由就医地经办机构实施异地就医行为的监管,是最经济最有效的方式。但是,参保地作为异地就医基金的支付方,有责任掌握异地就医费用支出的明细,以及支出是否合理、有无过度医疗和虚假医疗等违规行为。因此,异地就医监管责任落实在就医地经办机构的同时,应该建立参保地经办机构参与异地就医监 It is the most economical and effective way to administer the medical treatment in different places from the place of medical treatment. However, it is the responsibility of the insured site as the payer of the remote medical fund to know the details of the expenditures for medical expenses in different places and whether the expenses are reasonable, whether there is excessive medical treatment or false medical treatment. Therefore, the implementation of regulatory responsibility for remote medical treatment in the medical institutions should be established at the same time, should be set up to participate in insurance agencies to participate in medical supervision