GB/T 34411-2017 English PDFUS$439.00 · In stock
Delivery: <= 4 days. True-PDF full-copy in English will be manually translated and delivered via email. GB/T 34411-2017: Specification for audit of basic medical insurance benefits Status: Valid
Basic dataStandard ID: GB/T 34411-2017 (GB/T34411-2017)Description (Translated English): Specification for audit of basic medical insurance benefits Sector / Industry: National Standard (Recommended) Classification of Chinese Standard: A11 Classification of International Standard: 03.060 Word Count Estimation: 22,232 Date of Issue: 2017-10-14 Date of Implementation: 2018-05-01 Issuing agency(ies): General Administration of Quality Supervision, Inspection and Quarantine of the People's Republic of China, Standardization Administration of the People's Republic of China GB/T 34411-2017: Specification for audit of basic medical insurance benefits---This is a DRAFT version for illustration, not a final translation. Full copy of true-PDF in English version (including equations, symbols, images, flow-chart, tables, and figures etc.) will be manually/carefully translated upon your order.Specification for audit of basic medical insurance benefits ICS 03.060 A11 National Standards of People's Republic of China Basic medical insurance benefits audit business specifications 2017-10-14 Published 2018-05-01 implementation General Administration of Quality Supervision, Inspection and Quarantine of People's Republic of China China National Standardization Administration released Directory Preface Ⅰ Introduction Ⅱ 1 Scope 1 2 Normative references 1 3 Terms and definitions 1 4 basic principles 1 5 audit organization 2 6 audit content, type and method 2 7 audit procedures 3 8 audit results using 5 Appendix A (informative) basic medical insurance benefits audit major projects and content 6 Appendix B (informative) basic medical insurance benefits audit workflow 8 Appendix C (informative) instrument style 9 References 18 ForewordThis standard was drafted in accordance with the rules given in GB/T 1.1-2009. This standard is proposed by the Ministry of Human Resources and Social Security of the People's Republic of China. This standard by the National Social Security Standardization Technical Committee (SAC/TC474) centralized. This standard was drafted by the Ministry of Human Resources and Social Security Social Insurance Career Management Center, Shanghai Medical Insurance Inspection and Inspection Office, the day Tianjin Medical Insurance Supervision and Inspection Institute, Jiangsu Provincial Health Insurance Fund Management Center, Henan Province Social Health Insurance Center, Ningxia Hui Autonomous Region Social Insurance Administration, Hainan Haikou City Social Insurance Bureau, Guangyuan City, Sichuan Province Medical Insurance Authority, Shanghai Quality and Standards Standardization Institute. The main drafters of this standard.Xu Yanjun, Ji Guangxian, Liu Qing, Zhang Ming, Geng Tao, Zhao 螓 蛉, Miao Fang, Li Jiaxing, Yang Xiaodong, Zhou Jianchun, Zhou Guangyun, Zhang Guizhen, Li Hongying, Wu Lan, Bao Huijun, Zhou Lingjuan, Deng Yuhua, Cui Fa Jin, Shou Zhitao.IntroductionThe basic medical insurance treatment is to ensure that the audit of the implementation of the medical insurance policies accurately safeguard the legitimate rights and interests of insured to protect the medical insurance base Gold is an important means of safety and effective use. With the gradual perfection of the legal system of social insurance in our country, according to the requirements of building a service-oriented government, Establish and improve the basic social insurance insurance agencies at all levels of the audit of the medical standards for the operation of the business to ensure that social insurance agencies correct, there It is of great practical significance to carry out his duties and to improve the scientific management level of social insurance agencies. Basic medical insurance benefits audit business specifications1 ScopeThis standard specifies the basic principles of the basic medical insurance benefits audit business, audit organization, audit content, types and methods, audit procedures Order, use of audit results and other requirements. This standard applies to social insurance agencies or a separate set up by the social insurance audit oversight bodies to carry out the basic medical insurance benefits Nuclear business.2 Normative referencesThe following documents for the application of this document is essential. For dated references, only the dated version applies to this article Pieces. For undated references, the latest edition (including all amendments) applies to this document. Social insurance terms - Part 1. General Social insurance terms - Part 4. Medical insurance Social Insurance Business Records Management Practices GB/T 31599-20153 Terms and definitionsGB/T 31596.1-2015, GB/T 31596.4-2015 defined and the following terms and definitions apply to this document. 3.1 Basic medical insurance benefits basicmedicalinsurancebenefits The insured person receives the financial compensation for the physical objects and services in accordance with the provisions of the basic medical insurance. 3.2 Audit object auditobject Fixed-point medical institutions that provide services to insured persons, designated retail pharmacies, insured persons who enjoy basic medical insurance benefits, and other related Off units or individuals. Note. Other relevant units or individuals refer to non-designated medical institutions involved in providing medical services for the insured persons in the audit of the basic medical insurance benefits. Non-fixed-point Retail pharmacies and medical testing agencies, as well as individuals suspected of fraudulent use of medical insurance cards and drug trafficking.4 basic principles4.1 Compliance with the law According to the relevant laws, regulations, rules and other normative documents, follow the work rules. 4.2 objective and fair On the basis of fact, treating auditors fairly and justly and performing their duties properly. 4.3 clean and efficient Abide by the audit discipline, optimize workflow, improve work quality and efficiency. ......Tips & Frequently Asked Questions:Question 1: How long will the true-PDF of GB/T 34411-2017_English be delivered?Answer: Upon your order, we will start to translate GB/T 34411-2017_English as soon as possible, and keep you informed of the progress. The lead time is typically 2 ~ 4 working days. The lengthier the document the longer the lead time.Question 2: Can I share the purchased PDF of GB/T 34411-2017_English with my colleagues?Answer: Yes. 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