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THE ORDER OF RENDERING PAID MEDICAL SERVICES

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The procedure for providing paid medical services
Provision of paid medical services to citizens is carried out in accordance with the Federal Law of November 21, 2011 No. 323-FZ “On the fundamentals of protecting the health of citizens in the Russian Federation” and Government Resolution No. 1006 of October 4, 2012 “On Approval of the Rules for the Provision of Medical Organizations paid medical services “.

The procedure for providing paid medical services on the initiative of citizens, with legal entities and voluntary medical insurance in the GAZR “RKB MZ RT” is regulated by the “Regulations”, developed on the basis of regulatory documents regulating the activities of medical institutions for the organization of paid medical services. Paid medical services are provided in accordance with the license for medical activities issued by the Federal Service for Supervision in Health and Social Development, according to the types indicated in the annexes to the license and the permit issued by the Ministry of Health of the Republic of Tatarstan for the provision of paid medical services.

Out-patient and polyclinic care

The outpatient care is provided by the specialists of the polyclinic and the hospital of the “RKB MZ RT”, on a fee basis, on the initiative of citizens in the following cases:

the patient’s willingness to receive medical care for a fee
subject to availability of priority for free medical care
at the request of the citizen to receive medical services for the provision of which at the moment there are no medical indications (including services in excess of the established standards)
rendering on the initiative of citizens of medical services on the profile of the GAZR “RKB MZ RT”, according to which the state task on the Program of State Guarantees (SGBP) for rendering medical assistance to residents of the Russian Federation on the territory of the Republic of Tatarstan
persons who do not have the right to receive planned free medical assistance in accordance with the current legislation (citizens of near and far abroad, persons who do not have Russian citizenship, etc.)
subject to the full implementation of the SGBP medical assistance to residents of the Russian Federation on the territory of the Republic of Tatarstan
in the absence of conditions that threaten the life or health of a citizen or those around him caused by a sudden illness, exacerbation of chronic diseases, accidents, injuries, poisonings, complications of pregnancy and childbirth, socially significant diseases
in the absence of citizens, established by law, rights and benefits for medical care.
The provision of medical care on a fee basis is regulated through the department for the organization of paid medical services on the basis of an agreement with a citizen, the legal representative of the patient, or the legal representative of a minor patient. Medical services to legal entities and patients under VHI are rendered in accordance with an agreement concluded by a legal entity or an insurance company with GAZR “RKB MZ RT”. When providing paid medical services, the documentation is prepared in accordance with the requirements of the current regulatory documents:

for individuals

-registration of the patient (passport availability)
– informed consent of the patient to receive paid medical services
– a contract for the provision of paid medical services in 2 copies;
medical outpatient card (for consultation)
ticket for the registration of paid medical services
for patients with LCI

registration of the patient (if there is an agreement with GAZR “RKB MZ RT”, policy VHI, passport)
medical outpatient card (for consultation)
ticket for the registration of paid medical services.

Payment for medical services with individuals is made in cash through the cash register of the department for the organization of paid medical services according to the price list approved by the head physician before providing medical assistance on the day of the service. At the same time, the cashier issues a receipt and a cash receipt for payment of services confirming the receipt of cash. In some cases, it is possible to collect a fee on a receipt of a standard form, which is a document of strict accountability. When performing work under agreements with legal entities and on VHI, payment for medical services rendered is made by bank transfer through the bank in accordance with the act of work performed. Medical services are provided according to the approved schedule upon presentation

by individuals:

cashier’s check
receipts for payment of services
contract for the provision of paid medical services
medical service record
legal entities and individuals on LCA:

medical service record
current VHI policy.
After the provision of medical services during the working day, the employees of the cabinet or the department where the service was provided return the medical service record indicating the name of the performers to the paid medical services organization for entering data into the medical services account table.

Routine hospitalization

The direction of the patient for planned hospitalization is carried out in accordance with clinical indications, requiring a hospital active treatment (operative and conservative) and round-the-clock medical surveillance, special types of examination. Selection of patients for planned hospitalization in the department is conducted by the department head of the hospital:

on presentation of an advisory polyclinic
in the directions of the heads of the departments of the hospital,
on the directions of the heads of the Kazan State Medical University and the Kazan State Medical Academy based in the State Institution “RKB MZ RT”
Hospitalization of planned patients on a paid basis in the departments is performed through the department of organization of paid medical services with the entry in the medical chart of an outpatient patient, filling out the form for referral to inpatient treatment of the established form with objective survey data, the results of diagnostic studies, and the compulsory volume of diagnostic studies.
The volume of diagnostic and treatment activities, depending on the disease, is determined by the doctor at an advisory clinic.

In the department for the organization of paid medical services, the patient is registered in the patient records register aimed at hospitalization.

Payment is made to patients on the day of hospitalization according to the price list, in accordance with the contract for the provision of paid medical services, prepayment of treatment in the expected amount and a guarantee obligation to pay the actual cost of medical care. The final settlement for the performed services is performed by an individual one day before discharge from the hospital. Documents from the department are issued if there are documents confirming the full payment for the services rendered.
Hospitalization of patients is carried out on all days of the week from 8.30 to 15.00 hours through the admissions offices of the sanitary attendant of the maternity hospital. Admission of patients for planned hospitalization is carried out in the presence of

for individuals:

the document proving the identity (passport)
direction, signed by the head of the department for the organization of paid medical services, and stamped by the department
medical outpatient card
contract for the provision of paid medical services
cash receipt and receipt for payment.
When hospitalized, the patient, insured by LCA or from a legal entity, represents:

the document proving the identity (passport).
VMI policy
direction, signed by the head of the department for the organization of paid medical services, and stamped department.
Providing medical assistance to foreign citizens

Emergency medical care is provided in the case of conditions that pose an immediate threat to their lives or require urgent medical intervention (consequences of accidents, injuries, poisonings) free of charge and without delay in the amount necessary to eliminate the threat of life (including in severe complications of pregnancy requiring the presence of women in intensive care and resuscitation, delivery and within three days after delivery) and / or acute pain relief, as well as epidemic indications. After leaving the state, which poses an immediate threat to life or requiring urgent medical intervention, foreign citizens can be provided with scheduled medical care on a paid basis. Planned medical care for foreign citizens is provided in case of a violation of health, which does not pose an immediate threat to their life, in accordance with the contract for the provision of paid medical services, a guarantee obligation to pay the actual cost of medical care and prepayment of treatment in the expected amount.

The patient has the right:
To receive free of charge assistance in accordance with the Territorial Program of State Guarantees of Providing Free Medical Assistance to Russian Citizens;
To receive information about the license of the RUC “MHR RT”, about the paid services and their cost;
To receive paid services in accordance with the terms of the concluded contract;
To receive information about the state of health, the results of the survey;
On receipt of documents required for tax deductions;
On the refusal to perform the contract. If the service was not provided at the time of notification of termination of the contract, then the whole amount paid for under the contract is returned to the consumer. If part of the services is provided, then refunds are made for non-rendered services;

If there are any deficiencies in the provision of services to the RKB MZ RT or other deviations from the terms of the contract, demand at their choice: free of charge elimination of defects, performance of the service by another specialist, free re-provision of services, termination of the contract with reimbursement of expenses incurred;
To make claims for compensation for losses caused by non-performance or improper fulfillment of the terms of the contract, compensation for damage in the event of harm to health, and compensation for causing moral damage, in accordance with the legislation of the Russian Federation.
The patient is obliged:
To fulfill the requirements ensuring the quality provision of the service, including the communication of the necessary health information;
Pay for services in accordance with the terms of the contract. In case of non-payment, the debt can be recovered in court.
Control
Control over the organization and quality of performing paid services at the RKB MZ RT takes place within the limits of their competence: the Ministry of Health of the Republic of Tatarstan, Rospotrebnadzor, and other state bodies, which, in accordance with the current legislation, are entrusted with inspecting the activities of medical institutions;
The solution of certain issues in the provision of paid services is assigned to the branch of the organization of paid medical services.

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