Medical insurance knowledge training is an important way to improve medical staff's cognitive level and operational skills on medical insurance policies. The content of medical insurance knowledge training involves medical insurance policies and regulations, medical expense reimbursement process, disease diagnosis and treatment norms, drug safety and so on. Among them, medical insurance policies and regulations mainly include relevant national, provincial and municipal laws, regulations and policy documents. The process of medical expense reimbursement includes patient's visit, hospitalization reimbursement and outpatient reimbursement. In terms of disease diagnosis and treatment standards, doctors need to understand the diagnosis and treatment standards of various diseases to ensure that patients get correct diagnosis and treatment. In addition, medical insurance knowledge training should also pay attention to drug safety issues, including drug management regulations and handling of adverse drug reactions. Medical insurance knowledge training can take various forms such as classroom teaching, on-site explanation and online learning. Classroom teaching and on-site explanation are suitable for small-scale training and can better promote communication and interaction. Online learning is suitable for large-scale training, with the characteristics of free time and place, more flexible and convenient.
Is the object of medical insurance knowledge training limited to medical staff? Not only that. The objects of medical insurance knowledge training also include community residents and medical insurance participants. For community residents and medical insurance participants, we can strengthen the popularization and publicity of medical insurance policies through publicity activities and consulting services to improve the public's awareness of medical insurance policies. In this way, patients can more actively understand their medical security rights and interests and effectively safeguard their legitimate rights and interests.
The content of medical insurance knowledge training should comprehensively and systematically include medical insurance policies and regulations, medical expense reimbursement process, disease diagnosis and treatment norms, drug safety and so on. There are many ways to train medical insurance knowledge to improve the medical staff and the public's cognitive level and operational skills on medical insurance policies. At the same time, the medical insurance law stipulates the establishment, purpose and guarantee standard of medical insurance system, which provides a legal basis for medical insurance knowledge training.
Legal basis:
Article 8 of the Medical Insurance Law of People's Republic of China (PRC) is an important part of the national social security system and belongs to the basic medical security system. The purpose of medical insurance is to reimburse reasonable expenses according to the provisions of medical insurance, so as to ensure the basic medical needs of the insured when he needs treatment due to illness or accidental injury.