昨天，随着中国医学科学院肿瘤医院472名医生在协议上签名，朝阳区358家医保定点医院已全部纳入医保医师协议管理。这种制度实行“12分管理”，积分满12分黄牌警告一次，暂停该医师的医保服务资质6个月，其间开出的医药费医保不予报销。据悉，明年本市将全面推行“医保医师协议制”，但具体形式尚未确定。

yesterday,Along with the Chinese academy of medical sciences tumour hospital 472 doctors in the agreement signed on,Chaoyang district 358 designated hospital medical insurance has been fully integrated into the health care physicians agreement management.This system into practice"12 points management",Integral full 12 points booked a,Suspend the physician's medical insurance service qualification for six months,Meanwhile open the medical health care not to submit an expense account.It is reported,Next year will be the full implementation of the city"Health care physicians agreement system",But the concrete form has not yet been established.

　　昨天，肿瘤医院成为朝阳区第358家试行医保服务医师管理的定点医院，该院的472名医师现场签署了《朝阳区基本医疗保险服务医师管理服务协议》。至此，朝阳区全部一级、二级、三级定点医院（除试行总额预付制的朝阳医院和垂杨柳医院外）已全部纳入医保服务医师管理范围，医保医师共计10159人。

yesterday,Tumour hospital become chaoyang district 358 home health care services for the management of hospital doctors fixed,The hospital 472 physicians field signed[Chaoyang district basic medical insurance service physician management service agreement].So far,Chaoyang district all level/Level 2/Level 3 fixed-point hospital(In addition to the total trial system in advance to chaoyang hospital and ChuiYangLiu outside the hospital)Already, all included in the scope of medical insurance service physician management,A total of 10159 medical doctors.

　　据朝阳区人力社保局相关负责人介绍，自去年4月开始试点以来，医生们的诊疗行为日趋规范。2012年10月与2011年4月相比，全区违规拒付的医保金额从39.63万元降至7.25万元，同比下降80%以上；医生违规人次从7486人降至1141人，同比下降近85%。据悉，因超量开药等损害医保基金安全而吃“黄牌”的医生共计20余人。

According to the relevant person in charge of chaoyang district human social security bureau is introduced,Since last April since the pilot,The doctors medical behavior is standard.In October 2012 and compared in April 2011,The illegal medical insurance amount of protest from 396300 yuan down to 72500 yuan,More than 80% year-on-year decline;The doctor illegal people from 7486 people fell to 1141 people,Nearly 85% year-on-year decline.It is reported,Because of excess prescribe and damage the medical insurance fund safety and eat"Yellow card"Doctor a total of more than 20 people.

　　市人力社保局医保中心负责人昨天表示，目前本市已有朝阳、东城、通州等10个区县试行医保医师管理制度。明年本市将扩大试点，在16区县全面推行统一的医保医师管理制度，但是否也采用“12分制”目前尚无定论。

City human social security bureau health care center person in charge said yesterday,At present this city for sun/East side/Tongzhou, and other 10 districts (counties) of medical insurance management system for doctors.Next year the city will expand the pilot,In the 16 area county the full implementation of the unified health physician management system,But whether also USES"12 cents"Nothing has been decided yet.

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医保医师试行12分管理制 Health care physicians for trial implementation 12 points management

　　医保医师管理制度首先在朝阳区42家医保定点医院试行。据朝阳区医保中心负责人介绍，试点“宽进严管”，即这些医院所有拥有医师资格证的医生都自动成为医保医师，在协议期内实行“12分管理制”。比如同日重复开药或检查、单次超用量开药等行为都将被扣3分；非实名就医未制止、虚开门诊或住院票据、非参保项目列入报销范围、故意延长住院时间等行为会一次性扣12分。医保医师累计扣分达到12分，将吃黄牌一次，黄牌警告无限期累计并记入医保服务医师诚信档案。

Health care physicians management system first in chaoyang district 42 health fixed-point hospital for trial implementation.According to the chaoyang district health care center chief introduction,pilot"Wide into standard",That is, they all have hospital doctors certificate doctor are automatically become health physician,In the period of the agreement"12 points management".Such as the repeated prescribe or inspection/Single super dosage prescribe, etc will be button 3 points;Not only did not put a stop to go to a doctor/XuKai clinic or hospital bill/The project included in the scope of ginseng to submit an expense account/The deliberate prolongation of hospitalization time and so on behavior would be one-time buckle 12 points.Health care physicians accumulated points to 12 points,Will eat a yellow card,Booked indefinitely accumulated and recorded in the medical insurance service physician honesty archives.