포괄수가제 요양급여비용 및 청구방법
- Type
- Book
- Issued Date
- 2024-06
- Publisher
- 건강보험심사평가원
- Table Of Contents
- Ⅰ. 질병군 급여･비급여 목록 및 급여 상대가치점수 ···················································· 1
제1장 질병군 급여 일반원칙 ···················································· 3
제2장 질병군 급여 목록･상대가치점수표 및 적용지침 ···················································· 11
제3장 질병군 분류번호 결정 요령 ···················································· 46
제4장 질병군 비급여 일반원칙 및 비급여 목록 ···················································· 172
Ⅱ. 질병군 요양급여비용 청구방법 ···················································· 177
제1장 청구명세서 작성요령 ···················································· 179
제2장 명세서 세부작성요령 ···················································· 215
Ⅲ. 질병군 모니터링 ···················································· 255
제1장 질병군 요양급여비용 모니터링 ···················································· 257
제2장 요양급여비용 심사･지급업무처리기준 ···················································· 262
Ⅳ. 질병군별 포괄수가제 관련 급여기준 등 ···················································· 263
제1장 질병군 요양급여의 적용기준 및 방법에 관한 세부사항 ···················································· 265
제2장 질병군별 포괄수가제 관련 행정해석 ···················································· 270
제3장 질병군별 포괄수가제 관련 심사기준(지침) ···················································· 273
제4장 질병군 분류번호 결정의 이해 ···················································· 276
Ⅴ. 질병군별 포괄수가제 관련 법령 ···················································· 279
제1장 국민건강보험법 시행령 ···················································· 281
제2장 국민건강보험법 시행규칙 ···················································· 298
제3장 국민건강보험 요양급여의 기준에 관한 규칙 ···················································· 301
- Publisher
- 건강보험심사평가원
- Location
- KOR
- Citation
- 건강보험심사평가원. (2024-06). 포괄수가제 요양급여비용 및 청구방법.
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