The reporter learned from the Ministry of Finance on the 10th that in order to meet the needs of the development of medical and health services and the reform of the medical and health system, the Ministry of Finance recently issued a "Measures for the Administration of the Use of Medical Bills," which clearly stipulates that bill management for medical bills will be incorporated into financial bills from next year. Management system to achieve full supervision.

It is reported that the Measures for the Administration of the Use of Medical Bills Means will be implemented starting from January 1, 2013. The Measures clarified the types, contents, and scope of application of medical fee-collection bills, unified the pattern of medical fee-charging bills, anti-counterfeit measures, and supervisory stamps, and standardized the printing, issuance, use, storage, verification, destruction, and inspection of medical bills. Management, etc., clearly proposed that the management of medical fee bills be incorporated into the financial bill management information system and that supervision be conducted throughout the process.

The relevant person in charge of the Ministry of Finance stated that the introduction of this measure will help strengthen supervision and inspection of medical income, effectively prevent and treat false medical bills, and standardize medical charges, and will play an active role in deepening the reform of the medical and health system and promoting the healthy development of medical and health services. The role.

The following is the full text:

Measures for the Administration of the Use of Medical Bills in Charge Chapter 1 General Provisions Article 1 In order to meet the needs of the development of medical and health services and the reform of the medical and health system, the management of the use of medical bills is strengthened, the supervision and inspection of medical income is strengthened, the prevention and treatment of false medical bills, and the standardization of medical charges The present Measures are formulated in accordance with the "Opinions of the CPC Central Committee and State Council on Deepening the Reform of the Medical and Health Care System" (Zhongfa [2009] No. 6) and the relevant provisions of the state's financial, accounting, and financial management systems for medical and health institutions.

Article 2 These Measures shall apply to the printing, procurement, issuance, use, storage, verification, destruction, inspection and other activities of medical bills.

Article 3 The term "medical bills for payment" as used in these Measures refers to the collection voucher issued by a non-profit medical and health institution (hereinafter referred to as a medical institution) for providing medical services for out-patient, emergency, first-aid, inpatient, and physical examination patients and obtaining medical income.

The medical institutions mentioned in these Measures include public medical and health institutions and other non-profit medical institutions. Public health institutions refer to public hospitals of various types and counties that are independently accounted for at various levels and government-run primary health care institutions. Among them, public hospitals include general hospitals, Chinese medicine hospitals, specialist hospitals, out-patient departments (hospitals), nursing homes, and emergency medical centers and emergency centers, maternal and child health hospitals (stations, stations), and other public health institutions; Medical and health institutions include government-run urban community health service agencies and township health centers. Other non-profit medical institutions refer to non-profit medical institutions run by enterprises, institutions, social organizations, and other social organizations, and village-level health centers that implement integrated management of rural health services.

Article 4 Medical bills are the original vouchers of accounting, and are the basis for supervision and inspection by departments such as finance, health, social security, auditing, and supervision.

Medical bills for payment are valid vouchers for applying for reimbursement of medical expenses in accordance with relevant state regulations.

Article 5 The financial department of the people's government at all levels (hereinafter referred to as the financial department) is the department in charge of medical bill collection. It is responsible for the printing, issuance, custody, verification and verification of medical bills in accordance with the division of functions and administrative authority.

The health departments of the people's governments at various levels (hereinafter referred to as the health departments) are the administrative departments of medical institutions and are responsible for guiding and supervising the standardized use of medical bills by medical institutions in accordance with the functions of division of labor and administrative authority.

The financial department of each medical institution is the functional department for the management of medical bills within the unit. It is responsible for the application, storage, use, and cancellation of the medical bills of the unit, and strengthens the management of internal bills in medical institutions.

Article 6 Financial departments at all levels shall incorporate the printing, issuing (buying), custody, use, verification, destruction, auditing, and charging information of medical bills into the financial bill management information system, and implement follow-up supervision throughout the entire process. Electronic information management of bills.

Chapter II Types, Contents, and Application Scope of Medical Bills Article 7 The medical bills include outpatient bills and inpatient bills. The financial departments of the people's governments of provinces, autonomous regions, and municipalities directly under the Central Government (hereinafter referred to as the provincial-level financial departments) may increase the types of medical fee bills as needed, and report them to the Ministry of Finance for the record.

Article 8 The medical bills shall generally be set up as triplets, including stubs, receipts, and account booklets, and each of them shall be distinguished by different colors. The provincial finance department can determine the specific link according to the management needs.

The specifications and styles of medical bills are uniformly formulated by the Ministry of Health, Commerce and Industry.

Article 9 The basic contents of outpatient bills include bill names, bill codes, business serial numbers, hospital types, billing time, name, gender, types of medical insurance, medical insurance payment methods, social security numbers, items, amounts, totals, and medical insurance co-payments. Personal account payment, other medical insurance payment, own expense, collection unit, payee, etc.

The basic contents of inpatient bills include bill name, bill code, business serial number, hospital type, billing time, name, gender, medical insurance type, medical insurance payment method, social security number, item, amount, total, prepayment amount, and repayment amount. , Refund Amount, Medicare Co-ordination Payment, Personal Account Payment, Other Medicare Payment, Self-Payment, Receiving Unit, Payee, etc.

Article 10: Medical institutions that provide medical services for out-patient, emergency, first-aid, and physical examination patients to obtain the following medical income should use out-patient bills:

(a) the examination fee;

(b) inspection fees;

(c) testing fees;

(d) treatment fees;

(e) operating expenses;

(vi) Fees for sanitary materials;

(7) Drug fees, including Western medicine fees, herbal medicine fees, and proprietary Chinese medicines;

(8) Pharmaceutical service fees;

(9) General medical expenses;

(x) Other outpatient charges.

Outpatient emergency hospitals observe patients' charges for using outpatient bills.

Article 11 Medical institutions shall use inpatient bills for the following medical income obtained for the provision of medical services for inpatients:

(a) Bed charges;

(b) the examination fee;

(c) inspection fees;

(iv) Testing fees;

(e) treatment fees;

(f) operating expenses;

(7) Nursing fees;

(h) fees for sanitary materials;

(9) Drug fees, including Western medicine fees, herbal medicine fees, and proprietary Chinese medicines;

(x) Pharmaceutical service fees;

(11) General medical expenses;

(12) Other hospital charges.

Article 12 The outpatient bills and inpatient bills shall be used for the prescribed purposes and shall not be used in combination.

Article 13 The following income shall not use medical bills:

(i) Advance receipts such as hospital deposits, advance receipts, and treatment fees.

(b) Revenue from financial assistance. That is to say, medical institutions obtain subsidy income from the financial department.

(c) Higher level subsidy income. That is, the medical institutions receive subsidy income from the competent authority or higher level units.

(4) Income from science and education projects. That is to say, medical institutions receive subsidies for research and teaching projects, in addition to financial subsidies.

(e) Other income. That is, income from activities other than medical services and education projects. For example, training fees, rents, canteen fees, investment income, property assets overage, accept donations, etc.

Chapter III Printing, Purchase and Issuance of Medical Bills for Payment Article 14 The bills for medical charges shall be separately supervised (printed) by the State Council and the provincial financial department. The provincial finance department shall determine the printing enterprise in accordance with the relevant provisions of the government procurement of the country and sign the printing contract with it.

No unit or individual may forge or alter bills for medical charges, and may not store, carry, mail, transport or purchase forged or altered medical bills.

Article 15: Printing medical bills for medical treatment shall use anti-counterfeiting special paper, set up a unified national anti-counterfeiting label, and overprint the national uniform financial paper production supervision chapter.

No unit or individual may forge or use counterfeit articles for the provision of counterfeit financial instruments, labels, or fiscal notes.

Article 16 Medical bills collected shall be purchased by medical institutions with independent accounting and sound accounting systems to the financial department at the same level. The medical bills used by medical institutions outside Beijing are administered by the Ministry of Finance at the local provincial finance department.

No unit or individual may buy, sell, or sell privately purchased medical bills.

Article 17 The medical charge bills shall be subject to the voucher purchase and purchase quota system.

Article 18 When medical institutions apply for medical bills for the first time, they shall go through the “Treasury Purchase Certificate” in accordance with prescribed procedures. To handle the “Treasury Paper Purchase Certificate”, an application shall be submitted to the financial department at the same level, an application letter shall be submitted stating the type and scope of use of the purchased medical bill, and providing a copy of the corporate legal person certificate and organization code certificate and copying Medical materials issued by the Ministry of Health, such as the License for the Practice of Medical Institutions, and copies of the documents of charges approved by the competent authorities at the county level and above.

The financial department shall, in accordance with these Measures, review the application materials provided by the medical institutions, approve the applications that meet the management regulations for medical fee bills, apply for the "Treasury Paper Purchase Certificate," and issue medical bills; and Applications for administrative regulations will not be approved and will explain the reason for applying to a medical institution.

Article 19 When a medical institution purchases medical bills for payment again, it shall produce a “Treasury Bill Acquisition Certificate”, and submit instructions on the use of the medical bill collected from the previous purchase. After the financial department has verified the correctness, it may continue to purchase.

The description of the use of medical bills shall include the following contents: the purchase, use, invalidation, and balance of medical bills, and the income from medical fees obtained.

Article 20 The medical institutions shall issue limited-scale medical bills for purchase of medical fees, and the amount of purchases each time does not generally exceed the amount required by the unit for six months.

Article 21 When medical institutions purchase medical bills for medical charges, they may, in accordance with regulations, collect the fee for the work, and shall pay the financial department a fee for the financial bill.

Chapter IV Use and Management of Medical Fees Bills Article 22 Medical institutions shall strictly comply with the provisions of these Measures and the requirements of financial departments to use medical bills.

No unit or individual may use illegally acquired, obsolete or false medical bills; may not transfer, introduce, transfer, lend, open, falsely open, or destroy unauthorized medical bills; and may not use medical bills and other fiscal bills or tax invoices. Use each other.

Article 23 A medical institution that obtains outpatient medical income and inpatient medical income shall issue a medical fee bill to the paying party and affix its own financial seal or special seal for charging. Where a medical institution does not issue medical bills, the paying party has the right to refuse payment.

Article 24 When medical institutions issue medical bills for payment, they shall fill out all the times together and fill out the facts in a truthful manner. The contents shall be legible, the contents shall be complete and true, and the seals shall be complete. The content and amount of each link shall be the same. If you fill in the wrong form, you should fill it in separately. Documents cancelled due to errors, medical refunds, etc., shall be stamped with obsolete stamps or marked with the word "Voided." They shall be fully preserved and must not be destroyed privately.

Article 25 A medical institution shall establish a management system for medical fee collection notes, set up a management desk account, and designate a person to take charge of the purchase, registration, custody, and write-off of medical fee collection notes.

Article 26 Medical institutions shall properly keep medical bills charged, set up counters or special banks for bills, and do a good job of anti-theft, fire prevention, moisture prevention, flood prevention, explosion prevention, anti-corrosion, etc. of bill storage warehouses (special counters) to ensure the storage of medical bills Safety.

Article 27 When medical institutions use medical bills for payment, they shall check whether there are missing pages, wrong numbers, or damages, etc., and shall promptly return them to the financial department for disposal upon discovery.

Article 28 Loss of medical bills collected by medical institutions shall be declared as invalid on the media at or above the county level in a timely manner. The names of the lost bills, quantities, number segments, causes of loss, and media declaration information shall be submitted in writing to the original situation. The financial department of the issuance bill checks and handles.

Article 29 A medical institution shall properly keep the stubs of medical bills that have been issued, and the period for keeping stubs of the bills shall, in principle, be five years. If it is really difficult to save for five years, it should submit an application to the financial department that issued the original bill. After the financial department has reviewed it, it can destroy it in advance.

Article 30 The stubs of medical bills that need to be destroyed at the expiry of the preservation period and medical bills that have not yet been used but are to be destroyed shall be registered by the medical institutions, and shall be approved by the financial department of the original bills issued by the financial department. Organization destroyed.

Article 31 If a medical institution cancels, reorganizes or merges, it shall promptly go through the formalities for the change or cancellation of the "Financial Bill Acquisition Certificate," and register the stubs of medical bills that have been used and unused medical bills. The financial department that delivered the original issuance bill is unifiedly written off, transferred, or destroyed.

Article 32 The medical bills charged by the provincial finance department for supervision (printed) should be used in the administrative area, except for the case where the medical institutions in other provinces, autonomous regions, or municipalities that are stationed in the area are used in the dispatched areas.

Chapter V Supervision, Inspection and Legal Responsibility Article 33 The Ministry of Finance and the provincial finance department shall regularly supervise and inspect the performance of the medical fee bill printing enterprises.

Article 34 The financial and health departments at all levels shall, in light of actual conditions and management needs, conduct annual inspections or irregular special inspections of the procurement, use, and management of medical bills.

Article 35 The financial and health departments at all levels shall supervise and inspect the use and management of medical bills, and shall follow the stipulated procedures and requirements. They shall not abuse their power or engage in malpractice for personal gains, nor charge any fees to the investigated unit.

Article 36 A medical institution shall consciously accept the supervision and inspection of the use and management of medical bills collected by the departments of finance, health, social security, auditing, and supervision, truthfully reflect the situation, and provide information, and shall not conceal the situation, resort to fraud or refuse or hinder supervision and inspection.

Article 37 In case of procurement, use, or management of medical bills for payment in violation of the provisions of these Measures, the financial department shall order the medical institution to rectify within a specified time limit.

Article 38 If a unit or individual violates the provisions of these Measures, it shall be investigated for legal liabilities in accordance with the provisions of the State concerning the administration of financial instruments.

Chapter VI Supplementary Provisions Article 39 The provincial finance and public health departments shall, in accordance with the present Measures and in light of the actual conditions in the region, formulate specific implementation measures and submit them to the Ministry of Finance and the Ministry of Health for the record.

Article 40 The administrative measures for the use of medical fee bills of the Chinese People's Liberation Army and the Chinese People's Armed Police Force shall be formulated separately.

Article 41 The present Measures shall come into force on January 1, 2013.