The National Medical Security Administration issued a notice on further promoting the intelligent review and monitoring of medical security funds. Clarify the goals and tasks: by the end of 2023, all coordinating regions will have online intelligent supervision subsystems, intelligent audit and monitoring data will be accurately uploaded to the national medical insurance information platform, comprehensively carry out intelligent audits, standardize the service behavior of designated medical institutions, strengthen agreement processing and administrative supervision, The connection between handling verification and administrative law enforcement has initially enabled the “one network” of nationwide intelligent monitoring. By the end of 2025, a standardized, scientific, and normalized intelligent audit and monitoring system will be basically established, the construction and application of “two databases”, intelligent audit, and anti-fraud big data intelligent monitoring and analysis will become more mature and complete, and informatization, digitization, and intelligence will be fully empowered. It can conduct medical insurance review and fund supervision, and form a normalized supervision system that handles daily audits and on-site inspections, big data analysis, full-scenario intelligent monitoring and other methods to ensure the safety, efficiency and rational use of funds.
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