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2023년 자동차보험진료수가 기준 및 심의사례(의료기관용)

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Type
Book
Author(s)
건강보험심사평가원
Issued Date
2023-06
Publisher
건강보험심사평가원
URI
https://repository.hira.or.kr/handle/2019.oak/3142
Table Of Contents
1. 개요
Ⅰ. 조직 현황 및 심사 절차 ················································3
Ⅱ. 자동차보험진료수가에 관한 기준 ···································4
Ⅲ. 자동차보험진료수가 심사업무처리에 관한 규정 ············7

2. 자동차보험진료수가 심사
Ⅰ. 심사현황 및 ’23년 선별집중심사항목 [의과] ·············13
Ⅱ. 심사기준 및 사례 [의과] ··············································14
Ⅲ. 심사현황 및 ’23년 선별집중심사항목 [한의과] ··········28
Ⅳ. 심사기준 및 사례 [한의과] ··········································29
Ⅴ. 심사현황 [치과] ····························································56
Ⅵ. 심사기준 [치과] ····························································57

3. 주요 안내사항
Ⅰ. 이의제기 절차 및 방법 ················································61
Ⅱ. 심사참고자료 ································································63
Ⅲ. 자동차보험 지급보증정보 중계서비스 ··························65
Ⅳ. 요양기관업무포털 통한 자료 제출 관련 등 ················68
Ⅴ. 추나요법 관리시스템 ····················································84
Ⅵ. 의료기관 경영지원을 위한 서비스 ·······························90

4. 기타
Ⅰ. 청구오류 점검 ······························································95
Ⅱ. 자동차보험진료수가 다빈도 청구착오 항목 안내 ·····102
Publisher
건강보험심사평가원
Location
KOR
Citation
건강보험심사평가원. (2023-06). 2023년 자동차보험진료수가 기준 및 심의사례(의료기관용).
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