<p><br></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"><span style="font-size: 12pt; font-family: 함초롬바탕;">1.관련근거</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"><span style="font-size: 12pt; font-family: 함초롬바탕;">  가</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">. </span><span style="font-size: 12pt; font-family: 함초롬바탕;">보건복지부 고시 제 </span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">2021-352(2021.12.30.)</span><span style="font-size: 12pt; font-family: 함초롬바탕;">호 </span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">“</span><span style="font-size: 12pt; font-family: 함초롬바탕;">요양·</span><span style="font-size: 12pt; font-family: 함초롬바탕;">의료 급여비용 자율점검제 운영 기준</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">”</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"><span style="font-size: 12pt; font-family: 함초롬바탕;">  나</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">. </span><span style="font-size: 12pt; font-family: 함초롬바탕;">보건복지부 보험평가과</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">-4955(2022.9.29.)</span><span style="font-size: 12pt; font-family: 함초롬바탕;">호 </span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">“2022</span><span style="font-size: 12pt; font-family: 함초롬바탕;">년 자율점검제 추가 추진 요청</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">”</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 12pt; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"> </p> <p style="margin-right: 0px; margin-left: 26px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all; text-indent: -20pt;"><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">2</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: -0.1pt;">.</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;"> </span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">부당청구 사전예방 기능강화를 위한 </span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">“</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">요양·</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">의료 급여비용 자율점검제</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">” </span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">도입에 따라 요양기관 착오 개연성이 높은</span></p> <p style="margin-right: 0px; margin-left: 26px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all; text-indent: -20pt;"><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">   </span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">「</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">한방 급여약제 구입·</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">청구 불일치</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">(3</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">차</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">)</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">」</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.6pt;">와 관련하여 자율점검제를 시행하고자 해당 요양기관에 관련 사항을 통보하였음을 알려드립니다</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.8pt;">.</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 12pt; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"> </p> <p style="margin-right: 0px; margin-left: 26px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all; text-indent: -20pt;"><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">3. </span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.1pt;">아울러</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.1pt;">, </span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.1pt;">별도 안내 받은 요양기관 이외의 경우에도 착오 청구된 부분에 대해 자진 신고 가능함을 알려드립니다</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0.1pt;">.</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 12pt; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"> </p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">※ </span><span style="font-size: 12pt; font-family: 함초롬바탕;">관련문의</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all; text-indent: 12pt;"><span style="font-size: 12pt; font-family: 함초롬바탕;">조사운영실 자율점검부</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">(</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">☎ </span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">033-739-5906, 5912~5914, 5925, 5926, 5946)</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all; text-indent: 12pt;"><span style="font-size: 12pt; font-family: 함초롬바탕;">보건복지부 보험평가과</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">(</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">☎ </span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">044-202-2771)</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 12pt; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"> </p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">[</span><span style="font-size: 12pt; font-family: 함초롬바탕;">별첨</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">]</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"><span style="font-size: 12pt; font-family: 함초롬바탕;">1. 요양</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">(</span><span style="font-size: 12pt; font-family: 함초롬바탕;">의료</span><span style="font-size: 12pt; font-family: 함초롬바탕; letter-spacing: 0pt;">)</span><span style="font-size: 12pt; font-family: 함초롬바탕;">급여비용 자율점검제 안내문</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"><span style="font-size: 12pt; font-family: 함초롬바탕;">2. 자율점검결과서</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"><span style="font-size: 12pt; font-family: 함초롬바탕;">3. 자진신고서</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"><span style="font-size: 12pt; font-family: 함초롬바탕;">4. 자진신고 세부내역</span></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"> </p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"><br></p> <p style="margin-right: 0px; margin-left: 0px; padding: 0px; border: 0px; font-size: 16px; line-height: 1.7; font-family: 'Noto Sans KR', sans-serif; color: rgb(51, 51, 51); box-sizing: border-box; letter-spacing: -0.8px; word-break: keep-all;"><br></p>
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