JP2007148758A - Method and system for confirming visit to hospital - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a method and system for confirming visit to hospital, in which illicit application can be surely prevented in application of medical treatment expense or medical cost. <P>SOLUTION: Individual confirmation of a patient is performed after medical examination, patient data including a medical examination content of the patient for which individual confirmation is performed are displayed, input of the confirmation of the content by the patient is received, and the visit to hospital of the patient is recorded. <P>COPYRIGHT: (C)2007,JPO&INPIT

Description

  The present invention relates to a patient visit confirmation method and system in, for example, judo reduction.

  At a clinic of a judo rehabilitation clinic such as an osteopathic clinic or an osteopathic clinic, in order to receive payment of medical expenses for medical expenses from an insurance institution, a medical expenses medical expenses application (receipt) is created each time medical care is performed. The patient automatically signs this receipt, and the judo reduction teacher is entrusted with the receipt of medical expenses. This receipt is submitted to a reduction organization or osteocracy association as an affiliated organization (for example, Patent Document 1).

  On the side of the Rehabilitation Association or Osteopathic Association, the medical treatment payment application procedure processing to the insurance organization is performed for the submitted receipt. Specifically, the medical expenses bill is prepared and the medical expenses medical supply application form is sent to the insurance organization to request examination.

JP 2005-258751 A

  In such a conventional medical expenses medical expenses application procedure, there is a possibility of signing a blank receipt in advance, and confirm whether the patient actually confirmed the receipt created by medical treatment I can't. It is also unclear whether the patient really visited the hospital. Furthermore, no confirmation is made as to whether the person who signed the receipt is the patient.

  For this reason, it was impossible to prevent the medical expenses from being billed for the medical expenses.

  Accordingly, it is an object of the present invention to provide a hospital check method and system that can surely prevent unauthorized application when applying for medical expenses or medical expenses.

  According to the present invention, after the medical treatment is completed, the patient's identity is confirmed, patient data including the medical content of the patient who has confirmed the identity is displayed, and the patient confirms the content and receives an input indicating that the content has been confirmed. A visit confirmation method for recording

  According to the present invention, the means for confirming the identity of the patient after the end of the medical care, the means for displaying the patient data including the medical care contents of the patient who has confirmed the identity, and the input for accepting the input that the patient has confirmed the contents There is provided a visit confirmation system comprising means and storage means for recording a received patient visit.

  Since the person is confirmed after the medical treatment is completed and the patient's patient data is displayed and confirmed, the visit record can be kept only when the patient confirms the content of the medical treatment. Accordingly, it is possible to make sure that there is no error in the visit records for insurance claims, and it is possible to prevent claims for additional insurance. Moreover, there is no inconvenience that makes the paperwork complicated.

  The identity verification is performed by inputting the patient code and password of the patient, the input of the patient examination card and password, the patient examination card, or a combination of the input of the patient biometric data, or means for performing identity verification. Means for inputting patient's patient code and password, means for inputting patient's diagnosis card and password, means for inputting patient's diagnosis card, or means for inputting any of these means and patient's biometric data It is preferable that these are combined.

  The examination card is preferably a magnetic card or an IC card.

  It is also preferable that the identity verification is performed only by inputting the patient's biometric data, or that the means for performing the identity verification is a means performed by inputting the patient's biometric data.

  The display of patient data is to display an image of an application form in which data about the patient is described, or the means for displaying patient data is a means to display an image of the application form in which data about the patient is described It is preferable.

  It is also preferable that the input indicating that the contents have been confirmed is pressing of the confirmation key or the input of the patient's biological data, or the input means is a confirmation key or an input means of the patient's biological data.

  Preferably, the visit record includes a visit date and time, the patient's name and patient code, or the storage means is a means for storing a visit record including the visit date and time, the patient's name and patient code.

  According to the present invention, since the identification is performed after the medical treatment is completed and the patient's patient data is displayed and confirmed, the visit record can be kept only when the patient himself confirms the content of the medical treatment. it can. Accordingly, it is possible to make sure that there is no error in the visit records for insurance claims, and it is possible to prevent claims for additional insurance. Moreover, there is no inconvenience that makes the paperwork complicated.

  FIG. 1 is a block diagram schematically showing the configuration of a medical treatment medical expenses supply application system as an embodiment of the present invention, and FIG. 2 shows a data file structure in a computer of a judo reduction clinic in FIG. FIG.

  In FIG. 1, reference numeral 10 denotes a clinic for a judo reduction nurse such as an osteopathic clinic or an osteopathic clinic, 20 denotes a reduction nurse society or an osteopath society, and 30 denotes a clinic 10 for a judo reduction nurse and a reduction clinic society or an osteopath society 20. The connecting internet, 40 is an insurance institution, and 50 is a financial institution.

  The judo reduction clinic 10 includes a computer 11 having a display, a keyboard, a mouse, and the like, a printer 12 as a peripheral device, a pen tablet 13 for inputting handwriting to handwritten characters, and a plurality of fingerprints and IC cards. An authentication sensor 14 and a seal input scanner 15 are provided.

  The pen tablet 13 is configured by a pen tablet (for example, Intuos 3 of Wacom Co., Ltd. and its ink pen) that can input the signature as handwriting data while leaving the handwriting of the signature on the paper.

  The multiple authentication sensor 14 is configured by a fingerprint IC card authentication sensor (for example, MUSB200-COMBO of Silex Technology) in which a fingerprint sensor and an IC card reader are integrally formed. A fingerprint sensor and an IC card reader may be prepared separately. In some cases, a magnetic card reader is used instead of the IC card reader.

  The reduction teacher society or the osteopath society 20 is provided with terminal computers 21 to 24, a host computer (server) 25, and a printer 26.

  A data file having a structure as shown in FIG. 2 is provided in the computer 11 of the clinic 10 for the judo reduction clinic. That is, an insurance card data file 16a for storing each patient's insurance card data, a medical data file 16b for storing each patient's medical data, and a signature data file for storing each patient's handwritten signature handwriting data 16c, a personal identification data file 16d for storing each patient's magnetic card or IC card data and biometric data such as fingerprints, and a seal data file 16e for storing each patient's or each judo reduction teacher's seal image data Is provided.

  FIG. 3 is a flowchart for explaining the medical treatment / medical expenses application process performed at the clinic 10 of the judo reduction teacher in the embodiment of FIG.

  As shown in the figure, when the patient is the first visit, firstly, from the insurance card submitted by the patient, the name of the healer, healer address, healer telephone number, date of healer, insurer number, insurance card The insurance card data such as symbols and numbers is input (step S1). Furthermore, a patient code (key code) is given and a patient's examination card, that is, a magnetic card or an IC card is created (step S2). In this case, if necessary, a password that only the patient can know is registered. In addition to the patient code (and password), part or all of the entered insurance card data is stored in this examination card. All of the entered patient code, (registered password) and entered insurance card data are stored in the insurance card data file 16a (step S3).

  After the medical treatment is performed (step S4), enter the medical data such as injury name, injury date, initial examination date, treatment date, and the cost, billing amount, partial burden amount, etc. Input or calculate (step S5). The medical data obtained by inputting or calculating in this way is stored in the medical data file 16b (step S6). On the other hand, if this is not the first visit, that is, if it is a revisit, treatment or medical care is performed (step S18), and then medical data is input in step S5. Also in this case, the medical data obtained by inputting or calculating the cost, billing amount, partial burden, etc. is stored in the medical data file 16b.

  Thereafter, it is determined whether or not this time is the first visit (step S7). If it is the first visit, fingerprint data, which is biometric data, is input and registered using the authentication sensor 14 (step S8). In this embodiment, fingerprint data is input as biometric data, but other biometric data such as palm print data and iris data may be used. If it is not the first visit, that is, if it is a revisit, the next step S8 is skipped and the process proceeds to step S9.

  Next, manual input of patient code and password, insertion of magnetic card or IC card into authentication sensor 14 and input of password, input of fingerprint using authentication sensor 14, or authentication sensor 14 of magnetic card or IC card And verifying the patient's identity by performing verification by inputting a fingerprint using the authentication sensor 14 (step S9). In the case of a first visit, biometric data registration is performed in the immediately preceding step S8, so identity verification may not be necessary here.

  When the identity verification is successful, the patient data of the patient is displayed on the display (step S10). That is, an image of a medical expenses medical application payment application (receipt) is displayed. In this case, the insurance card data, the medical data, the judo reduction teacher name, the judo reduction teacher code or its seal, and the date of the day are displayed on the receipt. In the case of a revisit, the patient's signature stored at the first visit is also displayed. The seal of the judo reduction teacher is input in advance by the seal input scanner 15 and stored as seal image data in the seal data file 16e.

  Thereafter, it is determined whether or not this time is the first visit (step S11). If it is the first visit, the patient performs a self-signed signature and inputs the handwriting via the pen tablet 13 (step S12). In this case, by placing a sheet on the tablet and writing on it with a tablet pen with a ballpoint pen, the handwriting remains on the sheet. The input handwriting data is stored in the signature data file 16c (step S13). If it is not the first visit, that is, if it is a revisit, steps S12 and S13 are skipped and the process proceeds to step S14.

  In the next step S14, for example, confirmation that the patient has visited the hospital and has received medical treatment or treatment of the contents described in the receipt is displayed, for example, with a signed receipt as shown in FIG. This is performed by pressing a key or inputting a fingerprint by the authentication sensor 14. Next, a visit record book as shown in FIG. 5 is created to record that the patient has visited (step S15). As shown in the figure, this visit record book includes, for example, visit date and time, patient name, patient code, and insurer name.

  Next, a record of this visit and, if necessary, a part of the medical data are stored in a medical card comprising a magnetic card or an IC card (step S16).

  Thereafter, the visit record is additionally stored in the medical data file (step S17).

  As described above, in the local apparatus disposed in the osteopathic or osteopath 10, the patient's signature is also taken in as data, so that all the receipts can be digitized. The created electronic data of the receipt is transmitted from the local device on the osteopathic or osteopathic clinic 10 side to the host device on the reducing or orthopedic society 20 side via the Internet 30.

  In the reduction society or osteotomy society 20, the received electronic data of the receipt is stored in the host computer (server) 25. The server 25 processes and tabulates the medical expenses supply application data sent from the clinics of each judo reduction teacher and stores it in this way, stores it as processing and tabulation data, and prints a tabulated form.

  The terminal computer 22 of the rehabilitation society or the osteotomy society 20 sends the received receipt and the electronic data of the summary form to the insurance organization 40. The insurance institution 40 conducts an examination based on the received receipt, and when payment is decided, fills in a medical treatment cost decision notification form and sends the electronic data to the rehabilitation society or the osteocracy society 20, Transfer money to the account of the reduction organization or osteocracy 20 of the financial institution 50.

  The terminal computer 23 of the rehabilitation society or the osteotomy society 20 receives the electronic data of the medical treatment cost decision notification sent from the insurance organization 40. The terminal computer 24 receives payment data and transmits transfer data with the financial institution 50.

  As described above, according to the present embodiment, since identity verification is performed using fingerprint authentication and a magnetic card or IC card, reliable identity verification can be performed. In addition, after confirming the identity of the person, the fact that the person has visited the hospital is confirmed, so the visit record for insurance claims can be assured without error and prevention of inflated insurance claims, etc. It becomes possible. In addition, there is no inconvenience that makes the paperwork complicated.

  Furthermore, according to the present embodiment, since all of the receipts are converted into electronic data, the receipt can be issued immediately only by printing on paper. Further, since the electronic data can be sent through the communication network, the office processing at the headquarters such as the Reducer Association or the Osteologist Association 20 and the insurance organization 40 becomes very easy, and the occurrence of errors can be reduced. it can. Of course, a reduction can be issued immediately by printing on paper even at the Reduction Association or Osteopathic Association 20 or the insurance organization 40.

  Furthermore, the patient only needs to sign at the first visit, and after that, it is only necessary to press the confirmation key.

  All the embodiments described above are illustrative of the present invention and are not intended to be limiting, and the present invention can be implemented in other various modifications and changes. Therefore, the scope of the present invention is defined only by the claims and their equivalents.

It is a block diagram which shows roughly the structure of the medical expenses medical expenses supply application system as one Embodiment of this invention. It is a figure which shows the data file structure in the computer of the clinic of the judo reduction teacher of FIG. It is a flowchart explaining the medical expenses medical expenses supply application process in embodiment of FIG. It is a figure which shows the specific example of a medical expenses medical expenses payment application. It is a figure which shows an example of a hospital record book.

Explanation of symbols

DESCRIPTION OF SYMBOLS 10 Osteopathic or Osteopathic 11 Computer 12, 26 Printer 13 Pen tablet 14 Multiple authentication sensor 15 Seal input scanner 16a Insurance data file 16b Medical data file 16c Signature data file 16d Personal identification data file 16e Seal data file 20 Rehabilitation society Or Osteopathic Association 21, 22, 23, 24 Terminal computer 25 Host computer (server)
30 Internet 40 Insurance institutions 50 Financial institutions

Claims (18)

  Confirming the patient's identity after the end of the medical examination, displaying patient data including the medical contents of the patient who performed the personal identification, receiving the input that the patient has confirmed the contents, and recording the patient's visit The visit confirmation method characterized by.   The method according to claim 1, wherein the identity verification is performed by inputting a patient code and a password of the patient.   The method according to claim 1, wherein the identity verification is performed by inputting a diagnosis card and a password of the patient.   The method according to claim 1, wherein the identity verification is performed by the patient's examination card.   The method according to claim 3 or 4, wherein the examination card is a magnetic card or an IC card.   6. The method according to claim 1, wherein the identity verification is performed by inputting biometric data of the patient.   The method according to any one of claims 1 to 6, wherein the display of the patient data is to display an image of an application form in which data relating to the patient is described.   The method according to any one of claims 1 to 7, wherein the input indicating that the content has been confirmed is pressing of a confirmation key or inputting of biometric data of the patient.   9. The method according to any one of claims 1 to 8, wherein the visit record includes a visit date and time, a patient name and a patient code.   Means for confirming the identity of the patient after the end of medical care, means for displaying patient data including the medical contents of the patient who has confirmed the identity, input means for accepting an input that the patient has confirmed the contents, A visit confirmation system comprising storage means for recording visits of accepted patients.   11. The system according to claim 10, wherein the means for verifying the identity is a means for inputting the patient code and password of the patient.   11. The system according to claim 10, wherein the means for verifying the identity is a means for inputting the patient's examination card and password.   11. The system according to claim 10, wherein the means for confirming the identity is a means for performing examination using the patient's examination card.   The system according to claim 12 or 13, wherein the examination card is a magnetic card or an IC card.   The system according to any one of claims 10 to 14, wherein the means for performing identity verification is a means for performing input of biometric data of the patient.   The system according to any one of claims 10 to 15, wherein the means for displaying patient data is means for displaying an image of an application form in which data relating to a patient is described.   The system according to any one of claims 10 to 16, wherein the input means is a confirmation key or an input means for biometric data of the patient. The system according to any one of claims 10 to 17, wherein the storage means is means for storing a visit record including a visit date and time, a patient name, and a patient code.

Images