BAo HIEM xX HOI VIET NAMBAo HIEM xA HQI THUA THIEN HUE

sf> :/(0-1-1IBHXH-GDBHYTVIv sao chuyen Cong van s6 4725/BHXH-CSYT cua Bao hiem xii hOi Vi~t Nam

CQNG HoA xA HQI cnu NGHiA VI.E:TNAMDQc l~p - Tv do - H~nh phuc

Thua ThienHui, ngay OS thang 12 ndm 2016

Kinh giri: Cac don vi kham chua benh bao hiem y tS.

Bao hiSrn xa hQi (BHXH) tinh Thira Thien HuS nhan duoc Cong van s64725IBHXH-CSYT ngay 25/1112016 cua BHXH Vi~t Narn vS viec dinh chinhPh\l luc 02 kern theo Cong van s6 4262IBHXH-CSYT ngay 28/10/2016 cuaBHXH Vi~t Narn.

BHXH tinh Thira Thien HuS sao giri Cong van tren kern Phu luc da dieuchinh gia dung dS cac don vi phoi hop thuc hien.'. ~

Nui nhljn:- Nhir tren;- So' Y t6 (dS ph5i hop);- Giam d5e (dS bao cao);- Cac Ph6 Giam d5e;- Trang TTDT;- Liru: VT, GDBHYT. J---

...--::=~~. GlAM DOClAM DOC

Hoang Trong Chinh

....

BAOmEMxAHQI~TNAM CQNGHoA xA HQI CmJ NGHiAVI~T NAMDQc l~p - TV do - H?llh phuc

sf>: 41.(;5"" IBHXH-CSYTVIv dinh chinh Phu h,JC 02 kern theoCong van s6 4262/BHXH-CSYT

Ha N9i, ngay ~f thdng 11 ruim 2016

Kinh giri:

.•• -. ao hiem xa hoi cac tinh, thanh ph6 tnrc thuoc Trung uong;I. eAOHltM xA HOITJ.HU£ ao hiem xa hQiBQQuoc phong; Bao hiem xa hQiC6ng an nhan dan;

!D it'N s6: JJ..fl.3. ~.. rung tam Giam dinh BHYT va Thanh toan da tuy~n khu yVC phia Bac;j Ngay:.~,liiJJ.~.... rung tam Giam dinh BHYT va Thanh toan da tuyen khu vue phia Narn.I Chuyfn:...................................... (sau day goi chung fa BHXH tlnh): LUll h6 5(116: .

Ngay 28/10/2016, Bao hiem xa hQi Vi~t Nam ban hanh Cong van s642621BHXH-CSYT v~ viec giai quyet mot s6 vuong m~c trong thanh toan .chiphi kham, chua benh bao hiem y tS. Do sa suftt trong qua trinh rna hoa nen co 26dich vu ky thuat tai Phu luc 02 ban hanh kern thea Cong van s6 4262/BHXH­CSYT neu tren (Phu luc kern theo) da ap sai rnuc gia, Bao hiSrn xa hQi Vi~tNam gui l?i Ph\ll\lc da di~u chinh gia dUng cua 26 dich V\lk5' thu~t dS thay thS.Ph\l l\lC02 ban hanb kem thea C6ng van s6 4262IBHXH-CSYT neu tren (gl:rikern Ph\ll\lc 02),/.

NO'i nh~n:- Nhu tren;- T6ng Gi~ d6e (d~ b/e);- Olc PhOTong Gifun doc;- Cac don vi: TCKT, TIKT, DVT,KTNB,TI)- Luu: VT, CSYT (3b). n£,/

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Ir

~a hoa eM ~ich VI! kS thu,t tl'On~ PhI! luc kern theo Cong vin sA 7117~VT ·KIl·TC('tongvan so ~2r IBHJ(]{-CSYT nglzyJO thong J,l ruim 2016 cua BHXH Vi¢t'Nam)....

. !I .~~fTJ:YlP'~' ';;od Mii dicb vy. Icy Phan Gia tir Chi tir

STT Ten c~P...,,~~~ ~jMDC Ten theo TT43-50 Mil gia TT37~q" ~ thu~t loai 0113/2016 0117/2016

~* V02.0093.0319

Gay xc tinh mach di6u tri suy,7 02. NQikhoa 50.02.0093 gian tinh mach man tinh

Tl 37.8D02.0319 409,000 541,000

8 02. NQikhoa 50.02.0255 02.0255.0319NQi soi thuc quan - Da day - Ta Tl 37.8D02.0319 409,000 541,000trang qua duong miii

9 02. NQikhoa 50.02.0261 02.0261.0319NQi soi d;;titnrc trang toan bQ6ng T1 37.8D02.0319 409,000 541,000mern co dung thu6c gay meSieu am can thiep - £)~t 6ng thong

14 02. NQikhoa 50.02.0323 02.0323.0319 duong m~t qua da dS chup duong Tl 37.8D02.0319 409,000 541,000

m~t co ph6i hop duoi C-ARM

15 02. NQikhoa 50.02.0365 02.0365.0319Noi soi khop g6i chAndoan (co Tl 37.8D02.0319 409,000 541,000sinh thiet)

16 02. N<)ikhoa 50.02.0366 02.0366.0319 NQi soi khop g6i di~u tri nra khop Tl 37.8D02.0319 409,000 541,000

NQi soi khop g6i diSu tri noi soi

17 02. NQikhoa 50.02.0368 02.0368.0319 kSt hQ'Prna t6i thieu 6 khop lAy di Tl 37.8D02.0319 409,000 541,000

v~t

18 02. NQikhoa 50.02.0370 02.0370.0319 NQi soi kh&pvai diSu tri rua khap Tl 37.8D02.0319 409,000 541,000

19 02. N<)ikhoa 50.02.0371 02.0371.0319 N(>isoi khap vai diSu tri bao kh&p Tl 37.8D02.0319 409,000 541,000

20 02. N(>ikhoa 50.02.0372 02.0372.0319 N(>isoi kh&pvai diSu tri l~y di v~t Tl 37.8D02.0319 409,000 541,000

29 12. Ung buau 50.12.0005 12.0005.1188C~tcac lOl;li u vling da d~u, c6 PD 37.8Dll.1188 2,980,000 4,282,000phuc ti;lP

30 12. Ung buou 50.12.0338 12.0338.1189Bam xi mang vao xirong diSu tri PI 37.8Dll.1189 1,797,000 2,536,000u xuong

X~ tri trong mb ung thu vu1

31 12. Ung buou 50.12.0356 12.0356.1192 TD 37.8Dll.1192 678,000 830,000

X~ tri trong mb ung thir phfuI<.,_

32 12. Ung buou 50.12.0357 12.0357.1192 memTD 37.8Dll.ll92 o. 6}8,000 830,000

33 12. Ung birou 50.12.0358 12.0358.1192X~ tri trong mb ung thu dai tnrc TD 37.8Dl1.1192 678,000 830,000trang

34 12. Ung buou 50.12.0365 12.0365.1192H6a tri lieu cao k~t hop voi truyen TD 37.8Dll.1192 678,000 830,000t~ b~LOg6c tao mau

35 12. Ung buou 50.12.0381 12.0381.1192Truyen ghep tuy tv than va ngoai TD 37.8Dll.l192 678,000 830,000lai

36 12. Ung buou 50.12.0413 12.0413.1192 Xa tri trong mb ung thir nao TD 37.8Dll.ll92 678,000 830,000,

37 12. Ung birou 50.12.0414 12.0414.1192X~ tri trong mb ung thu nQimac TD 37.8Dl1.1192 678,000 830,000illcung ;

38 12. Ung buou 50.12.0415 12.0415.1192X~ tri trong mb ung thir cb ill TD 37.8Dll.1192 678,000 830,000cungX~ tri trong mb ung thu khoang i

39 12. Ung buou 50.12.0416 12.0416.1192 miengTD 37.8Dl1.1192 I· 678,000 830,000

12. Ung birou 50.12.0417 12.0417.1192X~ tri trong mb ung thu di can TD 37.8Dl1.1l92

II

40678,000 830,000

xuong "

41 12. Ung buou 50.12.0418 12.0418.1192X~ tri trong mb ung thir di can cQt TD 37.8Dll.I192 678,000 830,000

r

song!

42 12. Ung buou 50.12.0419 12.0419.1192 X~ tri trong mb ung thu fun dao TD 37.8Dll.1192; 678,000 830,000

i

43 12. Ung buou 50.12.0420 12.0420.1192 X~ tri trong mb ung thu da TD 37.8D11.1192 678,000 830,000

44 12. Ung birou 50.12.0445 12.0445.1192 X~ tri trong mb ung thu tuy TD 37.8Dl1.1192 : 678,000 830,000

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