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Chapter 415 Medical Insurance Matters

Since Monica left the capital, various things have come to Bai Ye's head, which made him unable to push it away.

The same is true for today's dinner, a friend who Bai Ye can't name, or should be said to be a friend of a friend, or even further away, what Bai Ye is looking for is cooperation.

Bai Ye's orthopedic hospital has not been built for a long time, and even Monica has not done too much publicity, but with the rapid development of Internet technology and self-media, the spread of information may be the most explosive.

Bai Ye didn't know if this propaganda was propaganda?Shouldn't count...

Most of the medical items that Bai Ye's research institute usually uses come from the internal supply of the check and balance group, and most of the medicines and medicines are directly cooperated with pharmaceutical companies.

The daily drug consumption of the orthopedic hospital affiliated to the research institute is enough to support a large medical company, so this has attracted many people's attention.

This is especially true for those implantable medical devices used in orthopedics, such as steel nails, steel plates, false joints, prostheses and other expensive devices.

Bai Ye Orthopedic Hospital is very famous now, especially in certain circles, such as the upper circle.

Now, Baiye Orthopedic Hospital is very strict with the review of patients. Either you have to meet the first standard, that is, patients who are free of treatment fees. During the treatment period, you must sign an agreement with the institute, and you must meet all the conditions before you can be admitted to the hospital. During the hospitalization, as long as some safe medical experiments are carried out, the treatment fee can be exempted.

This is the case with many foreign medical groups. They combine some medical experiments with medical clinics to avoid waste of medical resources and achieve some goals and means.

Of course, these medical experiments are safe, and absolute safety is impossible, but the agreement states that any research institute will bear the medical consequences.

The second standard is the high fee standard, which is very high, even higher than the Mayo Clinic, a world medical group, and you can choose the attending physician, even Bai Ye.

But the cost is high. The last time the former NBA star Alston was charged as much as [-] US dollars for treatment, which is simply unaffordable for most people.

Therefore, this is also the intention of the Institute, because it is a fact that the hospital beds are limited and the medical resources are insufficient. Therefore, the high cost must bring high-quality treatment services.

It is also thanks to the joining of these local tyrants that medical resources can be averaged.

Since Bai Ye's research institute was visited, some media came to report frequently one after another. Since then, Bai Ye's orthopedic hospital has attracted more and more attention.

However, it may be that the recent popularity has not gone away, and there have not been too many negative reports. After all, ordinary people still dare not approach this kind of research institute with political attributes.

Today's dinner is a department-level cadre of the health system who wants to invite Bai Ye to dinner, and introduce a friend to Bai Ye by the way.

Although Bai Ye hasn't met this friend yet, he still doesn't know why today's dinner is for.

But it is said that he is the boss of a domestic pharmaceutical company, and his family is quite related, and he can get on the line with the Health and Family Planning Commission. This company now has domestic agents of many foreign medical device companies.

So Bai Ye knows what's going on without even thinking about it, it's nothing more than selling something!

In fact, the large-scale medical equipment and drugs Bai Ye in his orthopedic hospital were all German manufacturers that Moldo had contacted at that time, and they were all brand companies that had cooperated with the Orthopedics Department of the Affiliated Hospital of Heisenberg University for many years.

Because of Moldo, the prices offered by the other party are very favorable. Recently, due to changes in the shares of the other party’s company, the original chairman has changed.

In order to continue to maintain a good friendship with Heisenberg, the current person in charge has intentionally or unintentionally distanced himself from Moldo.

I have to say that these people are very well informed about the real news. The news of the termination of the contract just came from Bai Ye and there, and they have already been found before the specific implementation.

In fact, Bai Ye does not reject these people, and these things will happen sooner or later. If there is a good partner, it will be a good thing.

It's just that Bai Ye still thinks it's more appropriate to let Monica talk about it... After all, Monica is the best at talking about these things.

The other party has already asked Bai Ye several times in a row, and it would be unreasonable to refuse this time.

Let's go, it's just that I don't really want to go alone, so Wang Wenliang happened to bump into him. Bai Ye thought it would be a good thing for Wang Wenliang to go, at least he could eat more good food.

For specific negotiations, let Monica do the talking, and just delay it today.

After get off work, Wang Wenliang asked Bai Ye suspiciously: "Xiao Ye, what do you have for lunch? How about treating you to the restaurant's spicy mix?"

Bai Ye waved his hand: "No need, I've told you to invite Brother Liang to eat. After going there at noon today, you can eat whatever you want, just order!"

Wang Wenliang stared: "Is this true?"

Bai Ye: "Really!"

Wang Wenliang was shocked immediately!
At noon, the elevator in the hospital was like a woman's foundation. You don't know how many things are under the thin layer. After waiting for several minutes, Wang Wenliang couldn't bear it anymore and said, "Let's go, let's take the stairs."

The elevators in the hospital are the most difficult to take in the morning when you go to work and at noon and lunch time. You say that you are too embarrassed to squeeze in with patients as a doctor, but if you don’t squeeze, you still can’t sit up at all.

At this point, Bai Ye was somewhat nostalgic for his own research institute. The internal employee elevators installed required swiping cards to use, which made it much more convenient.

The two walked together, and as soon as they reached the entrance of the hospital, they saw a man hurried out of the car and walked to Bai Ye's side.

"Xiaoye, are you off work? Hehe, being a doctor is really hard!"

Bai Ye smiled slightly. This man is not an ordinary person. He works in the health system. Anyone who sees him will call out: Xu Ting.

This man was introduced by Tang Han, and the two of them had dinner together several times, and they were at Tang Han's house, which showed that the relationship was not normal, and the man was not very old, only in his early forties.

Bai Ye: "Brother Xu, how can you work so hard, you are always busy."

The man smiled: "Haha, it's all for the people, get in the car, and we'll talk about it when we get to the place."

The man's car is an Audi A4 with the prefix Beijing. This kind of car is neither expensive nor cheap, just right, and very popular.

After getting in the car, Bai Ye introduced it to Wang Wenliang, and after a while, the two arrived at the restaurant.

There was a receptionist at the entrance of the hotel. It was a man in his thirties. He was very handsome.

"Hi Mr. Bai Ye, my name is Zhou Luo."

Bai Ye held the man's hand: "Mr. Zhou, my name is Bai Ye."

After some politeness, I entered the private room. This restaurant is very low-key, and it doesn’t look very eye-catching from the outside, but when you enter, you will know what is the inside story, especially the quality and quality of the waiters, what makes you feel It's called caring and inappropriate service.

After Wang Wenliang came in, he didn't speak, but his heart was turbulent, and his little heart was beating thumpingly.

Because after hearing the chat between Bai Ye and the man in the car just now, Wang Wenliang felt that this is what a circle is. This man is the director of the medical insurance center, who is in charge of hospital medical insurance.

You may not know what medical insurance is, but I can tell you the truth that what doctors fear most is the people in the medical insurance center.

Every year, the medical insurance center has to go to the hospital for inspection and review the cases. To put it bluntly, it is to pick thorns in the bones and make trouble!
Yes, every year during the holidays, the medical insurance center will go to the hospital to conduct random checks on cases.

As long as the cases are drawn, there will be problems!

Either, the patient spends too little, or the patient spends too much, or the treatment fee is too high, or the medicine is prescribed too much...

Anyway, people have all kinds of reasons to tell you that you made a mistake!

What if it's wrong?
Cold!

Yes, a fine!

A case is at least 3000. If there is a drug problem, for example, if you prescribe an extra box of medicine, this box of medicine is 100, and you have to pay a fine of 3300. Yes, it is 33 times the fine.

Last year, a doctor in the encephalopathy department felt that the patient had no money, so he prescribed oral medicine for an extra week. If these medicines were prescribed during the hospitalization, they could be reimbursed by the medical insurance. The total amount was about 300 yuan. It was fined 15000 together with the drug.

There is no absolute right or wrong, but that is to say, doctors and medical insurance are like discipline inspection commissions and civil servants.

It doesn't matter if you don't check, there will be problems if you check.

There is no case that cannot be detected wrongly, only medical insurance personnel who cannot be detected.

Therefore, this is also the reason why Bai Ye can't evade the man. After all, Bai Ye's orthopedic hospital must deal with the medical insurance center, which can't be evil.

However, Wang Wenliang's thoughts became more serious. This is the director of the medical insurance center. This is a good relationship. No one will dare to check his medical records in the future.

That's right, the person above who was fined 15000 is him!

If there are more patients under management, there will naturally be more cases, and if there are too many investigations, the fines will naturally have to be paid. Later, those people discovered that they can find out some minor problems by only checking Wang Wenliang's problems. , He is always indispensable.

Over the past two years, Wang Wenliang has been fined nearly 30000 RMB...

There is suffering beyond words!

In the past year, he has been writing medical records carefully, for fear of being investigated, and after the investigation, Jiao Liming really couldn't stand it anymore, so he helped explain that he was not fined much this year...

Of course, it may not be the end of the year!

(End of this chapter)