Over 2 000 records of medical services found in information systems by SHIF experts

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Over 2 000 records of medical services found in information systems by SHIF experts

Over 2 000 records of medical services found in information systems by SHIF experts

Photo: Kazpravda.kz/ Talgat Akhanov

According to the results of July, experts of the Social Health Insurance Fund revealed more than 67 thousand various defects in provision of medical care to the population, the amount of fines imposed for medical organizations amounted to more than 240 million tenge, Kazpravda.kz reports.

"Note that the payment for medical services to the population provided by the Fund's providers under the packages of guaranteed medical care and compulsory health insurance is made only after monitoring the quality and volume of these services. Payments are made for those services that were actually rendered and documented, in compliance with the standards and rules for provision of medical care , as well as recommendations of clinical protocols", - noted in the Fund.

The largest number of identified violations is associated with the provision of consultative and diagnostic services that are not included in the per capita standard, that is, each service is paid separately. More than 62 thousand such defects with a total value of 85.5 million tenge were recorded by experts of the Social Health Insurance Fund. Also, about 1.9 thousand defects were found in the provision of outpatient care, 1.7 thousand facts in provision of medical care in round-the-clock hospitals.

In July, the experts of the Fund identified more than 2 thousand cases of actually not provided services, which were entered into information systems as those received by patients. For the violations identified in such cases, medical organizations were fined 16.2 million tenge.

Among the regions, most often the facts of revealing defects are found in Kostanay, Almaty regions, Almaty, the least defects were detected in Pavlodar, Zhambyl and Akmola regions.

AUTHOR:

Zhanat Tukpiev

11:04, 17 September 2020

 

http://www.kazpravda.kz

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