How to handle chronic medical records

In fact, the chronic medical records we often talk about (officially called chronic disease treatment registration books) are not that complicated. The core is to first confirm that the disease is in the chronic disease reimbursement directory of the insured place, prepare all the medical records related to the diagnosis, and submit the application to the medical insurance agency in the insured place or a designated hospital with chronic disease certification qualifications. After the certification is passed, you can get the physical copy on the spot, or directly activate the electronic chronic disease benefits. If the whole process is fast, it can be completed in ten minutes.

Last month I accompanied my grandma who had level 3 hypertension to get it done. I had heard someone say that she had to go to the community to get a certificate and go to the medical insurance bureau to queue up. I checked the official account of the local medical insurance bureau in advance and found out that hypertension must reach level 2 or above to be listed in the local chronic disease catalog. It happened that my grandma’s discharge summary from the district hospital in the past six months and the outpatient blood pressure monitoring for the past three months The test records and medication prescriptions were all stored in the medical record bag. I went directly to a community hospital that was qualified for chronic disease certification. After checking the information, the window doctor filled out the certification form in the system and submitted it. In less than 20 minutes, we were informed that it was done. Now we go to the outpatient clinic to prescribe antihypertensive drugs and are reimbursed for chronic diseases. It is nearly 40% more than the ordinary employee medical insurance. We can save 2,000 yuan a year.

Of course, not everyone is so smooth. A few days ago, I met a diabetic aunt at the window. She came to apply for the application empty-handed and only brought her ID card. She said that she had been taking medicine for five or six years as a diabetic patient, but there was no examination report or medical record. The doctor could not make a determination, so he had to prescribe relevant examinations for her first, and then go through the process after the results came out, which was a waste of time.

Many people also have misunderstandings about the application location. In the past, many people said that they had to go back to the insured place to apply. This was indeed the case in the past few years. However, now more people commute across provinces and live in different places. Many regions have relaxed the recognition of chronic diseases in other places. For example, more than a dozen cities in the Yangtze River Delta and Pearl River Delta have already The interoperability of chronic disease identification has been realized. I have a child who was insured in Shenzhen and has lived in Suzhou for a long time to accompany my parents. Last year, I was diagnosed as a chronic disease of diabetes at a local tertiary hospital in Suzhou. I don’t need to go back to Shenzhen to submit information. Now I can directly apply for Shenzhen’s chronic disease reimbursement treatment when I prescribe medicine in Suzhou, which is very convenient.

Of course, many people now complain that the threshold for chronic disease reimbursement is high. For example, the chronic disease catalog in some areas covers few diseases, many rare diseases have not been included, and some places require hospitalization diagnosis records. Many patients who only take medicines in outpatient clinics all year round cannot meet the requirements. These problems are also being gradually adjusted in various places. For example, this year, more than a dozen provinces have added nearly 10 new chronic diseases to the reimbursement catalog. Many places also recognize outpatient records and examination reports for six consecutive months as certification materials, and hospitalization records are no longer required.

Oh, by the way, electronic chronic disease vouchers are now popular in most areas. They have the same effect as physical medical records. Once they are completed, they can be checked directly in the mini program of the medical insurance electronic voucher. When you go to the hospital to register and prescribe medicine, you can just show it directly. You don’t have to carry a small notebook with you for fear of losing it.