Starting This Year, All Hospitals and Clinics Must Report Details of 'Non-Covered Medical Services' Mandatorily

Starting this year, all medical institutions are required to report all 'non-reimbursable medical services' that are not covered by health insurance benefits to the health authorities.

The Ministry of Health and Welfare announced on the 4th that the 'non-reimbursable reporting system,' which was implemented last year for hospital-level and higher medical institutions, will be expanded this year to include all medical institutions at the clinic level and above. The purpose of the non-reimbursable reporting system is to understand the status of non-reimbursable services, for which patients bear the full cost, and to provide necessary information for the public to make rational medical use decisions.

Medical institutions subject to the non-reimbursable reporting system must mandatorily report the medical costs, certification fees, standards, amounts, and treatment details for a total of 1,068 non-reimbursable items. The number of reporting items increased from 594 last year, with additional items such as procedures and therapeutic materials, pharmaceuticals, nutritional injections, vaccinations, orthodontic treatments, and herbal medicine prescriptions added considering usage frequency and medical cost scale.

Hospital-level and higher medical institutions must report treatment details twice a year for the March and September periods, while clinic-level medical institutions must report once a year for the March period. Reporting items include unit price, frequency, diagnosis name, and main surgery name for each non-reimbursable reporting item. Since all medical institutions must report the March treatment details, the heads of these institutions must access the ‘Non-Reimbursable Reporting System’ through the National Health Insurance Service’s Medical Institution Information Plaza from the 15th of next month to June 14th and submit the relevant information.

Im Hye-seong, Director of the Essential Medical Services Division at the Ministry of Health and Welfare, stated, “Thanks to the active cooperation of hospital-level and higher medical institutions last year, 97.6% of the target institutions submitted reporting data,” and added, “We will continue to operate the reporting system stably through ongoing communication with stakeholders and system improvements.”

This content was produced with the assistance of AI translation services.