Establishing a real-time cumulative count verification system ahead of manual therapy management benefits

Ahead of the government's conversion of manual therapy to managed benefits next month, a management system is being put in place that will allow medical institutions to check patients' cumulative number of treatments in real time. The Health Insurance Review and Assessment Service is distributing development guidelines to medical institutions and electronic medical record (EMR) vendors, and is pushing for integration that will allow each patient's manual therapy usage history to accumulate at the time of treatment. Through this, even if a patient visits multiple hospitals and receives treatment on the same day, it will be possible to immediately check whether the standard has been exceeded. The guidelines include a structure in which input is restricted or blocked if cumulative limits are exceeded, such as once per day, twice per week, 15 times per year, and 24 times per year. HIRA explained that claims for which treatment information was not registered in advance may also be subject to reduction or adjustment in computerized review. In the medical community, concerns have also been raised that administrative burdens could increase and treatment autonomy could weaken. The specific fee and benefit criteria for manual therapy are expected to be discussed at the Health Insurance Policy Review Committee meeting to be held on the 4th.