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자동차보험 고액치료비 청구 급증…심평원, 상급병실료 집중 심사
작성자 관리자 작성일 2021-08-31 조회수28


<h3 class="heading" style="font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; margin-top: 1px; text-transform: none; font-weight: 400; color: rgb(30,30,30); padding-bottom: 0px; font-style: normal; text-align: left; padding-top: 0px; padding-left: 0px; margin-left: 1px; orphans: 2; widows: 2; display: block; letter-spacing: -0.05em; line-height: 1.375; padding-right: 0px; background-color: rgb(255,255,255); margin-right: 1px; text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial; text-rendering: optimizelegibility"><strong><span style="font-size: 24px">자동차보험 고액치료비 청구 급증&hellip;심평원, 상급병실료 집중 심사</span></strong></h3><br /><br /><span style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; float: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; display: inline !important; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial">건강보험심사평가원(이하 심평원)은 의료기관이 환자에게 불필요한 입원을 유도해 자동차보험에 고액의 치료비를 청구하는 사례를 막기 위해 상급병실 심사를 강화한다고 30일 밝혔다.</span><br style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial" /><br style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial" /><span style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; float: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; display: inline !important; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial">최근 상급병실료를 청구하는 한의원(의원급)과 진료비가 증가하고 있고, 또 일부에서는 상급병실만 운영하는 경우도 늘고 있어 상급병실료 청구 사유를 점검하기로 한 것이다.</span><br style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial" /><br style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial" /><span style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; float: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; display: inline !important; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial">실제로 최근 3년간 자동차보험에 상급병실료를 청구한 한의원의 기관 수와 진료비가 2019년 1분기 36개소, 2억6000만원에서 올해 1분기 193개소, 72억7000만원으로 급증했다.</span><br style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial" /><br style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial" /><span style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; float: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; display: inline !important; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial">이에 심평원 자동차보험심사센터는 의원급 의료기관에서 청구된 상급병실료가 &#39;치료상이나 병실의 사정으로 부득이한 경우&#39;에 해당하는지 여부에 대해 집중적으로 심사하기로 했다.</span><br style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial" /><br style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial" /><span style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; float: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; display: inline !important; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial">자동차보험은 원칙적으로 외래 환자를 대상으로 한 의원급 의료기관의 상급병상 입원료를 인정하지 않고 있지만, 제한적인 상황에만 이를 인정하고 있다.</span><br style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial" /><br style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial" /><span style="font-size: 16px; font-family: &quot;Apple SD Gothic Neo&quot;, &quot;Helvetica Neue&quot;, Roboto, &quot;Noto Sans KR&quot;, &quot;Malgun Gothic&quot;, dotum, Arial, sans-serif; white-space: normal; word-spacing: 0px; text-transform: none; float: none; font-weight: 400; color: rgb(30,30,30); font-style: normal; orphans: 2; widows: 2; display: inline !important; letter-spacing: normal; background-color: rgb(255,255,255); text-indent: 0px; font-variant-ligatures: normal; font-variant-caps: normal; -webkit-text-stroke-width: 0px; text-decoration-thickness: initial; text-decoration-style: initial; text-decoration-color: initial">출처 : 보험매일(<a href="http://www.fins.co.kr">http://www.fins.co.kr</a>)</span>
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