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C• .AO_L··" 1..:_1. +1. ~ til " d- d·H",· ..l: th";'· .."_t... ·thA. I'ac UJlirl mUo A.nU1 '"", - Zlii~ .. D@.t a.' uve .Ql uong. .am uIWl' ong qua. adj:nh inuc tI'tJQg bitW tien nat'!, ,du(YQXR}t d-mtg thea quy trinh chl,1yen lilQrl ho~ckhiio sat thvc tS) ca nQi cao va mrl th'p, phu h\lP v6i da sa cac ca srt kham chuab~hh. Trong d6 co mQt sA dinh tnl!te.(matig t\l'hlllt oong·su~t, san lUQfigtrong.san

,.Ii. -: '" ,1-· '-1';-' .' ~- ,:,;".-::- ", .-i· .: ,,< . J., . ,,-: _ .'. ' ' , , : .A"'.·, _ .., "--xuat) (t~tfiiligt~ dlch V\l, VI d\l nhUt SO lllqt kham binh quaoJl ban kh8.mlngay; soca chi~u, chl}pX.;quang, CT. scanner:; CQIlghu&lg tft (MRI), .sieu am.... dUQcWosat; tinh. t(UUgbln,b i18 dub. cbi pbf t18n,btons va pbau. ba cae chi phi chung vaogia dich vg. Do do·cae dinh,miic ttAy,kb6ng 'phAi lA cac don vi.chi dmjc lant nhU'djrth. ntlic, cu.ng khon,g the hien d~f~li airth ..m1lc t6i (fa, khong cho pnep ej·cdm vi ilUV'c litbt V'Q'1tt,·iljnh lllUe naJ0va';eting khpng daC}'esir dvng (IS lam caneli thank toan cbi pftl kll'w binb~~hfta ,btnh ell thAt,i cae ca Sf!kb.am binb,ehii'a ,b~nh.

Trang thai giap ..qua, BQ Y tS'M~ dtrqc-y ]dAn phAn ann cua nhi~ ca sa.;"r '_ W " A ,,- • " - A ,',,,% - _ II. _._ • . A ~ t..kham, chua b~nh,va ala phuong; ken cO'.sa.Idem tra thvc the t~u mQt 8.0 ccr sakh ' ," h'" b"_L...,.;· At .~ dO' .1.,. '.' ," .•",. '1..1..: "., ...·_L.th..._1.. •. ' .apl ~ .~a .~u,u:~ ,m'll 'SO" Itl'lPl.\;U'~g:v-e·'\l1\'C,,~,glamuluu." WUl ~oanjCCI quanBao,hiem:x!.hQjj~thQi ehtl'a.tb$1B"tOan, hote da xuAt toaD.dAl voo. riiQt sA djchV\ll<.y thutt ytS don. vi,a!cwg ¢,i~~t;to~guMbenh nhung vuQt dirihmuc kinh tSky thu,~t~ cac Quy~t dinh han: llanb 4inb ..,muQkinh ta kY thu~t lam ca sa xayd\IDg. va .ban hAnh gia d~b V\l k:ham:b~nh, cht'f:a.b~nh·eua BQ Y te. Bf}Y t~ eo ylciSrt'vS ,m9~S6'.110idung'c\! tha:nhu:$au'~

1. Hal vlri.cdicbV9 ,imamb,nh:. .•. M9t sa dan vl~di~:phU'cr.ng:t)hin anh C(1quan. BHXH th\l'C bi~ngiam dinh

sA11.fQ'tkhamb~nhtlt,eQtt1tt!s bb kb~t t\Uti tbm chua thanh tom d3i vui cac ban

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kham c61ugt kh,~\'Ugt ~inhmitq'tippfgii.,Yi ,d\l;Benh vi~nA·<tu~c x8p'h~g I,co quan BHXH~cbi thanh toan tal~ 42 '1tIQt.Jch~, 'WQng hqp .khilln"nhiauhdn4211101,thl'tir iugt kham 43 ftc, <Ii'co quanBlDW ~ thbicnU'a th~ toano

V~ vhIt d~ nay, BQ Y 18c6 y ki@n'Mu san: Vi~c ,giam (finh'nhu 1r~nla chuaphil hQP' dfut.dSn 06 b~nh vi~nmAn ring BHXH .cm thanh toan",t6i ® .42,luqtkhjmlban~hQ~o chi dlIQ'C lebam denluqt tllu 42"clI~g llSq.:rl tit thif 43 tro dikhong Quqc Im~ khongd\r9Q thahh;1otln n@n c6 the lmOngl<hSfu.1l1a yeu cAunguOi..,b~nhva ,da homJchac lebamho,c chuySn,lian'kh~ khijc, c<J'sa y ta khac.DQ v~y,ae y d d~ Qghi B.a()hiaJll xahQiVi~t Nam chi 4,0, BH"ll cac tinh tAchile giam diob da xae dinh th\fet~ sS lugt khamli~nh cua llgrtai co the·BHYT,khongj.1\rqcy~u; cAu c~chenh vien 'chI dUQc khamt6i:d« th~o <tiuh:pt,uc t1$ gial1ban 'kham'ho~c1 bac sy kh~.

2. B6,iVlridim v'v,¢b4n,dojn'hln~iDh:_Mqt s,8iton vi, 4ja phudtig phan anh'co quanBHXH tbyc..men giain: dinh

s5 ca c.h\1P,X QUang thea bac sy (f9c k~fqlla; ,mal bac 1!ljfi ngay cbi dlI<}Cthanhtoan d8n 48 9(l~ch\lPX'quang~tit ca.49 tr6' dLnSu vln b4e s)(.aD dQc'ket qUa thtWm thM chua tharUl toMi; nhiau djch V\l<cmSu; ,ch\lp chful doan. cilng d,ang 'giamdinh th~o.cach nay. Din d:Sn·nhi~uheilh vien danglliSu li'BHXH:'chl cho>p1t~p01 bac sy' du~c dQ9 t6~da.4,8 phimlng*y,nen de nghi dtt{1c.tuy!n dyngthem bac5y de dQc..phimtn8u khong,BHXH $e ld:tQng~nh·toan. ' .

.. " .. 'Ii d····).·..... "B""Y I. "id'l. ;.;;;:1...- 'Vevan, e·:nay, Q' te co·y en ly \f:sau;.. Chi.phf ti~rilu:ongtfnh ttong.gi6. dich V\l' chAn dbm hinh'arm gam ti~n

luang ella b9,pb~ ley tllu~tth\fc,hi~n chi~u~ch\lp vati~hluOIlg bua nguCti t%>ckStqua. Dinb J,11~CtPlh gis. 48 ea eh\lp Xquang!ngaylAtn viee 8<gia dU\fc xay d\l'llgtren kSt ..qlIa .khao. s.at cong suit. oibh qu~ cua 01. ldp ch\lPio1 may X.quangiOlngay c~ nhi~u:b~nh,vj~n;trentoan·quae. . .

ro"· ~"';B' w·>t··· ~'L""'!V'-a'tN" ~ "'h" .• , dO-1.d'l ,. d~"'1..1. J.ve n6!q ".ao '..' emXa; 11Ql ly: ,am to c uc: glam ....J~IU e .xac ·.limtuJtc tes6 ca chVP X quang, sA OR.chi!t1~.ChYPf chan doan. hlnh anh eua. 'llgUai e6 theBHYT, khang dugc yeu cau cae hac sy chi d.tl(YcoQc tal da .$6 phim 'thea <Unh,tUue tfub ghL BO Y ta $e hu6ng din thanh, toan kong cac tnrbng hQp vuQ't dinh

t: • ,. . . ---" .-.

roue glasaq.3~~Ai viri vii.:. giam dill",. J'(t4i~h ~6d.i~tiVI,'41W~tharih tpall tbeo sA

hrQ'll,gvit tu".b;oa chit di sir d\lng v.>dinh mm: sic dvng viftJr. boacbit tinligilj. . '. . .. .

- Mgt sA.dan yh dia phucmgphan';anh.,ca ,qu@;BHXH tbp:chi~n rurun diM,thanh to~)nQt s6·.dichV\l·khangthe~,sAdichV\lth,cta.~nb.Vi~nthv~hi~n~choIl,;grrOtcO t!ie'BHYT m,A~am 4inl1 'dexac dinhtsAea 4u(1c th~lftoan bing, eachlaY,tong s0,vit tn, hoa chit,xu§t dUng;cmu (:>: eho dinhmue sa dlJJ)g:v~tttl; boa¥hftt va (,.hi ~tplllWan tli~o ~6 ca>Ilay"rm~Ilg'thanh t(),~ th~o.$6,ca ~\t'c·ta benhvi~nda; th\tc lii~n.Vi (1): ,d~ivat·diph \1\1: ehamilAy t~n~.$6 kim. cham C1luxu,at .

2

dUng trang nam (hoic, trang ihang},ehl.a (:} '2,bHdtn cham CUll (la diOO mire kimch4ln cUu'd~;dfil~igiadt,h t9 'cbtnf)i!;'fiy ~efq\lanay hi 86 ca cham. dUClC thanhtoan, H()~cdai>vji dich VI) di~nLtirQ~.:(ljnh ntUQki·SU;duog cap di~ntim hi 200 calO 1cap, BHXB gl~ll dinh Y.a chi, ·tGanh·toan 200, call cap dien tim; n8u henh vi~n~htt~tbay 9~l?.tb):tn·~~ thu 20J. ~·:t$~t~Qn,gt1l:atm,.toan•.

va'vin 4i nlY"B~'y t6'ee.y~Ki~n.nhtt,sa,:~.Vi~c,giam dinh va thanb. tom Wlll'tren .1A.khong dung quy' dinh. f)~ngh]

Bao hi&mxa,liil Vi~tCN$ chi ,¢~of8axH~ac;finhgiam fllnhda .ric dtnhth\tc t~-sadioh V\l.b~nb vien dE[th\tc hi~n c~p pguOi co theBHYT.Trong:;k'bi cher lien' B.Q khtio;"s,af~;)tii6u'cillnh dinh mire cua ItlQt s8 dieh V\l

eho Pl1u'b<1Prq_i Bien ban sA 1,13~Jii:B~BYT, BO Y t8 va,Bao hiSm xii ,hOi Vi~tN· . d:C tb.5 _1..~ . . , . '. hi"" ~t..i 'hi'" .'" ~ , A·I.· , • iA'·J. ..,am ..(;i. '. ng mmt truoc mat c· ., ~\lc·. ~nVl~e fa soat uOIVOl mQtso IO~l vij,t'tuy t~ theQId8n ngbi··eiia thaoh tra, ki~mtoan nbtt; kim cbam cw, parafin, gapg tayS\lcq, trubng hQ'p tiatldem so val (JiM 11111Cd,uQc co quan BHXH thanh roan 30%s8 ti8t Idem ctto b~nh 'lien.

a6 nghi,BHXH Vi~t Natn;"th9~gba(Htjrih m{tev~t tu eua mQt sf; dieh VV'nhu S8n; g~ .• y s~ch trong, kh~ b~nhlatO),5.~ai;gang tay S~4;htrong cae diehV\lnga~ giuQngtheocac h~g"b~nh~i~n ~i(ph\l: l\lc dinh kern; dinh.mue Parafin. . d· b' --, 'L:4C. nft~"""~"',I' O·1"1 k ....cd-'l_th-' 1...:,.A, '.A -, .c. "4.:L _-_ - , C'trong ···lP . Y\l··uv .IS~~> a.',. ;;1i.· .g"e:.·...lI~ipj~n Vl~e .ra SOutva ula,nh'toan •. 'aelo~ v~t tU' tieu hao,.Jcb,acn811•••c.Q.pMt"hj~b~tcip (tbl1c t8 su d\l,tlg cao hem bo~eth§p hem so val ,dinh muo. him C(J,Stl xdy dung;gHi djeehV\l) tbi co VIDl.ban dBnghtlien,Be>xetn xet di6u ~ gia cqch V!t Icy tb;~t, khang th\l'C hi~n vi~c ~ dUngthanh t()9.n chi 'phi kham ehtIa benh D8YT cua;cac: co so KB, CD.

4. Thank ·tItan46i vaJ.:d.c;,gill'iritgibinh<kb.o,ng co di@ubOB.~MC)fs6 .<tonvi~dia phrrong·,hh ,anb,BHXH dia phuong giam djnh, nau

khong trang bi di~uJloa t~tchl tbanll<t9~;85%~hlphi eua tiSn gluOng.vA van dSnay. BQ'Y te eo y~~nnhUtsau:• Vi~c..thllc hi~nnhu tr~n b\ kh6Ilg dUng.quy dinh vi chi phi sa dung, diBu

hoa nhi~t 49 etn tinh ttong gta ngay giuong cUa benh vi~n<h~g d~e bi~4 h~g Iva h~g,II, chua,tirlh trong gia nga)' ;gittemg/cuacac b~tihvi~nh~g nI, h~g IVnen c~c<b~nbvi~n nay khOng.c6 die~boa tbl khang OlIgC trU 15% gia'ti~n ngay!iu~g ma ph(li thanl1<t~~ ..!9\\100%..gjA,ng~ygiuemg thee b~g da.dij'gc lien b9

d:-...·'j;. $',,,quy .~1l,4' . ..... .,.,~t

,. .... ." "" 1. ,,"0/ .\. • . '. . .•.). " .,..' .:;. '"- B9 y: tee :YIU;'<t~Uc4c· ~YiI.S{f d\IDg.lS% tlen kham. hc;nh,. tien ngaygiucmg tbu -"~g~<t6.., ' ... VCt n1;~< gia.c6 den luang !hi tY l~'miyla 5%, dengcae 0(7 sa kh8nib~\J'Ij..< ..<:~~.> .. ~~ . c x~p htmg lAb~nhvi~n h~g ill, ~g IV,chua pbanh~g {UOIl- . aang vOi . .muc.gia)dS sua ~hua, nang cAp,cm ~, ill?tQng kb.U V\l'¢ kham ~eac1f aa di!u tri; mua bo sung~ tbay the: ban, gM,giucrng, tU, xe diy, 'di~:uhoanhi~td9, qu~t"dim sum, qu~t su6i, may tinh, cae bQd\mg C\l khlbn hetihd~khpa". cbu'Y~nkhea, chan, ga, g8i., dem, chi~u .,. dabao

3

dam djauJd~n, ning can chAt lu~g ph\lc V\l ngtrPi b~nh. ,Nen: khons th8 hieu15% (layla e!Uphi diau' hoa,dirgc. Do d61 vito giam dinh va t~m thai chua thanhtoan 15% ti@nl~iUOng,nQi ttil cua dmlVj.,ldii "em xl <ih\la thillg bi (U~Uboa 18.khong coco sa~

SOY te de ngh] Bilo hi€m Xi heyiViet Nam chi dlb BBXH ,cae tinh th\tchi~ntbarih toan theo dimgmuc giangaygJu(mg~nh ~dU:geLien,bQ Y tao-,Taiehinh,ban.hanht~i Thongtulien tich sA3~7J2'Q15!r'):LT..B¥T~DTC.

5,.V~'cong van sa 22411BHXH-CSYT Dgay.Q'/6I2Ul?~iiJlBao)li~m Xihqi VietNam:

MOt $& d(1I[v], dia phueng eo phan anh gib, dlnh \den BHYT dang th\lchi"'·' .t·· d';....1-. .t. ",....' /..2'241'/B"'L1'VUc"s'vr .' d . B'~ . /t.:.)., xlt. h"'· V'·"'t~n gtam P..o.I :uieo cong van so .;,"'. ':.'."~ ....,....,.. ..... 0'."~Q :l1,tem "',~ '.91 ly'Nam, ban ru\nh·"ngay '07/612.0~7.

, f:..' ' I.Ve van dellay, BC}' Y te,eo y,kienhhu sau:Cong van 22411BFIXH-CSYT neu tren IAvan bart Hap hi~m xi hQi Vi~t

Nam guiSe} Yte d8 da nghi'hqung db,viec thanh toan ehi'phrkham'D'~nh, chuab~nh baa hi'm y.te~Cae nQt dung d8 nghi.~i< cong van, IlSn 13Q4~~t6,ch(1'cWQts8culjc hQp d~ th8J,1S,,:nMtlam CO' -sa huang dan don vi' th\tc·,hi~ nhUng hi~n nayvan chua th8ng nhjt; Do v~y, vi~c Baa hiam xli h91 cae t.inh, thBnh ph5'Qa sird\IDg cong van.n~ylam co sa dS giam dW1Jakhong dling,quy dinh OWlphap lu~thie.nhanh, gaynhi~u<ldl6khan, vu6ng m~ceho cac Off so khamf 'chua b~nh.

B9 Y ta de nghiBHXH Vi~t Nanl chi d~aBlOOI cact~khong sit d\Ulgcae oong van BHXH Vi~t Nam. gui BQ Y fa trang vi~c ·gi~U·qU.yet"Q~o.vu6ngm&ctrong giam diflh.,·.thanh toan; van ban tham gia i kiSh cua Bao hlSm Xii .hQiVi~tNam gui BOY ta' h(}~c:e4e dV iliao v~ bitn1ang. t,tong:qua trllib. hoiln thi~n degiam dinh va tharih '\c.irut chi phi kham, ~va b~lili BHIT •.•..

T " 'd''''''' '1' # 1..!J. .,' B'" 'Y' ,,".1 "t ,J. ....,,~. 1·... ,..J..".;r.. ren' ay a.YMencua •Q ' te ve,DlQ spnQh,l.ung lell.q~an4en Vle¢:trienkhai diob mire lam'co sa xay d\ID~g,iiftijcb V\llmam b~nh, chlm..b~nh.De nghiBHXHVN ph8i hgp huang qin c'aedan vi, dla phuans trien kha.i th\l'C hi~n baodam ch't lugng khAm b~nh, chua beilh va quyan 191 cua ngttM:henh.ya C(1 sakhfunb~nh, ehifa 'Qenh.

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