Konya\u2019da Sosyal G\u00fcvenlik Kurumu (SGK) incelemesi, bir \u00f6zel hastanede bir hastadan tahsil edildi\u011fi belirtilen muayene fark\u0131n\u0131n mevzuat s\u0131n\u0131rlar\u0131n\u0131 a\u015ft\u0131\u011f\u0131 iddias\u0131n\u0131 g\u00fcndeme ta\u015f\u0131d\u0131. SSK\u2019l\u0131 bir hastan\u0131n \u015fik\u00e2yeti \u00fczerine yap\u0131lan incelemede, 4.600 TL olarak tahsil edilen muayene fark\u0131n\u0131n 3.497 TL\u2019lik k\u0131sm\u0131n\u0131n mevzuata ayk\u0131r\u0131 oldu\u011fu tespit edildi; fazla al\u0131nan tutar hastaya iade edilirken hastane hakk\u0131nda idari yapt\u0131r\u0131m uyguland\u0131.<\/p>\n
\u0130ddian\u0131n ba\u015flang\u0131c\u0131: \u201cProfes\u00f6r\u201d gerek\u00e7esi ve y\u00fcksek fark<\/strong><\/p>\n Habere konu olay\u0131n, hastan\u0131n beyan\u0131na g\u00f6re 11 Haziran 2025\u2019te muayene ba\u015fvurusuyla ba\u015flad\u0131\u011f\u0131; hastadan 4.600 TL \u201cmuayene fark\u0131\u201d al\u0131nd\u0131\u011f\u0131, sonras\u0131nda SGK\u2019ye yap\u0131lan ba\u015fvuru \u00fczerine inceleme y\u00fcr\u00fct\u00fcld\u00fc\u011f\u00fc bildirildi. Hastan\u0131n, y\u00fcksek tutar\u0131n \u201cmuayeneyi yapan hekimin profes\u00f6r olmas\u0131\u201d gerek\u00e7esiyle savunuldu\u011funu aktard\u0131\u011f\u0131, ancak SGK uygulamalar\u0131nda bu gerek\u00e7eyle ayr\u0131 bir \u00fccretlendirme yap\u0131lamad\u0131\u011f\u0131 de\u011ferlendirmesinin \u00f6ne \u00e7\u0131kt\u0131\u011f\u0131 kaydedildi.<\/p>\n MR randevusu ve \u201cbeyaz kod\u201d tart\u0131\u015fmas\u0131<\/strong><\/p>\n Hastan\u0131n sosyal medya payla\u015f\u0131m\u0131nda ayr\u0131ca MR randevusunun \u201cbilin\u00e7li geciktirildi\u011fi\u201d ve personel taraf\u0131ndan \u201c\u0130\u015finize geliyorsa\u2026\u201d \u015feklinde bir ifadeyle kar\u015f\u0131l\u0131k verildi\u011fi iddialar\u0131 yer ald\u0131. Ayn\u0131 anlat\u0131mda, ya\u015fanan tart\u0131\u015fmalar\u0131n ard\u0131ndan hakk\u0131nda \u201cbeyaz kod\u201d uyguland\u0131\u011f\u0131; Konya Cumhuriyet Ba\u015fsavc\u0131l\u0131\u011f\u0131 taraf\u0131ndan ise dosyada \u201ctakipsizlik\u201d karar\u0131 verildi\u011fi bilgisi payla\u015f\u0131ld\u0131.<\/p>\n Mevzuat \u00e7er\u00e7evesi: \u201c\u0130lave \u00fccret\u201dte tavan ve \u015feffafl\u0131k y\u00fck\u00fcml\u00fcl\u00fc\u011f\u00fc<\/strong><\/p>\n SGK\u2019nin \u201c\u0130lave \u00dccret\u201d bilgilendirmesine g\u00f6re s\u00f6zle\u015fmeli sa\u011fl\u0131k hizmeti sunucular\u0131nda, belirlenen sa\u011fl\u0131k hizmeti bedeline ek olarak al\u0131nabilecek ilave \u00fccretin tavan\u0131 \u201ciki kat\u0131na kadar\u201d \u00e7er\u00e7evesinde tan\u0131mlan\u0131yor. Ayn\u0131 metinde, ilave \u00fccret al\u0131nmadan \u00f6nce hasta\/hasta yak\u0131n\u0131n\u0131n yaz\u0131l\u0131 onay\u0131n\u0131n<\/strong> al\u0131nmas\u0131 gerekti\u011fi; onay olmadan sonradan ilave \u00fccret talep edilemeyece\u011fi belirtiliyor.<\/p>\n Ayr\u0131ca SGK d\u00fczenlemesi; yatarak tedavilerde (belirli e\u015fiklerin a\u015f\u0131lmas\u0131 halinde) hastaya, sunulan hizmetleri ve varsa ilave \u00fccret tutar\u0131n\u0131 g\u00f6steren bir belgenin verilmesini zorunlu k\u0131l\u0131yor.<\/p>\n SGK ayr\u0131ca baz\u0131 hizmet ba\u015fl\u0131klar\u0131nda hi\u00e7bir ilave \u00fccret al\u0131namayaca\u011f\u0131n\u0131<\/strong> listeliyor (\u00f6rne\u011fin acil haller, yo\u011fun bak\u0131m, yan\u0131k tedavisi, kanser tedavisi, yenido\u011fan hizmetleri, organ\/doku\/k\u00f6k h\u00fccre nakilleri gibi).<\/p>\n Vatanda\u015f ne yapabilir?<\/strong><\/p>\n Bu t\u00fcr uyu\u015fmazl\u0131klarda uzmanlar, \u00f6deme belgelerinin ve ayr\u0131nt\u0131l\u0131 d\u00f6k\u00fcmlerin saklanmas\u0131n\u0131, varsa ilave \u00fccret onay formu ve \u201chizmet\/\u00fccret d\u00f6k\u00fcm\u00fc\u201dn\u00fcn talep edilmesini \u00f6neriyor. SGK kanallar\u0131ndan \u015fik\u00e2yet\/ba\u015fvuru i\u00e7in \u00f6ne \u00e7\u0131kan yollar:<\/p>\n \u0130nceleme sonucunda mevzuata ayk\u0131r\u0131 tahsilat tespiti yap\u0131l\u0131rsa, habere konu \u00f6rnekte oldu\u011fu gibi iade s\u00fcreci i\u015fletilebiliyor.<\/p>\n <\/p>\n","protected":false},"excerpt":{"rendered":" Sosyal G\u00fcvenlik Kurumu incelemesi, \u00f6zel bir hastanedee bir hastadan mevzuat s\u0131n\u0131rlar\u0131n\u0131 a\u015fan \u201cmuayene fark\u0131\u201d al\u0131nd\u0131\u011f\u0131 iddias\u0131n\u0131 do\u011frulad\u0131; fazla tahsil edilen tutar iade edilirken hastaneye idari yapt\u0131r\u0131m uyguland\u0131.<\/p>\n","protected":false},"author":2,"featured_media":4361,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[14],"tags":[],"class_list":["post-4360","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-konya"],"yoast_head":"\n\n