Reduction of the doctor's position on the sick leave list. Materials from the magazine “Consultant Sverdlovsk Region”

1. Are certificates of incapacity for work subject to re-issuance if there are errors in the spelling of the name of the organization: there are extra spaces, instead of the abbreviation FBU, FGU is indicated ( government agency became budgetary), the abbreviation OJSC was replaced by ZAO, are there no necessary spaces?

All of the listed inaccuracies in the spelling of the name of the employing organization are a technical defect in the design of the certificate of incapacity for work, which does not affect the payment of temporary disability benefits.

In accordance with the Letter of the Foundation social insurance RF dated October 28, 2011 No. 14-03-18/15-12956 presence of technical deficiencies in filling out the certificate of incapacity for work is not a basis for its re-registration and refusal to appoint and payment of benefits, if at the same time all entries in the certificate of incapacity are read.

It is important for the employer to identify specific person- a temporarily disabled citizen, as his own employee, and territorial body The Social Insurance Fund can identify the policyholder by his registration number, indicated in the section of the certificate of incapacity for work “To be completed by the employer.”

2. Is it possible to accept a certificate of incapacity for work if the line “place of work - name of organization” indicates the abbreviated name of the organization - employer, which does not correspond to its name in the Charter?

The currently valid Procedure for issuing certificates of incapacity for work, approved by Order of the Ministry of Health and Social Development No. 624n dated June 29, 2011, does not regulate methods for abbreviating the name of an organization. This defect is not a basis for its re-registration.

3. In the certificate of incapacity for work, the name of the employer organization is arbitrarily abbreviated without reference to territorial affiliation; there is no word “Voronezh”. Should such a certificate of incapacity for work be reissued?

In the registration numbers of policyholders, the name of the region is encoded in the first two digits, the code “36” is assigned to the Voronezh region.

In addition, it is important for the employer to identify a specific person - a temporarily disabled citizen - as his employee, and the territorial body of the Social Insurance Fund can identify the policyholder by his registration number, indicated in the section of the certificate of incapacity “To be completed by the employer.” Such a certificate of incapacity for work cannot be re-registered.

4. Please explain the procedure for filling out the “Physician’s position” column. A certificate of incapacity for work was submitted to the accounting department of our organization, in which “general rights” is indicated as the position of a doctor. Should the form of such a sheet be considered damaged?

In accordance with paragraph 60 of the Procedure for issuing certificates of incapacity for work, approved by Order of the Ministry of Health and Social Development of the Russian Federation dated June 29, 2011 No. 624n, the position of the doctor is indicated in the column “Position of a doctor” in the table “Exemption from work”. When filling out this column, it is necessary to keep in mind that the name of the doctor’s position is formed taking into account the specialty in which the employee has appropriate training and the work that is included in his duties.

Order No. 1183n dated December 20, 2012 “On approval of the nomenclature of positions medical workers And pharmaceutical workers» the positions of doctors are established taking into account their specialty, for example, “general practitioner”, “cardiologist”, “surgeon”, “otorhinolaryngologist”. At the same time, the Letter of the Federal Social Insurance Fund of the Russian Federation dated October 28, 2011 No. 14-03-18/15-12956 (hereinafter referred to as the Letter) states that the column “Position of a doctor” can be filled in as follows: therapist, pediatrician, surgeon, ENT.

Position "doctor" general practice(family doctor)” is also provided for by the Nomenclature and is formed taking into account the specialty of the medical worker. In addition, the Letter emphasizes: if the number of letters in the title of a doctor’s position exceeds 9 cells, its reduction is permissible. At the same time, a clear list of permissible job cuts across the entire Nomenclature has not been approved.

Taking into account the above, the indication of the position of a “general practitioner” doctor, which makes it possible to identify this specialist as a general practitioner, is not a basis for recognizing the certificate of incapacity for work as damaged.

5. In the table “Exemption from work” in the column “Position of a doctor” the chairman is entered first medical commission, and the doctor himself is listed in the next line. Do I need to change the sheet?

Regarding the order of entries in the line “Physician’s position” in cases considered by the medical commission, the following should be kept in mind. The current procedure for filling out certificates of incapacity for work does not determine this priority and does not contain any indication of the need to include the position of a doctor exclusively in the first line, and the position of the chairman of the medical commission - certainly in the second in the corresponding cells of the table “Exemption from work”.

Thus, regardless of the order in which the positions of doctor and chairman of the medical commission are written, sick leave certificates must be accepted for payment without re-registration.

6. Some entries in the sick leave form in the part filled out by the medical organization were made, in the opinion of the employer, ballpoint pen. The hospital claims that a capillary pen was used. Should I insist on replacing the slip or can I accept it for payment?

Considering that there is no reliable examination data on the use of a ballpoint pen, and not a gel or capillary pen, we consider it possible to accept such certificates of incapacity for work for payment without re-registration.

A medical institution indicates the name of the organization, as a rule, according to the citizen, since the law does not provide for the obligation of the employer to issue to its employees, and the citizen himself - to request from his organization and provide medical institution official document, which would include the current name of the organization corresponding to its constituent documents. Therefore, the employer, having identified the citizen as his employee to whom he is obliged to accrue and pay benefits, fills out the line “place of work - name of organization”, indicating in it his “correct” name, possibly clarifying it. For additional control, the field “Registration No.” of the policyholder is provided, by which the territorial body of the insurer can identify the employer.

Considering the above, we believe that such the sheet can be accepted by the employer without re-registration.

8. In one of the certificates of incapacity for work, the line “Name of organization” is filled in by the medical institution in this way: some of the words are typed, and the other is written by hand in block letters. On the second sheet, the name of the organization is written in block letters, and the remaining fields are filled in using a printing device. Are these certificates of incapacity for work drawn up correctly?

It is permissible to fill out a certificate of incapacity for work both using printing devices and in block letters manually. Certificates of incapacity for work issued in accordance with the current procedure.

Good afternoon.
The employee brought a sick leave certificate issued by a GP (general practitioner), began looking for information, and found that such doctors can issue sick leave certificates only due to disability “05”, but not “01”. Then to the address indicated in sick leave(who issued it) found that it was a dispensary.
I could not check the sick leave on the FSS website, since lost forms were listed there only up to 10/31/2018. We have LN from November 22, 2018
How to check the authenticity of a personal income tax before payment?
Can a GP issue personal income tax using code “01”
Can an outpatient clinic issue medical prescriptions, how can I check this?

Hope

Our answer

The following health workers have the right to issue a certificate of incapacity for work (part 2 of article 59 of the Law of November 21, 2011 N 323-FZ; clause 2 of the Procedure):

— attending physicians of a medical organization;

— paramedics or dentists of a medical organization;

— attending physicians at a clinic of a research institution (institute), including those involved in prosthetics or prosthetic construction.

On the certificate of incapacity for work in the column “Position of a doctor” it is legal to indicate “GP (general practitioner)”, since the Nomenclature of positions of medical workers and pharmaceutical workers, approved by Order of the Ministry of Health of Russia dated December 20, 2012 N 1183n (hereinafter referred to as the Nomenclature), defines the specialty of a doctor , referred to as a general practitioner (family doctor).

Clause 3 of the Procedure contains an exhaustive list of medical organizations whose employees do not have the right to issue a certificate of incapacity for work, regardless of the above conditions. These organizations include:

— emergency medical care organizations;

— organizing blood transfusions;

— emergency departments of hospital institutions;

— balneological clinics and mud baths;

— medical organizations special type(medical prevention centers, disaster medicine centers, bureaus forensic medical examination);

— healthcare institutions for supervision in the field of consumer rights protection and human well-being.

A sick leave certificate is considered fake even if it is issued on an invalid form. You can check the sick leave form using the register, which is posted on the website http://fss.ru. It includes information about sick leave certificates that were declared invalid by the Federal Social Insurance Fund of the Russian Federation due to their loss by medical workers or theft from medical organizations.

On the website you will find this register by going to the “Information for employers (reporting forms, forms)” section. Next, go to the “Invalid sick leave forms” tab and download the Excel file.

Compare the first nine characters of the certificate of incapacity number, which is located in the upper right corner under the barcode, with the form numbers listed in this file (press the Ctrl and F key combination, indicate the number in the window that appears). If you find a verifiable sick leave number on this list, you know that the employee has brought you a fake sick note. We will tell you more about what to do if such a sick leave is detected below.

If there are doubts about the authenticity of the sick leave certificate presented by the employee and there is no information about it in the register of invalid sick leave, be sure to request information from the Federal Social Insurance Fund of the Russian Federation. It is advisable to contact the territorial body of the FSS of the Russian Federation at the place of registration of your organization or the regional branch of the FSS of the Russian Federation at the location of the medical organization that issued the sick leave.

You can send your request in writing to electronic form, by fax. You can also call or come to an appointment (Part 4, Article 1, Part 1, Article 2 Federal Law dated 02.05.2006 N 59-FZ, clause 2 of the Instructions on organizing the consideration of citizens' appeals to the FSS of the Russian Federation).

No need to go re-register sick leave, If:

there are notes in the margins of the sick leave if there is not enough space (cells) for the information clause 17 of the FSS Letter dated October 28, 2011 No. 14-03-18/15-12956 (hereinafter referred to as the Letter);
There are folds on the sick note due to the fact that it was folded.

New sick leave form approved By Order of the Ministry of Health and Social Development of April 26, 2011 No. 347n (hereinafter referred to as Order No. 347n) It has been in effect for more than a year, and everyone is more or less accustomed to it. But everyone is still worried about whether the Social Insurance Fund will reimburse benefits if there are shortcomings in the sick leave that the doctor made when filling it out? Although the Social Insurance Fund has become more loyal to some of them, there are still errors in the sheet, in the presence of which it is necessary to require the employee to re-issue the submitted sick leave. What are these errors?

Let's show with examples. In the sample sick leave certificate, errors for which the Social Insurance Fund will refuse compensation for benefits are circled in red, and those for which you will receive compensation are circled in green.

(1) The doctor made notes on the sick leave with a ballpoint pen and blue ink. paragraph 1 Letters

(2) There are corrections on the sick leave clause 56 of the Order

(3) The seal of the medical organization got into the cells of the information field, and because of this the text is not readable clause 56 of the Order

(1) The sequence of indicating the address of the medical organization is not followed clause 58 of the Procedure, approved. By Order of the Ministry of Health and Social Development dated June 29, 2011 No. 624n (hereinafter referred to as the Procedure). It’s not scary - the FSS can identify a medical organization by its OGR N paragraph 8 Letters

(1) The last name, first name or patronymic of the employee is incorrectly indicated clause 57 of the Order

(2) The seal of the medical organization is not readable clause 56 of the Order

(1) The sick note is filled out in words or in capital letters and lowercase letters, and not in capital block letters and pp. 1, 17 Letters

(2) Characters fall on or beyond cell boundaries pp. 1, 17 Letters

(3) The name of the employing organization contains quotation marks, periods, commas, dashes, or the name of the organization is indicated that does not coincide with that accepted in the organization itself. In these cases, the FSS can identify the employer by the registration number specified in the section “To be completed by the policyholder" paragraph 6 Letters

(1) The deadlines for issuing and extending sick leave were violated. In particular, in case of illness or injury, the doctor alone can issue sick leave to the employee for a period of no more than 15 calendar days. clause 27 of the Order

(2) In the “Physician’s position” line of the “Exemption from work” table, “doctor” or “attending physician” is indicated without indicating the specific position of the doctor (for example, therapist, surgeon, otolaryngologist) paragraph 10 Letters

(3) Notes on sick leave are not readable paragraph 17 Letters

(4) No seal of the medical institution or signature of the doctor pp. 56, 58 Order

(5) There is no signature of the chairman of the medical commission in the “Doctor’s signature” column of the “Exemption from work” table in cases where:

<или>sick leave is extended for a period of more than 15 calendar days by decision of the medical commission and clause 27 of the Order ;
<или>the certificate was issued to an employee injured as a result of an accident at work, by decision of the medical commission and clause 32 of the Order

(1) There is a space between the doctor's initials. Even before the Order directly established that a space should be placed only between the surname and initials of the doctor and clause 57 of the Procedure (as amended, valid until 04/22/2012), the FSS attributed such a defect to technical ones that do not require re-issuance of sick leave paragraph 17 Letters

(2) There is no dash in the empty lines of the table “Exemption from work” paragraph 2 Letters. Or the print goes beyond the boundaries of the designated field, ends up in adjacent cells, but allows you to read the text indicated in the sick leave line paragraph 17 Letters

In any case, do not forget to study carefully appearance sick leave so as not to miss a perfectly filled out obvious fake. It may differ from the original certificate of incapacity in color (the original sick leave is blue), it is unlikely to have multi-colored fibers and watermarks and approved Order No. 347n. Doubtful sick leave does not need to be paid. The FSS will definitely wrap him up.

If an employee brought you a sick leave with some non-standard error and you do not know whether re-registration is required in this case, contact your FSS department for advice. And if you act according to their recommendations, then there will be no problems with compensation for such sick leave.

IN Lately on sick leave certificates in the column “position of the attending physician” you can see the abbreviation GP.

The question arises, what does this abbreviation mean?

According to Nomenclature of positions of medical workers, there is a specialty of a doctor called a general practitioner or family doctor.

Let's try to figure out what kind of specialty this is.

The difference between a general practitioner and a therapist

General practitioner, traditionally also called family doctor, provides medical care outpatient. That is, in the clinic, the so-called primary care, where the sick person goes. The main difference between a general practitioner and a therapist is volume of performed practical work , because he has the right to carry out a whole range of manipulations.

The therapist uses only such tools as a tonometer and a phonendoscope, but a family doctor has the right to perform otoscopy, laryngoscopy and rhinoscopy. Simply put, he has skills that allow him to examine the ears, nasopharynx, and even the fundus of the eye.

The doctor has the ability to conduct diagnostic minimum according to some narrow medical specialties. Also, a general practitioner has the right to interpret an electrocardiogram, and in small towns he is charged with treating wounds and applying plaster casts, in the absence of appropriate specialists.

What education does a general practitioner receive?

Basic education for a general practitioner is studying at a medical university, in which the graduate is certified as a general practitioner or pediatrician. Then you need to complete a residency in the field of “therapy,” “pediatrics,” or “internal medicine,” and perhaps even undergo an internship.

If a general practitioner received his education a long time ago, then he has the right to undergo advanced training in order to obtain the specialty “General Medical Practice (Family Medicine), having undergone retraining.

At this stage in Russia there are approximately the same number of general practitioners as there are therapists. Thanks to retraining programs, therapists retrain and get positions family doctors or general practitioners, it depends on the place where they plan to work. The number of such doctors is constantly growing.

What is the job of a family doctor?

A general practitioner is assigned a smaller area than a therapist, because he has more responsibilities in relation to each patient. Usually about 1800 patients, but it all depends on the locality in which the doctor practices.

For example, in Moscow a family doctor deals only with adult patients, while children are supervised by a pediatrician, while the observation system and call system are similar to those used by a local physician. When a family doctor goes on vacation, another doctor comes in to replace him and is given responsibility for the entire area. The duration of vacations for general practitioners and therapists is the same.

However, the family doctor and internist do not visit sick people The doctor on duty responds to calls. In some cases, when there is a need for a visit, the family doctor visits the patient outside of working hours.

What to do if the general practitioner was unable to make a diagnosis?

The higher the professionalism of a general practitioner, the greater the capabilities he has and the less he needs advice from other specialists. But when they arise highly professional questions, the family doctor refers the patient to the appropriate specialist or to a separate medical institution that provides specialized care.

As an example, consider the option when a patient suffers from arterial hypertension (hypertension). This disease is within the competence of internists, family doctors and cardiologists. There are no indications to redirect the patient to a cardiologist, since a qualified general practitioner is able to examine such a patient and prescribe him treatment.

But if the patient is diagnosed with coronary heart disease, then he may need the intervention of a surgeon; naturally, in this case, the family doctor will refer the patient to a specialized specialist.

Also, when a family doctor believes that he cannot cope with the situation and the treatment he prescribes does not give the desired effect, he has the right to ask another specialist for help, that is to get a consultation. General practitioners often use this opportunity.

Of course, in regulatory documents the level of competence of a family doctor is prescribed. At the same time, these documents are constantly being revised, taking into account precedents arising in practice. The standards developed in this way determine what types of examinations and manipulations the doctor will have the right to perform.

For example, in the event of temporary disability (due to illness of the employee himself) while the employee is on annual paid leave, the vacation is automatically extended for the corresponding number of calendar days or, by agreement with the employer, another period can be postponed. The employee must promptly notify the employer of the extension of leave and the reasons. If the incapacity for work occurs before the start of the vacation, then, by agreement with the employer, the vacation can be postponed to another time.

When a citizen is discharged after inpatient treatment, a certificate of incapacity for work is issued on the day of discharge from the hospital for the entire period of inpatient treatment. If temporary incapacity for work continues, the certificate of incapacity for work can be extended up to 10 calendar days.

The procedure for filling out the form for a certificate of incapacity for work

The line “subordination code” is required. The code entered in it indicates the territorial body of the Fund in which the policyholder is registered in this moment. The information in the “calculation conditions” line affects the calculation of the amount of the benefit and the duration of its payment.

If an error is made when filling out the form in a medical institution, then in this case the certificate of incapacity for work is considered damaged and a new certificate is issued in its place. If an error is made in the “filled in by the employer” section, then the erroneous entry is carefully crossed out, the correct entry is made on the back of the form of the certificate of incapacity for work, confirmed by the entry “corrected to believe”, the signature and seal of the employer. Errors may not be corrected by correction or other similar means.

Errors in sick leave: when to require an employee to reissue the certificate

(5) There is no signature of the chairman of the medical commission in the “Doctor’s signature” column of the “Exemption from work” table in cases where:

<или>sick leave is extended for a period of more than 15 calendar days by decision of the medical commission and clause 27 of the Procedure;
<или>the sheet was issued to an employee injured as a result of an accident at work, by decision of the medical commission and clause 32 of the Procedure

General practitioner - who is it? Activities of a general practitioner

Currently, a general practitioner (who is this, was described above) is not the most common, but at the same time very the required profession. This specialist is in demand in rural areas. At the same time, such a doctor saves the state significant funds, because it is not necessary in every locality maintain a large health care institution employing a large number of doctors. A general practitioner can handle many problems on his own. If the intervention of specialized specialists is required to combat a particular pathology, the patient will be referred to medical Center the corresponding profile.

It is in villages that you can most often find such a specialist as a general practitioner. All the villagers know who he is. General practitioners are most widespread in this area due to the economic inefficiency of building full-fledged medical institutions in each locality and providing work in it for large quantities doctors. From this point of view, it would be much more expedient to create small outpatient clinics staffed by a general practitioner (family doctor), nurse and a nurse. Such a recruitment of employees will allow the outpatient clinic to provide comprehensive medical care to residents of the region attached to it.

Filling out a sick leave form

Responsible persons when filling out sick leave are the manager and Chief Accountant organizations. They are the ones who sign the form. Filling out a sick leave certificate or checking that it is filled out correctly is the task of those officials, whose signature certifies the form. Responsibilities personnel worker may include entering some data on the sick leave: company name, insurance record and other non-accounting information. Job description The personnel officer must provide for these powers, otherwise it is unlawful to require him to fill out a sick leave form.

Below is the current official sick leave form for 2020. The form has not changed since 2011. However, from July 1, 2020, medical institutions began issuing temporary sick leave certificates to citizens. electronic format. Therefore, now the employee has the right to choose in what form to receive sick leave: in the usual paper form or in the new electronic form.

Filling out a sick note in a hospital

When sending persons injured in connection with a serious accident at work to sanatorium-resort treatment during a period of temporary incapacity for work, in the columns “From what date” and “To what date” of the “Exemption from work” table of the certificate of incapacity, the date of the start of sanatorium treatment is indicated in one line -resort treatment according to the direction of the medical commission; in the line “Stayed in a hospital” the length of stay in a sanatorium-resort institution is indicated.

in line "date 1" the date of change in the cause of disability, the expected date of birth, the start date of the voucher are entered - when sending tuberculosis patients on vouchers to specialized (anti-tuberculosis) sanatorium-resort institutions for treatment in the case when sanatorium treatment replaces inpatient treatment, as well as after-care after inpatient treatment, when a citizen is referred by a medical organization for treatment to a clinic of a research institution (institute) of balneology, physiotherapy and rehabilitation; when referred for follow-up treatment to specialized sanatorium-resort organizations (departments) immediately after inpatient treatment; when sending persons injured in connection with a serious accident at work to sanatorium-resort treatment during a period of temporary incapacity for work (hereinafter referred to as a voucher for treatment (aftercare);

All about certificates of incapacity for work

Article 83 of the Labor Code of the Russian Federation defines circumstances beyond the control of the parties, in connection with which employment contract subject to termination. In accordance with clause 5. Part 1 of Art. 83 of the Labor Code of the Russian Federation, such a circumstance is the recognition of the employee as completely incapable of labor activity in accordance with the medical certificate issued in accordance with the Issuance Procedure medical organizations certificates and medical reports(approved by order of the Ministry of Health and Social Development of Russia dated May 2, 2012 No. 441n).

Is the employer obligated to extend or postpone leave for an employee who has submitted a certificate of incapacity for child care? The period of incapacity for work began before the start of the vacation and ended during the vacation period. Article 124 of the Labor Code of the Russian Federation indicates that leave is extended or postponed in the event of temporary disability of the employee. Does this rule mean that leave is extended or postponed also in the case of caring for sick family members?

The FSS explained some of the nuances of filling out temporary disability certificates

If a doctor makes a mistake when filling out a sick leave certificate, he must issue a duplicate instead of the damaged form. The new sick leave must indicate that it is a duplicate, and the “date of issue” line reflects the day the new certificate of incapacity for work was issued. Such clarifications are contained in the letter of the FSS of Russia dated December 23, 2011 No. 14-03-11/15-16055.

In addition, the commentary letter explains the procedure for issuing sick leave for a long period of treatment for an illness, injury, or poisoning. From the provisions of paragraphs 11 and 13 of the Procedure for issuing certificates of incapacity for work (approved by order of the Ministry of Health and Social Development of Russia dated June 29, 2011 No. 624n; hereinafter - the Procedure), it follows that in such cases the doctor can independently determine the period of release from work with a frequency of 10 days, but no more 30 days in a row. After 30 days, the sick leave is extended by decision of the medical commission (until the day of restoration of working capacity, but for a period of no more than 10 months, and in some cases - for a period of no more than 12 months, with an extension frequency by decision of the commission no less than every 30 days) . That is, from the 30th day of illness, the certificate of incapacity for work is extended by the attending physician only by decision of the medical commission and for the period that it establishes. If the commission decides to extend sick leave, for example, by 30 days, then the attending physician must single-handedly formalize such an extension every 10 days (until the next meeting of the commission). In this case, with each extension of the certificate of incapacity for work, the signature of the attending physician and the chairman of the medical commission is placed in the “Doctor’s signature” column of the “Exemption from work” table.

How should a sick leave certificate be filled out correctly by a medical institution?

In the line “Was in hospital”, enter the start and end dates of inpatient treatment. If the illness requires a long stay in a hospital, then the citizen is issued a continuation of the certificate of incapacity for work. In this case, the first sheet is drawn up for presentation to the employer and receipt of benefits. In the initial form, instead of the date of return to work, code 31 (“continues to be ill”) is entered in the “Other” line. Such rules are contained in the order of the Ministry of Health and Social Development of Russia dated April 26, 2011 No. 347n.

The rules that a sick leave certificate presented by an employee must meet are spelled out in Chapter IX of the Procedure, approved by order of the Ministry of Health and Social Development of Russia dated June 29, 2011 No. 624n. Some filling features sick leave, which are not clearly stated in the order, are explained in letters of the FSS of Russia dated December 23, 2011 No. 14-03-11/15-16055, dated October 28, 2011 No. 14-03-18/15-12956 and dated September 14 2011 No. 14-03-11/15-8605.

Disease codes on the certificate of incapacity for work

After discharge from medical institution the person continued to work in the organization and an entry was made on his certificate of incapacity for work with code No. 6 “Carrying out prosthetic surgery in a hospital.” If he had simply suffered an injury that prevented him from performing his duties, then code 02 would have been entered.

An employee of the Malinovsky Klin organization, Ivan Ivanovich Ivanov, was at home, moving furniture. This activity was not related to his work. While carrying it, he made a careless movement and fell. Then he was taken by ambulance to the hospital, where he was diagnosed with a broken leg and was given prosthetics.

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