From March 1, payment for medical examination and treatment costs is revised.
Circular No. 50/2017/TT-BYT amending and supplementing regulations related to payment of medical examination and treatment costs of the Ministry of Health, effective from March 1, 2018, has amended a number of contents related to the guiding documents of the Ministry of Health.
The revised documents include: Hospital regulations, medical record forms, health sector statistical indicators system, granting of practice certificates to practitioners and granting of operating licenses to medical examination and treatment facilities, use of drugs in medical facilities with beds. Circular amending and supplementing a number of active ingredients and drugs in the List of modern drugs and the List of oriental medicines, drugs from medicinal herbs and traditional medicine ingredients within the scope of payment of the Health Insurance Fund.
Circular 50 also amends and supplements Circular No. 35/2016/TT-BYT (dated September 28, 2016) promulgating the List, rates, and conditions of payment for medical technical services within the scope of benefits of health insurance participants; amends and supplements Circular No. 04/2017/TT-BYT (dated April 14, 2017) promulgating the List, rates, and conditions of payment for medical supplies within the scope of benefits of health insurance participants.
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| When issuing professional instructions or technical procedures for implementation at the facility, the head of the medical examination and treatment facility is responsible for sending the issued instructions or procedures to the social insurance agency of the province where the medical examination and treatment facility is located. |
Accordingly, some contents that are conditions for social insurance agencies to use as a basis for payment of health insurance medical examination and treatment costs have been amended and supplemented as follows:
Regarding the duties of doctors and diagnostic imaging technicians, Circular 50 amends and supplements Decision No. 1895/1997/QD-BYT dated September 19, 1997 of the Minister of Health on promulgating hospital regulations guiding: "Medical examination and treatment facilities organize the storage of diagnostic imaging films in electronic copies or films, except in cases of outpatient examination and treatment". Accordingly, information on diagnostic imaging films of inpatients must be shown in the medical records and diagnostic imaging books of the medical examination and treatment facility. In case of referral, it is necessary to transfer diagnostic imaging films along with transfer papers and hospital transfer forms.
In case the person being examined is an outpatient, the film taken along with the response form corresponding to the film taken will be returned to that person. The patient or the patient's representative must sign to confirm that the diagnostic imaging film has been taken.
The Circular also amends the scope of professional activities recorded on the practice certificate; amends and supplements a number of contents in Circular No. 35/2016/TT-BYT on payment conditions for medical technical services within the scope of benefits of health insurance participants (Point b, Clause 1, Article 3)...
For medical examination and treatment services for which the Ministry of Health has not issued professional guidelines or technical procedures, the head of the medical examination and treatment facility shall develop and issue professional guidelines or technical procedures for implementation at the facility, based on reference to official sources of documents, with scientific evidence and suitable to the conditions of the facility.
When issuing professional instructions or technical procedures for implementation at the facility, the head of the medical examination and treatment facility is responsible for sending the issued instructions or procedures to the social insurance agency of the province where the medical examination and treatment facility is located.
Circular 50 recognizes the legality of medical service payment documents, in cases where practitioners are granted training certificates in lieu of training certificates…