{"id":3505,"date":"2009-01-06T10:14:20","date_gmt":"2009-01-06T08:14:20","guid":{"rendered":"http:\/\/www.ced.org.tr\/?p=3505"},"modified":"2009-01-06T10:14:20","modified_gmt":"2009-01-06T08:14:20","slug":"sgk-ve-maliye-bakanligi-tebligleri-ile-getirilen-degisiklikler","status":"publish","type":"post","link":"http:\/\/www.ced.org.tr\/?p=3505","title":{"rendered":"SGK ve Maliye Bakanl\u0131\u011f\u0131 Tebli\u011fleri ile getirilen de\u011fi\u015fiklikler"},"content":{"rendered":"<h5 style=\"width: 500px\" align=\"center\">31 Aral\u0131k 2008 tarihinde yay\u0131mlanan SGK ve Maliye Bakanl\u0131\u011f\u0131 Tebli\u011fleri ile getirilen de\u011fi\u015fiklikler<\/h5>\n<p>\u00a0<\/p>\n<div id=\"4\" style=\"width: 500px\">\n<p>SGK ve Maliye Bakanl\u0131\u011f\u0131 taraf\u0131ndan 31.12.2008\u00a0tarih ve 27097 \/ 7 M\u00fckerrer Say\u0131l\u0131 Resmi Gazete&#8217;de\u00a0 yay\u0131mlanan Tebli\u011f h\u00fck\u00fcmleri\u00a0ile\u00a0yap\u0131lan de\u011fi\u015fiklikler ve\u00a0uygulamada dikkat edilmesi gereken hususlar hakk\u0131nda TEB taraf\u0131ndan yap\u0131lan\u00a0a\u00e7\u0131klama:<\/p>\n<p>\u00a0<\/p>\n<div style=\"width: 500px; border: #000 1px solid; padding: 20px\">\n<p><strong>31 ARALIK 2008 G\u00dcN VE 27097 ( 7. M\u00dcKERRER ) SAYILI RESM\u0130 GAZETEDE YAYIMLANAN TEBL\u0130\u011eLER HAKKINDA<\/strong><\/p>\n<p>31 Aral\u0131k 2008 G\u00fcn ve 27097 \/ 7.M\u00fckerrer Say\u0131l\u0131 Resmi Gazete&#8217;de, Maliye Bakanl\u0131\u011f\u0131 ve Sosyal G\u00fcvenlik Kurumundan olmak \u00fczere mesle\u011fimizi ve meslekta\u015flar\u0131m\u0131z\u0131 ilgilendiren 4 adet tebli\u011f yay\u0131mlanm\u0131\u015ft\u0131r. <strong><span style=\"text-decoration: underline\">\u00dcyelerimizin uygulamada dikkat etmeleri gereken hususlar a\u015fa\u011f\u0131daki \u015fekilde \u00f6zetlenmi\u015ftir:<\/span><\/strong><\/p>\n<p>31 Aral\u0131k\u00a0 2008 G\u00fcn ve 27097 \/ 7. M\u00fckerrer Resmi Gazete ile;<\/p>\n<p>1. Tedavi Kat\u0131l\u0131m Pay\u0131n\u0131n Uygulanmas\u0131 Hakk\u0131nda Tebli\u011f ( S\u0131ra No:7) (Maliye Bakanl\u0131\u011f\u0131&#8217;ndan),<\/p>\n<p>2. Tedavi Yard\u0131m\u0131na \u0130li\u015fkin Uygulama Tebli\u011fi ( S\u0131ra No:8 ) (Maliye Bakanl\u0131\u011f\u0131&#8217;ndan),<\/p>\n<p>3. Tedavi Kat\u0131l\u0131m Paylar\u0131n\u0131n Tahsiline \u0130li\u015fkin Usul ve Esaslar Hakk\u0131nda Tebli\u011f (2009-1)(Maliye Bakanl\u0131\u011f\u0131&#8217;ndan),<\/p>\n<p>4. 2008 Y\u0131l\u0131 Sosyal G\u00fcvenlik Kurumu\u00a0 Sa\u011fl\u0131k Uygulama Tebli\u011finde De\u011fi\u015fiklik Yap\u0131lmas\u0131na Dair Tebli\u011f (Sosyal G\u00fcvenlik Kurumu&#8217;ndan)\u00a0 yay\u0131mlanm\u0131\u015ft\u0131r.<\/p>\n<p><strong><span style=\"text-decoration: underline\">S\u00f6z konusu d\u00f6rt tebli\u011fde yer alan h\u00fck\u00fcmler, ana ba\u015fl\u0131klar halinde a\u015fa\u011f\u0131daki \u015fekilde \u00f6zetlenmi\u015ftir;<\/span><\/strong><\/p>\n<blockquote>\n<ul>\n<li>01 Ocak 2009 tarihinden itibaren Kamu personeli ve ailelerinden de muayene kat\u0131l\u0131m pay\u0131 al\u0131naca\u011f\u0131 ve kat\u0131l\u0131m paylar\u0131n\u0131n hak sahiplerinin \u00e7al\u0131\u015ft\u0131klar\u0131 kurum taraf\u0131ndan maa\u015flar\u0131ndan tahsil edilece\u011fi, <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>Ye\u015fil kart sahiplerinden de muayene \u00fccreti al\u0131naca\u011f\u0131 ve bu \u00fccretin eczanelerde tahsil edilece\u011fi, daha sonra eczac\u0131lar taraf\u0131ndan ilgili kuruma verilecek java \u00e7\u0131kt\u0131lar\u0131na istinaden bu tutarlar\u0131n eczac\u0131lar\u0131n alacaklar\u0131ndan mahsup edilece\u011fi, <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>Muayene \u00fccretleri i\u00e7in kasa fi\u015fi veya fatura d\u00fczenlenmesinin talep edilemeyece\u011fi, <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>Sevk zinciri i\u015fleminin, Aile Hekimli\u011fine ge\u00e7ilen illerden sadece Bayburt,\u0130sparta,G\u00fcm\u00fc\u015fhane, Denizl\u0131 illerinde uygulanaca\u011f\u0131, aile hekimli\u011fi uygulamas\u0131na ge\u00e7ilen di\u011fer illerde ise, sevk zincirinin 01 Temmuz 2009 da ba\u015flayaca\u011f\u0131, <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>Re\u00e7eteler de te\u015fhisi yaz\u0131l\u0131 olan ila\u00e7 veya ila\u00e7lar d\u0131\u015f\u0131ndaki ila\u00e7lar, e\u011fer bu ila\u00e7lar\u0131n yan etkilerini \u00f6nlemeye y\u00f6nelik veya re\u00e7ete yaz\u0131l\u0131 te\u015fhisi desteklemek i\u00e7in ise, bu ila\u00e7lar i\u00e7in ayr\u0131ca te\u015fhise gerek olmad\u0131\u011f\u0131, <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>2008 y\u0131l\u0131 SUT&#8217;a uygun olmayan, yani ICD 10 kodu ve\/veya etken maddesi yaz\u0131l\u0131 olmayan raporlar\u0131n 01 Ocak 2009 dan sonra ge\u00e7ersiz olaca\u011f\u0131, ancak, &#8220;S\u00fcresiz Raporlar\u0131n&#8221; 15 HAZ\u0130RAN 2009 tarihine kadar ge\u00e7erli olaca\u011f\u0131, ayr\u0131ca, eski raporlardaki eksikliklerin uygun \u015fekilde tamamlanmas\u0131 durumunda, bu raporlar\u0131n da kullan\u0131m s\u00fcrelerinin sonuna kadar ge\u00e7erli olacaklar\u0131, <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>Osteoporoz ila\u00e7lar\u0131n\u0131n; Senil osteoporoz, postmenopozal ve cerrahi menapoza ba\u011fl\u0131 osteoporozda ile Senil, postmenopozal ve cerrahi menapoza ba\u011fl\u0131 osteopeni tan\u0131s\u0131 i\u00e7eren raporlar ile \u00f6denece\u011fi ve bu ila\u00e7lar\u0131 uzman hekimlerin yazabilece\u011fi <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>Sa\u011fl\u0131k raporlar\u0131na &#8220;Asl\u0131 Gibidir &#8221; onay\u0131n\u0131n eczanelerde de yap\u0131labilece\u011fi, <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>Ayn\u0131 dozda bir veya birden fazla formu olan ila\u00e7lar\u0131n\/ e\u015fde\u011fer ila\u00e7lar\u0131n 30 g\u00fcnl\u00fck tedavi dozunu ge\u00e7en ambalaj formlar\u0131 i\u00e7in sa\u011fl\u0131k raporu d\u00fczenlenmesin zorunlu oldu\u011fu, <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>Lipid d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lar i\u00e7in d\u00fczenlenmi\u015f rapor \u00fczerinde, tetkik sonucunun yaz\u0131l\u0131 olmas\u0131n\u0131n da kabul g\u00f6rece\u011fi, raporda tetkik sonucu yaz\u0131l\u0131 de\u011fil ise tetkik eklenmesinin gerekti\u011fi, <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>Lipid d\u00fc\u015f\u00fcr\u00fcc\u00fc ila\u00e7lar\u0131n, DM vb hastal\u0131klar i\u00e7in daha k\u00fc\u00e7\u00fck LDL veya Trigliserit sonu\u00e7lar\u0131yla verilebilmesi i\u00e7in, bu hastal\u0131klar i\u00e7in d\u00fczenlenmi\u015f raporlar\u0131n da re\u00e7eteye EK lenmesinin gerekti\u011fi ( eskiden belge de kabul ediliyordu), <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>Tetkik sonu\u00e7lar\u0131n\u0131n cihaz \u00e7\u0131kt\u0131s\u0131 \u015feklinde olmas\u0131 \u015fart olup, el yaz\u0131s\u0131 ile yaz\u0131lan sonu\u00e7lar\u0131n dikkate al\u0131nmayaca\u011f\u0131, <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>Eritropoietin ve darbepoietin preparatlar\u0131n\u0131n sadece kronik b\u00f6brek yetmezli\u011fi ile ili\u015fkili anemi ve myelodisplastik sendrom endikasyonlar\u0131nda kar\u015f\u0131lanaca\u011f\u0131, di\u011fer endikasyonlarda Kurumca kar\u015f\u0131lanmayaca\u011f\u0131, <\/li>\n<\/ul>\n<p>\u00a0<\/p>\n<ul>\n<li>Enjektabl allerji a\u015f\u0131 endikasyonlar\u0131nda \u0130nhalen alerjen duyarl\u0131l\u0131\u011f\u0131 oldu\u011fu cilt testleri ve\/veya spesifik Ig E \u00f6l\u00e7\u00fcm\u00fc ile g\u00f6sterilmi\u015f, en fazla 2 farkl\u0131 grup inhalen allerjene kar\u015f\u0131 duyarl\u0131\u011f\u0131 olan, en az 3 ay s\u00fcre ile uygulanan medikal tedavi ile hastal\u0131\u011f\u0131n kontrol alt\u0131na al\u0131namad\u0131\u011f\u0131n\u0131n raporda belirtilmesi kayd\u0131 getirilmi\u015f ve venom allerjisi \u00e7\u0131kar\u0131lm\u0131\u015f olup bu maddenin geriye d\u00f6n\u00fck olarak, 01 Ekim 2008 tarihinden itibaren uygulanaca\u011f\u0131 belirtilmi\u015ftir. <\/li>\n<\/ul>\n<\/blockquote>\n<p><strong>Tebli\u011f h\u00fck\u00fcmlerinin de\u011ferlendirmeleri ve SUT&#8217;da yap\u0131lan de\u011fi\u015fiklikler i\u00e7in <a href=\"http:\/\/www.ieo.org.tr\/upload\/doc\/EGH20090102145921teblig_degerlendirmeler.doc\"><u><font color=\"#810081\">TIKLAYINIZ<\/font><\/u><\/a><br \/><\/strong><\/p>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>31 Aral\u0131k 2008 tarihinde yay\u0131mlanan SGK ve Maliye Bakanl\u0131\u011f\u0131 Tebli\u011fleri ile getirilen de\u011fi\u015fiklikler \u00a0 SGK ve Maliye Bakanl\u0131\u011f\u0131 taraf\u0131ndan 31.12.2008\u00a0tarih&#46;&#46;&#46;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_jetpack_memberships_contains_paid_content":false,"footnotes":""},"categories":[1],"tags":[],"class_list":["post-3505","post","type-post","status-publish","format-standard","hentry","category-ced"],"aioseo_notices":[],"jetpack_featured_media_url":"","jetpack_sharing_enabled":true,"jetpack-related-posts":[],"_links":{"self":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3505","targetHints":{"allow":["GET"]}}],"collection":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts"}],"about":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcomments&post=3505"}],"version-history":[{"count":0,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=\/wp\/v2\/posts\/3505\/revisions"}],"wp:attachment":[{"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fmedia&parent=3505"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Fcategories&post=3505"},{"taxonomy":"post_tag","embeddable":true,"href":"http:\/\/www.ced.org.tr\/index.php?rest_route=%2Fwp%2Fv2%2Ftags&post=3505"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}