The present invention relates to a ground double-hole combined water inrush prevention method for overlying strata movement monitoring and bed separation water drainage. By arranging a rock strata movement monitoring borehole and a bed separation water drainage borehole, interior movement information of an overlying stratum and bed separation generation timing fed back by strata movement monitoring performed inside are monitored; work on the bed separation water drainage borehole is guided by monitoring changes in arranged monitoring points; and through combination of the movement monitoring borehole and the bed separation water drainage borehole, the utilization rate of the bed separation water drainage borehole is effectively increased.