? k?t qu? c?ng t?c gi?m ?nh BHYT tr?n ?a b?n ??c giao qu?n l?;2.2. ?m b?o ?y ? ph??ng ti?n, i?u ki?n l?m vi?c, ch? ? cho c?n b? l?m c?ng t?c gi?m ?nh theo quy ?nh;2.3. Th?c hi?n vi?c ph?n c?p th?c hi?n c?ng t?c gi?m ?nh, quy?t to?n, thanh to?n chi ph? kh?m b?nh, ch?a b?nh BHYT theo quy ?nh c?a B?o hi?m x? h?i Vi?t Nam;2.4. B?o c?o ?y ?, ch?nh x?c c?c n?i dung y?u c?u ki?m tra, gi?m ?nh c?a B?o hi?m x? h?i Vi?t Nam theo th?i h?n c? th? nh? sau:2.4.1. ?i v?i chuy?n ? gi?m ?nh: c?p nh?t chi ti?t k?t qu? gi?m ?nh tr?n ph?n m?m Gi?m ?nh; c?c tr??ng h?p kh?ng t? ch?i ph?i thuy?t minh chi ti?t k?t qu? gi?m ?nh, l? do ch?p nh?n v? cung c?p t?i li?u, th?ng tin theo y?u c?u v? th?i h?n c?a vn b?n th?ng b?o;2.4.2. ?i v?i c?c c?nh b?o l?m d?ng, tr?c l?i BHYT th?ng b?o b?ng vn b?n: t? ch?c ki?m tra tr?c ti?p t?i c? s? kh?m b?nh, ch?a b?nh ho?c n?i ng??i b?nh c? tr?, c?ng t?c; b?o c?o k?t qu? x?c minh v? ki?n ngh? c? quan c? th?m quy?n x? l? vi ph?m ch?m nh?t 15 ng?y k? t? ng?y nh?n ??c vn b?n; b?o c?o k?t qu? x? l? vi ph?m c?a c? quan c? th?m quy?n ?nh k? h?ng qu?;2.4.3. ?i v?i c?c c?nh b?o b?t th??ng trong kh?m b?nh, ch?a b?nh tr?n ph?n m?m Gi?m s?t: b?o c?o nguy?n nh?n, gi?i ph?p kh?c ph?c trong v?ng 30 ng?y k? t? ng?y c?p nh?t c?nh b?o tr?n ph?n m?m; B?o c?o k?t qu? ?nh k? h?ng qu?.2.5. K?p th?i b?o c?o, ? xu?t gi?i ph?p kh?c ph?c c?c kh? khn, v??ng m?c trong t? ch?c th?c hi?n Quy tr?nh gi?m ?nh BHYT;2.6. Th??ng xuy?n ph?i h?p v?i S? Y t? trong c?ng t?c qu?n l? kh?m b?nh, ch?a b?nh v? thanh to?n chi ph? BHYT; k?p th?i th?ng tin c?c tr??ng h?p c? s? kh?m b?nh, ch?a b?nh kh?ng ?m b?o ?y ? quy?n l?i c?a ng??i b?nh theo quy ?nh ho?c khi c? b?t th??ng trong kh?m b?nh, ch?a b?nh BHYT.2.7. Qu?n l?, khai th?c v? b?o ?m an to?n th?ng tin c? s? d? li?u kh?m b?nh, ch?a b?nh BHYT t?p trung t?i t?nh theo quy ?nh.3. BHXH huy?n: th?c hi?n c?ng t?c gi?m ?nh BHYT theo Quy tr?nh n?y khi ??c Gi?m ?c BHXH t?nh ph?n c?p theo quy ?nh c?a B?o hi?m x? h?i Vi?t Nam.i?u 41. i?u kho?n tham chi?uTr??ng h?p c?c vn b?n ??c d?n chi?u trong Quy tr?nh n?y ??c thay th?, s?a ?i, b? sung th? th?c hi?n theo vn b?n thay th?, s?a ?i, b? sung./.?M?U S? 01(Ban h?nh k?m theo Quy?t ?nh s?: 3618/Q-BHXH ng?y 12 th?ng 12 nm 2022 c?a T?ng Gi?m ?c B?o hi?m x? h?i Vi?t Nam)B?ng 1. Danh m?c khoa, ph?ng, b?n kh?m, gi??ng b?nhTTCh? ti?u?nh d?ngK?ch th??c t?i aDi?n gi?i1STTS?10S? th? t? ghi t? 1 ?n h?t2MA_LOAI_KCBS?1M? h?a lo?i kh?m b?nh, ch?a b?nh (1: kh?m b?nh, ch?a b?nh ngo?i tr?; 4: i?u tr? n?i tr?)3MA_KHOAChu?i15- MA_LOAI_KCB = 1: ghi m? t?ng chuy?n khoa kh?m b?nh (g?m m? chuy?n khoa v? m? khoa) theo Ph? l?c 02 Quy?t ?nh s? 7603/Q-BYT.- MA_LOAI_KCB = 4: ghi m? t?ng khoa i?u tr? n?i tr? theo Ph? l?c 05 Quy?t ?nh s? 5937/Q-BYT, tr??ng h?p m? khoa t?i c?c khoa li?n chuy?n khoa l?n h?n k?ch th??c t?i a: ghi 01 m? khoa c?a chuy?n khoa c? m?c gi? ng?y gi??ng n?i khoa th?p nh?t.4TEN_KHOAChu?i100Ghi t?n khoa theo quy?t ?nh ??c c?p c? th?m quy?n ph? duy?t5BAN_KHAMS?3- MA_LOAI_KCB = 1 ghi s? b?n kh?m c?a t?ng chuy?n khoa- MA_LOAI_KCB = 4 ghi s? b?n kh?m t?i khoa i?u tr? n?i tr? (n?u c?)6GIUONG_PDS?5S? gi??ng b?nh ??c ph? duy?t7GIUONG_2015S?5S? gi??ng b?nh th?c t? s? d?ng nm 20158GIUONG_TKS?5T?ng s? gi??ng th?c k?9GIUONG_HSTCS?3S? gi??ng ? i?u ki?n thanh to?n gi??ng h?i s?c t?ch c?c10GIUONG_HSCCS?3S? gi??ng ? i?u ki?n thanh to?n gi??ng h?i s?c c?p c?u11LDLKS?1Ghi 1: c? li?n doanh, li?n k?t; 2: kh?ng li?n doanh, li?n k?t12LIEN_KHOAChu?i100Ch? ghi trong tr??ng h?p m? khoa l?n h?n k?ch th??c t?i a: ghi l?n l??t m? c?c chuy?n khoa theo quy ?nh t?i Ph? l?c 05 Quy?t ?nh s? 5937/Q-BYT.B?ng 2. Danh m?c ng??i h?nh ngh?TTCh? ti?u?nh d?ngK?ch th??c t?i aDi?n gi?i1STTS?10S? th? t? ghi t? 1 ?n h?t2MA_LOAI_KCBS?1M? h?a lo?i kh?m b?nh, ch?a b?nh (1: kh?m b?nh, ch?a b?nh ngo?i tr?; 4: i?u tr? n?i tr?)3MA_KHOAChu?i20- MA_LOAI_KCB = 1 ghi m? chuy?n khoa kh?m b?nh (g?m m? chuy?n khoa v? m? khoa) theo Ph? l?c 02 Quy?t ?nh s? 7603/Q-BYT- MA_LOAI_KCB = 4 ghi m? khoa i?u tr? n?i tr? theo Ph? l?c 05 Quy?t ?nh s? 5937/Q-BYTTr??ng h?p ??c ph?n c?ng l?m vi?c t?i nhi?u khoa ghi c?c m? khoa c?ch nhau b?i d?u ch?m ph?y  ; 4TEN_KHOAChu?i100Ghi t?n khoa theo quy?t ?nh ??c c?p c? th?m quy?n ph? duy?t5MA_BHXHChu?i10Ghi m? s? BHXH c?a ng??i h?nh ngh?, g?m 10 k? t? s?.6HO_TENChu?i100H? v? t?n ng??i h?nh ngh?7GIOI_TINHS?11: Nam, 2: N?8CHUCDANH_NNChu?i5M? h?a ch?c danh ngh? nghi?p (1: B?c s); 2: Y s); 3: i?u d??ng; 4: H? sinh; 5: K? thu?t vi?n; 6: C? nh?n X-quang; 7: D??c s) ?i h?c; 8: D??c s) trung c?p)9VI_TRIChu?i1M? h?a v? tr? (1: ng??i ch?u tr?ch nhi?m chuy?n m?n; 2: Tr??ng khoa; 3: ng??i ch?u tr?ch nhi?m chuy?n m?n ki?m Tr??ng khoa)10MACCHNChu?i30S?, k? hi?u c?a ch?ng ch? h?nh ngh?11NGAYCAP_CCHNChu?i8Ng?y c?p ch?ng ch? h?nh ngh?, ghi ?nh d?ng 8 k? t? (4 k? t? nm + 2 k? t? th?ng + 2 k? t? ng?y). V? d?: ng?y 13 th?ng 11 nm 2020 ghi l? 20201113.12NOICAP_CCHNChu?i50Ghi t?n c? quan c?p ch?ng ch? h?nh ngh?13PHAMVI_CMChu?i15M? ph?m vi ho?t ?ng chuy?n m?n ghi theo s? th? t? c?c chuy?n khoa quy ?nh trong Th?ng t? s? 43/2013/TT-BYT (tham chi?u B?ng 7). Tr??ng h?p c? nhi?u ph?m vi ho?t ?ng chuy?n m?n ghi c?c m? c?ch nhau b?ng d?u ch?m ph?y  ; 14PHAMVI_CMBSChu?i50Ghi ng?y v? s?, k? hi?u c?a quy?t ?nh b? sung ph?m vi ho?t ?ng chuy?n m?n theo ?nh d?ng YYYYMMDD_Z (trong ? YYYMMDD l? 4 k? t? nm + 2 k? t? th?ng + 2 k? t? ng?y, Z l? s?, k? hi?u c?a quy?t ?nh). Tr??ng h?p c? nhi?u quy?t ?nh b? sung ghi c?ch nhau b?ng d?u ch?m ph?y ";"15DVKT_KHACChu?i500Ghi m? DVKT ??c ph?n c?ng th?c hi?n ngo?i ph?m vi ho?t ?ng chuy?n m?n ghi tr?n ch?ng ch? h?nh ngh? v? quy?t ?nh b? sung ph?m vi ho?t chuy?n m?n, ghi 07 k? t? ?u c?a m? d?ch v? k? thu?t t?i Ph? l?c 1 Quy?t ?nh s? 7603/Q-BYT. Tr??ng h?p th?c hi?n nhi?u DVKT ghi c?c m? c?ch nhau b?ng d?u ch?m ph?y ";"16VB_PHANCONGChu?i50Ghi ng?y v? s?, k? hi?u c?a vn b?n ph?n c?ng th?c hi?n DVKT ngo?i ph?m vi ho?t ?ng chuy?n m?n tr?n ch?ng ch? h?nh ngh? v? quy?t ?nh b? sung ph?m vi ho?t chuy?n m?n theo ?nh d?ng YYYYMMDD_Z (trong ? YYYMMDD l? 4 k? t? nm + 2 k? t? th?ng + 2 k? t? ng?y, Z l? s?, k? hi?u c?a vn b?n). Tr??ng h?p c? nhi?u quy?t ?nh ph?n c?ng th? c?c quy?t ?nh c?ch nhau b?i d?u ch?m ph?y ";"17THOIGIAN_DKS?1M? h?a th?i gian ng k? h?nh ngh? (1: to?n th?i gian; 2: b?n th?i gian)18THOIGIAN_NGAYChu?i200- Th?i gian l?m vi?c ghi theo ?nh d?ng: HHMM-HHMM (HH l? gi?, MM l? ph?t). V? d?: l?m vi?c t? 8 gi? ?n 12 gi? th? ghi "0800-1200"- Tr??ng h?p th?i gian l?m vi?c c?a c?c ng?y trong tu?n kh?c nhau ho?c c?c kho?ng th?i gian l?m vi?c kh?ng li?n t?c trong ng?y th? ghi l?n l??t t?ng kho?ng th?i gian l?m vi?c c?a t?ng ng?y. V? d?: th? 2 l?m vi?c t? 8 gi? ?n 15 gi?, th? 3 l?m vi?c t? 7 gi? ?n 11 gi?, th? 4 l?m vi?c t? 8 gi? ?n 11 gi? v? t? 14 gi? ?n 17 gi? th? ghi l? "T20800- 1500;T30700-1100;T40800-1100;T41400-1700"19THOIGIAN_TUANChu?i10- Ng?y l?m vi?c trong tu?n ??c m? h?a g?m 02 k? t? l? ch? "T" v? s? t??ng ?ng, ri?ng Ch? nh?t l? "CN"V? d?: ch? l?m vi?c c?c ng?y th? 2, th? 3, th? 5 th? ghi "T2T3T5"20CSKCB_KHACChu?i30Ghi m? c?c c? s? KCB kh?c n?i ng??i h?nh ngh? ng k? l?m vi?c (n?u c?), c?c m? c? s? KCB c?ch nhau b?ng d?u ch?m ph?y ";"21CSKCB_CGKTChu?i5Ghi m? c? s? KCB chuy?n giao d?ch v? k? thu?t (n?u c?)22QD_CGKTChu?i50Ghi ng?y v? s?, k? hi?u c?a quy?t ?nh c? ng??i h?nh ngh? i h? tr? tuy?n d??i theo ?nh d?ng YYYYMMDD_Z (trong ? YYYMMDD l? 4 k? t? nm + 2 k? t? th?ng + 2 k? t? ng?y, Z l? s?, k? hi?u quy?t ?nh)B?ng 3. Danh m?c thu?cTTCh? ti?u?nh d?ngK?ch th??c t?i aDi?n gi?i1STTS?6S? th? t? ghi t? 1 ?n h?t2MA_THUOCChu?i255- Ghi m? ho?t ch?t theo quy ?nh t?i B? m? danh m?c d?ng chung do B? Y t? ban h?nh- Chi ph? bao b? cho thu?c thang: ghi BB.XXXXX, trong ? XXXXX l? m? c? s? KCB n?i ?ng g?i thu?c thang- ?i v?i thu?c do c? s? KCB t? b?o ch?, pha ch?: ghi m? thu?c g?m m? c?c ho?t ch?t/th?nh ph?n, c?ch nhau b?ng d?u c?ng "+"- M? thu?c c?a v? thu?c bao g?m m? ho?t ch?t v? m? ph??ng ph?p b?o ch? c?ch nhau b?ng d?u ch?m (.); m? ph??ng ph?p b?o ch? (C0: ch?a s? ch?; S1: s? ch? d?ng Ng?m, ?, r?a, ph?i, s?y; S2: s? ch? d?ng Th?i phi?n; P1: ph?c ch? d?ng Sao v?ng; P2: ph?c ch? d?ng Sao en; P3: ph?c ch? d?ng Ch?ch r??u, gi?m, mu?i g?ng, cam th?o, m?t ong...; K0: ph??ng ph?p kh?c), v? d?: C? nh? n?i ch? bi?n b?ng ph??ng ph?p sao en th? m? thu?c ghi l? 05V.228.P23TEN_HOAT_CHATChu?i1024- T?n ho?t ch?t ghi theo k?t qu? tr?ng th?u- ?i v?i c?c thu?c t? pha ch? nhi?u th?nh ph?n: ghi l?n l??t t?ng t?n ho?t ch?t, gi?a c?c ho?t ch?t c?ch nhau b?ng d?u c?ng "+"- ?i v?i thu?c ?ng y, thu?c t? d??c li?u do c? s? KCB t? b?o ch?: ghi t?n c?c th?nh ph?n, c?ch nhau b?ng d?u ph?y ","4TEN_THUOCChu?i1024- T?n thu?c ghi theo k?t qu? tr?ng th?u- ?i v?i thu?c do c? s? KCB t? b?o ch?, pha ch?: ghi t?n thu?c do c? s? KCB ?t5DON_VI_TINHChu?i50?n v? t?nh ghi theo k?t qu? tr?ng th?u6HAM_LUONGChu?i1024- H?m l??ng ghi theo k?t qu? tr?ng th?u- ?i v?i thu?c do c? s? KCB t? b?o ch?, pha ch?: ghi h?m l??ng c?a c?c ho?t ch?t/th?nh ph?n, c?ch nhau b?ng d?u c?ng "+"7DUONG_DUNGChu?i255??ng d?ng ghi theo k?t qu? tr?ng th?u ho?c ??ng d?ng c?a thu?c t? pha ch?, b?o ch?8MA_DUONG_DUNGChu?i10M? ??ng d?ng ghi theo quy ?nh t?i B? m? danh m?c d?ng chung do B? Y t? ban h?nh9DANG_BAO_CHEChu?i1024D?ng b?o ch? ghi theo k?t qu? tr?ng th?u ho?c theo th?ng tin c?a thu?c t? pha ch?, b?o ch?10SO_DANG_KYChu?i255- S? ng k? ho?c s? gi?y ph?p l?u h?nh c?a thu?c, ghi theo k?t qu? tr?ng th?u- ?i v?i thu?c t? b?o ch?, pha ch?, ch? bi?n: m? h?a theo ch? c?i  TD (t?n d??c) ho?c "CP" (ch? ph?m), m? c?a c? s? KCB, hai k? t? cu?i c?a nm ban h?nh v? s? th? t? c?a thu?c trong danh m?c thu?c t? b?o ch? do th? tr??ng c? s? KCB ban h?nh, c?ch nhau b?ng d?u ch?m "."11SO_LUONGS?10S? l??ng ghi theo k?t qu? tr?ng th?u12DON_GIAS?15?n gi? ghi theo k?t qu? tr?ng th?u13DON_GIA_BHS?10?n gi? thanh to?n BHYT14QUY_CACHChu?i500Quy c?ch ?ng g?i, ghi theo k?t qu? tr?ng th?u ho?c theo th?ng tin c?a thu?c t? pha ch?, b?o ch?15NHA_SXChu?i1024Nh? s?n xu?t ghi theo k?t qu? tr?ng th?u16NUOC_SXChu?i100N??c s?n xu?t ghi theo k?t qu? tr?ng th?u17NHA_THAUChu?i1024T?n nh? th?u ghi theo k?t qu? tr?ng th?u18TT_THAUChu?i50- Ghi th?ng tin th?u c?a thu?c g?m: S? quy?t ?nh, g?i th?u, nh?m th?u, nm c?ng b? quy?t ?nh tr?ng th?u, m? ?n v? ban h?nh quy?t ?nh (?n v? ban h?nh quy?t ?nh tr?ng th?u l? TTMSTT qu?c gia ghi m? 00; tr??ng h?p c?c t?nh/tp ?u th?u t?p trung th? ghi m? t?nh/tp; tr??ng h?p c? s? KCB ?u th?u th? ghi m? c? s? KCB).- Tr??ng h?p thu?c t? b?o ch?, pha ch?: s? quy?t ?nh tr?ng th?u ghi s? vn b?n g?i c? quan BHXH, nm ban h?nh quy?t ?nh ghi nm ban h?nh vn b?n19TU_NGAYChu?i8Th?i i?m c? hi?u l?c tr?n h?p ?ng cung ?ng, ?nh d?ng 8 k? t? (4 k? t? nm + 2 k? t? th?ng + 2 k? t? ng?y). V? d? ng?y 01 th?ng 1 nm 2021 ghi l? 2021010120DEN_NGAYChu?i8Th?i i?m h?t hi?u l?c tr?n h?p ?ng cung ?ng, ?nh d?ng 8 k? t? (4 k? t? nm + 2 k? t? th?ng + 2 k? t? ng?y). V? d? ng?y 31 th?ng 12 nm 2021 ghi l? 2021123121MA_CSKCBChu?i5Ghi m? c? s? KCB22LOAI_THUOCS?1M? h?a lo?i thu?c (1: t?n d??c; 2: ch? ph?m; 3: v? thu?c; 4: ph?ng x?; 5: t?n d??c t? b?o ch?; 6: ch? ph?m t? b?o ch?)23LOAI_THAUS?1M? h?a lo?i th?u (1: th?u t?p trung; 2: th?u ri?ng t?i c? s? KCB; 3: t? pha ch?, b?o ch?, ch? bi?n; 4: mua s?m theo k?t qu? tr?ng th?u ?n v? kh?c)24HT_THAUS?1M? h?a h?nh th?c ?u th?u (1: ?u th?u r?ng r?i, 2: ?u th?u h?n ch?; 3: ch? ?nh th?u; 4: ch?o h?nh c?nh tranh; 5: mua s?m tr?c ti?p; 6: kh?c)25MA_DVKTChu?i500M? DVKT c? s? d?ng thu?c ph?ng x?, ch?t ?nh d?u, thu?c v??t h?ng. Ghi 07 k? t? ?u c?a m? DVKT t?i Ph? l?c 1 Quy?t ?nh s? 7603/Q-BYT. Tr??ng h?p th?c hi?n nhi?u DVKT ghi c?c m? c?ch nhau b?ng d?u ch?m ph?y ";"26TCCLChu?i50Ti?u chu?n ch?t l??ng27BO_PHAN_VTS?1M? h?a b? ph?n s? d?ng c?a v? thu?c, d??c li?u (1: r?; 2: th?n r?; 3: qu?; 4: h?t; 5: v?; 6: kh?c)28TEN_KHOA_HOCChu?i500T?n khoa h?c ghi theo k?t qu? tr?ng th?u ?i v?i v? thu?c, d??c li?u29NGUON_GOCChu?i500Ngu?n g?c ghi theo k?t qu? tr?ng th?u ?i v?i v? thu?c, d??c li?u30PP_CHEBIENChu?i1000Ghi l?n l??t t?n c?c ph??ng ph?p ch? bi?n v? thu?c, c?ch nhau b?ng d?u ch?m ph?y  ; V? d?: c? s? KCB nh?p d??c li?u d?ng ch?a s? ch? v? ch? bi?n b?ng ph??ng ph?p sao v?ng, ghi l? "Sao v?ng"31MA_DL_NHAPS?3M? h?a t?nh tr?ng d??c li?u khi mua s?m (C0: ch?a s? ch?, S1: s? ch? d?ng Ng?m, ?, r?a, ph?i, s?y; S2: s? ch? d?ng Th?i phi?n; P1: ph?c ch? d?ng Sao v?ng; P2: ph?c ch? d?ng Sao en; P3: ph?c ch? d?ng Ch?ch r??u, gi?m, mu?i g?ng, cam th?o, m?t ong...; K0: ph??ng ph?p kh?c)32MA_DL_CBS?3M? h?a t?nh tr?ng d??c li?u ??c c? s? KCB tr?c ti?p ch? bi?n (S1: s? ch? d?ng Ng?m, ?, r?a, ph?i, s?y; S2: s? ch? d?ng Th?i phi?n; P1: ph?c ch? d?ng Sao v?ng; P2: ph?c ch? d?ng Sao en; P3: ph?c ch? d?ng Ch?ch r??u, gi?m, mu?i g?ng, cam th?o, m?t ong...; K0: ph??ng ph?p kh?c); tr??ng h?p c? s? KCB kh?ng ch? bi?n v? thu?c: b? tr?ng33TLHH_CBS?4T? l? hao h?t trong ch? bi?n ?i v?i v? thu?c, d??c li?u34TLHH_BQS?4T? l? hao h?t do b?o qu?n, c?n chia ?i v?i v? thu?c, d??c li?uB?ng 4. Danh m?c v?t t? y t?TTCh? ti?u?nh d?ngK?ch th??c t?i aDi?n gi?i1STTS?10S? th? t? ghi t? 1 ?n h?t2MA_VAT_TUChu?i50M? VTYT theo quy ?nh t?i Quy?t ?nh s? 5086/Q-BYT3NHOM_VAT_TUChu?i1024T?n nh?m VTYT ghi theo c?t t?n nh?m, lo?i VTYT t?i Ph? l?c 01 c?a Th?ng t? 04/TT-BYT4TEN_ VAT_TUChu?i1024- T?n th??ng m?i ghi theo k?t qu? tr?ng th?u- ?i v?i VTYT do c? s? KCB t? s?n xu?t: ghi t?n VTYT do c? s? KCB ?t5MA_HIEUChu?i50M? hi?u ghi theo k?t qu? tr?ng th?u6QUY_CACHChu?i1024Quy c?ch ?ng g?i ghi theo k?t qu? tr?ng th?u ho?c th?ng tin c?a VTYT t? s?n xu?t7HANG_SXChu?i1024- T?n h?ng s?n xu?t ghi theo k?t qu? tr?ng th?u- ?i v?i VTYT mua s?m theo "b?" v? kh?ng c? gi? ri?ng c?a t?ng b? ph?n: ghi t?n h?ng ?ng g?i cu?i c?ng c?a "b?".8NUOC_SXChu?i100- T?n n??c s?n xu?t ghi theo k?t qu? tr?ng th?u- ?i v?i VTYT mua s?m theo "b?" v? kh?ng c? gi? ri?ng c?a t?ng b? ph?n: ghi t?n n??c ?ng g?i cu?i c?ng c?a "b?"9DON_VI_TINHChu?i50?n v? t?nh ghi theo k?t qu? tr?ng th?u10DON_GIAS?10?n gi? theo k?t qu? tr?ng th?u11DON_GIA_BHS?10?n gi? thanh to?n BHYT12TYLE_TT_BHS?3T? l? thanh to?n BHYT ?i v?i VTYT c? quy ?nh t? l? (%), bi?u th? b?ng s? nguy?n d??ng. V? d?: t? l? thanh to?n c?a VTYT l? 50% th? ghi l? 50, VTYT kh?ng quy ?nh t? l? thanh to?n th? ghi 10013SO_LUONGS?10S? l??ng ghi theo k?t qu? tr?ng th?u14DINH_MUCS?2Ghi ?nh m?c s? d?ng cho t?ng lo?i VTYT (n?u c?). V? d?: qu? l?c th?n nh?n t?o s? d?ng 06 l?n th? ghi l? 615NHA_THAUChu?i1024T?n nh? th?u ghi theo k?t qu? tr?ng th?u16TT_THAUChu?i50- Ghi th?ng tin th?u c?a VTYT g?m: S? quy?t ?nh, g?i th?u, nh?m th?u, nm c?ng b? quy?t ?nh tr?ng th?u, m? ?n v? ban h?nh quy?t ?nh, nm c?ng b? quy?t ?nh (?n v? ban h?nh quy?t ?nh tr?ng th?u l? TTMSTT qu?c gia ghi m? 00; tr??ng h?p c?c t?nh/tp ?u th?u t?p trung th? ghi m? t?nh/tp; tr??ng h?p c? s? KCB ?u th?u th? ghi m? c? s? KCB).- Tr??ng h?p VTYT t? s?n xu?t: s? quy?t ?nh tr?ng th?u ghi s? vn b?n g?i c? quan BHXH, nm ban h?nh quy?t ?nh ghi nm ban h?nh vn b?n.17TU_NGAYChu?i8Th?i i?m c? hi?u l?c tr?n h?p ?ng cung ?ng, ?nh d?ng 8 k? t? (4 k? t? nm + 2 k? t? th?ng + 2 k? t? ng?y). V? d? ng?y 01 th?ng 1 nm 2021 ghi l? 2021010118DEN_NGAYChu?i8Th?i i?m h?t hi?u l?c tr?n h?p ?ng cung ?ng, ?nh d?ng 8 k? t? (4 k? t? nm + 2 k? t? th?ng + 2 k? t? ng?y). V? d? ng?y 31 th?ng 12 nm 2021 ghi l? 2021123119MA_CSKCBChu?i5Ghi m? c? s? KCB20LOAI_THAUS?1M? h?a lo?i th?u (1: th?u t?p trung; 2: th?u ri?ng t?i c? s? KCB; 3: t? s?n xu?t; 4: mua s?m theo k?t qu? tr?ng th?u ?n v? kh?c)21HT_THAUS?1M? h?a h?nh th?c ?u th?u (1: ?u th?u r?ng r?i, 2: ?u th?u h?n ch?; 3: ch? ?nh th?u; 4: ch?o h?nh c?nh tranh; 5: mua s?m tr?c ti?p; 6: kh?c)B?ng 5. Danh m?c d?ch v? k? thu?tTTCh? ti?u?nh d?ngK?ch th??c t?i aDi?n gi?i1STTS?6S? th? t? ghi t? 1 ?n h?t2MA_DICH_VUChu?i20Ghi m? DVKT theo quy ?nh t?i B? m? danh m?c d?ng chung do B? Y t? ban h?nh. Tr??ng h?p ?c bi?t theo h??ng d?n c?a B? Y t?, BHXH Vi?t Nam.3TEN_ DICH_VUChu?i1024T?n DVKT ??c c?p c? th?m quy?n ph? duy?t th?c hi?n ho?c lo?i gi??ng b?nh c?a c? s? KCB4DON_GIAS?15Ghi ?n gi? theo quy ?nh c?a B? Y t?5QUY_TRINHChu?i50Ghi ng?y v? s?, k? hi?u c?a quy?t ?nh ban h?nh Quy tr?nh chuy?n m?n k? thu?t theo ?nh d?ng YYYYMMDD_Z (trong ? YYYYMMDD l? 4 k? t? nm + 2 k? t? th?ng + 2 k? t? ng?y, Z l? s?, k? hi?u c?a quy?t ?nh)6CSKCB_CGKTChu?i5M? c? s? KCB chuy?n giao DVKT (n?u c?)7CSKCB_CLSChu?i5M? c? s? KCB th?c hi?n d?ch v? c?n l?m s?ng (n?u c?)B?ng 6. Danh m?c thi?t b? y t?TTCh? ti?u?nh d?ngK?ch th??c t?i aDi?n gi?i1STTS?10S? th? t? ghi t? 1 ?n h?t2TEN_TBChu?i500T?n thi?t b?3KY_HIEUChu?i500Model c?a thi?t b?4CONGTY_SXChu?i500C?ng ty s?n xu?t5NUOC_SXChu?i500N??c s?n xu?t6NAM_SXS?4Nm s?n xu?t7NAM_SDS?4Nm b?t ?u ?a v?o s? d?ng8MA_MAYChu?i20M? m?y ghi theo h??ng d?n t?i B?ng 4 Quy?t ?nh s? 4210/Q-BYT. M? m?y th?c hi?n d?ch v? c?n l?m s?ng, ph?u thu?t, th? thu?t (m?y x?t nghi?m, m?y XQuang, m?y si?u ?m...), theo ?nh d?ng: XX.n.YYYYY.Z, trong ?:- XX: M? nh?m m?y. V? d?: m?y x?t nghi?m Huy?t h?c ghi m? "HH"; vi sinh ghi m? "VS"; sinh h?a ghi m? "SH"; si?u ?m ghi m? "SA"; Xquang ghi m? "XQ"; ch?p c?t l?p vi t?nh ghi m? "CL"; ch?p MRI ghi m? "MRI";...- n: k? hi?u c?a ngu?n kinh ph? mua m?y (1: ng?n s?ch nh? n??c, 2: x? h?i h?a, 3: kh?c)- YYYYY: M? c? s? kh?m b?nh, ch?a b?nh- ZZZZZZ: s? serial c?a m?y ghi to?n b? ph?n ch? v? s?9SO_LUU_HANHChu?i20S? l?u h?nh c?a trang thi?t b? y t? theo quy ?nh t?i Ngh? ?nh s? 98/2021/N-CP.10HD_TUChu?i8Th?i i?m c? hi?u l?c tr?n h?p ?ng ?i v?i c?c m?y, trang thi?t b? y t? c? h?p ?ng li?n doanh, li?n k?t ho?c thu?, ?nh d?ng 8 k? t? (4 k? t? nm + 2 k? t? th?ng + 2 k? t? ng?y). V? d? ng?y 01 th?ng 01 nm 2021 ghi l? 2021010111HD_DENChu?i8Th?i i?m h?t hi?u l?c tr?n h?p ?ng ?i v?i c?c m?y, trang thi?t b? y t? c? h?p ?ng li?n doanh, li?n k?t ho?c thu?, ?nh d?ng 8 k? t? (4 k? t? nm + 2 k? t? th?ng + 2 k? t? ng?y). V? d? ng?y 31 th?ng 12 nm 2021 ghi l? 20211231B?ng 7. M? ph?m vi ho?t ?ng chuy?n m?nSTTT?n chuy?n khoaM? ph?m vi1H?i s?c c?p c?u v? 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