Payment System in National Health Insurance
| Service Type | Payment System | Features |
|---|---|---|
| Out patient | Fee for Service | Major payment system for NHI |
| In patient | Fee for Service | Major payment system for NHI |
| Diagnosis Related Groups | 7 surgical categories
|
|
| Per-Diem | Long-term care hospital |
Procedure Listing System
| System | Negative List System - All technology passing through New Health Technology Assessment, should be classified as NHI covered service(Reimbursement) or NHI non-covered service(non-reimbursement) |
|---|---|
| Applicant | Related medical association or Service provider (hospital, clinic, and etc.) |
| Listing Application | Apply within 30 days from the date of treating first patient after completion of new health technology assessment |
| Notification | Public announcement by Minister of Health and Welfare |
Procedure Reimbursement Appraisal Process
