CN109448827A - A kind of medical expense intelligence direct auditing system - Google Patents
A kind of medical expense intelligence direct auditing system Download PDFInfo
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- CN109448827A CN109448827A CN201811074903.9A CN201811074903A CN109448827A CN 109448827 A CN109448827 A CN 109448827A CN 201811074903 A CN201811074903 A CN 201811074903A CN 109448827 A CN109448827 A CN 109448827A
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
- G16H40/20—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
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- G—PHYSICS
- G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
- G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
- G16H10/00—ICT specially adapted for the handling or processing of patient-related medical or healthcare data
- G16H10/60—ICT specially adapted for the handling or processing of patient-related medical or healthcare data for patient-specific data, e.g. for electronic patient records
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Abstract
The present invention is applicable in intelligent medical treatment technical field, provides a kind of medical expense intelligence direct auditing system, which includes: that price obtains module, for obtaining medical services standard price data from medical service prices java standard library；Auditing rule obtains module, for obtaining medical expense auditing rule knowledge from medical expense rule-based knowledge base；Medical information acquisition module, for obtaining the diagnosis information of Hospital medical basic information, patient in hospital from HIS, the inspection that patient in hospital is obtained from LIS and PACS checks information, and the anesthesia charging item information of patient in hospital is obtained from hospital's hand fiber crops system；And medical expense verifies module, for when receiving examination trigger event, information and anesthesia charging item information are checked according to the medical services standard price of acquisition, medical expense auditing rule knowledge and Hospital medical basic information, the diagnosis information of patient in hospital, inspection, and the corresponding patient medical service fee of examination trigger event is examined.
Description
Technical field
The invention belongs to intelligent medical treatment technical field more particularly to a kind of medical expense intelligence direct auditing systems.
Background technique
The reform of the medical insurance means of payment has been placed in the prominent position of medical reform at present, necessarily plays the means of payment and cures in specification
The positive effect in terms of service behavior, the control unreasonable growth of medical expense is treated, and reinforcement is reformed with public hospital, price reform
Multi-party linkage.Medical insurance more supervises reinforcement to medical services behavior in advance, in thing, and gradually services medical institutions medical insurance
Supervision extend to the supervision to medical worker's medical services behavior.This just needs hospital to adapt to Informatization Development, establishes medical treatment
It is horizontal to promote medical insurance management service for charge intelligent checks mechanism, specification medical worker's medical services behavior.
Hospital's price toll management is one across the multi-specialized and strong policy long term systemic such as medical treatment, finance, information
Work.With the progress of medical technology, medical services discipline classification is increasingly deepened and is refined, and service item the more sets the more more, valence
Lattice intension is also maked rapid progress, and the type of medical supplies is also increasing, and the intersection link of Cost of Medical Treatment is more, the information-based mould that is related to
Block waits factors to cause hospital's price toll supervision difficulty big and arduous task more.
Hospital price control personnel generally take case history spot-check mode carry out price toll verify work, working efficiency compared with
It is low, and small number of patients can only be verified.The links such as interpretation, training, practicable, verification, the operating analysis of new Medical Treatment Price policy are big
It is mostly completed by manual type, executory cost is high and effect is limited.Traditional Cost of Medical Treatment audit mode easily causes patient doctor
Complaint and the doctor-patient dispute for treating pay side, to influence the reputation and public praise of hospital.
Summary of the invention
The purpose of the present invention is to provide a kind of medical expense intelligence direct auditing systems, it is intended to solve due to existing medical treatment
The patient medical expense of expense system verifies the problem of inefficiency.
On the one hand, the present invention provides a kind of medical expense intelligence direct auditing system, the system comprises:
Price obtains module, for obtaining medical services standard price data from medical service prices java standard library；
Auditing rule obtains module, for obtaining medical expense auditing rule knowledge from medical expense rule-based knowledge base；
Medical information acquisition module, for obtaining the diagnosis information of Hospital medical basic information, patient in hospital from HIS,
The inspection that patient in hospital is obtained from LIS and PACS checks information, and the anesthesia that patient in hospital is obtained from hospital's hand fiber crops system is received
Take project information；And
Medical expense verify module, for receive examine trigger event when, according to the medical services mark of acquisition
Quasi- price, medical expense auditing rule knowledge and Hospital medical basic information, the diagnosis information of patient in hospital, inspection check
Information and anesthesia charging item information, examine the corresponding patient medical service fee of the examination trigger event.
Medical expense intelligence direct auditing system provided by the invention includes that price obtains module, auditing rule obtains mould
Block, medical information acquisition module and medical expense verify module, and medical expense verifies module and receiving examination trigger event
When, medical services standard price, the auditing rule that module obtains are obtained according to price and obtain the medical expense audit that module obtains
The diagnosis information of Hospital medical basic information, patient in hospital that rule knowledge and medical information acquisition module obtain examines inspection
Information and anesthesia charging item information are looked into, the corresponding patient medical service fee of the examination trigger event is examined, thus
It according to examination demand or examines that trigger event automatically audits patient medical service fee, improves patient medical service charge
With the flexibility and accuracy of examination.
Detailed description of the invention
Fig. 1 is the structural schematic diagram for the medical expense intelligence direct auditing system that the embodiment of the present invention one provides；And
Fig. 2 is the preferred structure schematic diagram of medical expense intelligence direct auditing system provided by Embodiment 2 of the present invention.
Specific embodiment
In order to make the objectives, technical solutions, and advantages of the present invention clearer, with reference to the accompanying drawings and embodiments, right
The present invention is further elaborated.It should be appreciated that the specific embodiments described herein are merely illustrative of the present invention, and
It is not used in the restriction present invention.
Specific implementation of the invention is described in detail below in conjunction with specific embodiment:
Embodiment one:
Fig. 1 shows the structure of the medical expense intelligence direct auditing system of the offer of the embodiment of the present invention one, for the ease of
Illustrate, only parts related to embodiments of the present invention are shown.
In embodiments of the present invention, medical expense intelligence direct auditing system 10 includes that price obtains module 101, audit rule
It then obtains module 102, medical information acquisition module 103 and medical expense and verifies module 104, in which:
Price obtains module 101 and is used to obtain medical services standard price data from medical service prices java standard library, with
It is examined for subsequent patient medical service fee.
In embodiments of the present invention, medical service prices java standard library is for storing medical services standard price data, medical treatment
Service standard price data be country, provinces and cities, hospital, department set medical services standard price, these standard prices are by state
Business institute or the audit of price department, provinces and cities determine.
Auditing rule, which obtains module 102 and is used to obtain medical expense auditing rule from medical expense rule-based knowledge base, to be known
Know, medical expense rule-based knowledge base is for storing medical expense auditing rule knowledge, and medical expense auditing rule knowledge includes
Rule knowledge classification, regular detail and rule items, wherein rule knowledge classification (dividing from regulatory issues) refers to same class
The regulatory issues of type (same algorithm) carry out unified classification, for example, repeating charge is rule knowledge classification, this is one big
Classification, is arranged with the rule for having same problem, as illustratively, for example, oxygen uptake repeats to charge.Rule items refer to charge
Project name, for example, repeating the project that oxygen uptake rule is related to has low discharge oxygen supply, assisted mechanical ventilator etc..
Medical information acquisition module 103 is used for from hospital information system (Hospital Information System, contracting
Be written as HIS) in obtain Hospital medical basic information, patient in hospital diagnosis information, from laboratory information system (Laboratory
Information System, is abbreviated as LIS) and image archiving and communication system (Picture Archiving and
Communication Systems, is abbreviated as PACS) in obtain patient in hospital inspection check information, from hospital's hand fiber crops system
The middle anesthesia charging item information for obtaining patient in hospital.Preferably, Hospital medical basic information include medical service of hospital project,
Hygienic material, drug, department's information, diagnosis information include the basic diagnosis information of patient, cost details, doctor's advice information and knot
Information is calculated, patient medical service fee is accurately examined in order to subsequent.
Medical expense verifies module 104 and is used to obtain module 101 when receiving examination trigger event according to price and obtain
Medical services standard price, auditing rule obtain module 102 obtain medical expense auditing rule knowledge and medical information
The diagnosis information of Hospital medical basic information, patient in hospital that acquisition module 103 obtains examines inspection information and anesthesia charge item
Mesh information examines the corresponding patient medical service fee of the examination trigger event, thus according to the demand of examination or examination
Trigger event automatically audits patient medical service fee, improves the flexibility and standard of the examination of patient medical service fee
Exactness.
In embodiments of the present invention, it is preferable that examine that trigger event is the event, preset that doctor uploads doctor's advice in diagnostic table
Free time at night arrival event, patient are transferred from one department to another and/or event of leaving hospital in advance, patient settle accounts preset time period arrival thing after discharge
Part improves patient medical service charge so that the key node in patient assessment examines the medical services expense of patient
With the accuracy of statistics, discovery is verified by accurate expense or associated medical person is reminded to carry out core to the diagnosis and treatment process of patient
It looks into or corrects, and patient assessment's expense verified comprehensively to further improve patient for feeding back after patient discharge
The accuracy of medical services expense statistics.
Embodiment two:
Fig. 2 shows the preferred structure of medical expense intelligence direct auditing system provided by Embodiment 2 of the present invention, in order to
Convenient for explanation, only parts related to embodiments of the present invention are shown.
In embodiments of the present invention, medical expense intelligence direct auditing system 10 includes that price obtains module 101, audit rule
Then obtain module 102, medical information acquisition module 103 and medical expense verify module 104, medical service prices java standard library 105,
Price control module 106, medical expense rule-based knowledge base 107, auditing rule maintenance module 108, policy document database 109,
Policy document management module 110, in which:
Price obtains module 101 and is used to obtain medical services standard price data from medical service prices java standard library 105,
To be examined for subsequent patient medical service fee.
In embodiments of the present invention, medical service prices java standard library 105 is cured for storing medical services standard price data
Treatment service standard price data be country, provinces and cities, hospital, department set medical services standard price, these standard prices by
State Council or the audit of price department, provinces and cities determine.Preferably, medical service prices java standard library 105 includes cloud medical service prices
Java standard library 1051 and medical service of hospital price standard library 1052, cloud medical service prices java standard library 1051 for depositing beyond the clouds
Medical services standard price data are stored up, cloud medical service prices java standard library 1051 connects periodically or automatically every night in preset time
Planning commission's medical service prices are defended to country or provinces and cities and update website, download newest Medical Treatment Price normative document and cloud medical treatment is taken
Medical services standard price data in business price standard library 1051 are updated, thus according to planning commission's medical service prices are defended more
The medical service prices update cycle in new website, in time to the medical services standard price in the medical service prices java standard library of cloud
Data are updated.Medical service of hospital price standard library 1052 is used to that medical services standard price number to be locally stored in hospital
According to that is, medical service of hospital price standard library 1052 is used to store the medical treatment imported from cloud medical service prices java standard library 1051
Service standard price data, to pass through cloud medical service prices java standard library 1051 and medical service of hospital price standard library
1052 guarantee the real-time of medical services standard price information, while improving access efficiency when clinical users access database.
Price control module 106 is used for according to preset update trigger event to the medical treatment in medical service prices java standard library
Service standard price data is updated.Therefore, it corresponds to preferably, price control module 106 includes cloud price control module
1061 and hospital's price control module 1062, cloud price control module 1061 is used to update trigger event according to preset cloud
Medical services standard price data in the medical service prices java standard library of cloud are updated, hospital's price control module
1062, for updating trigger event to the medical services standard price in medical service of hospital price standard library according to preset hospital
Lattice data are updated, to guarantee medical services by cloud price control module 1061 and hospital's price control module 1062
The consistency of price, while improving the medical treatment clothes in cloud medical service prices java standard library and medical service of hospital price standard library
The real-time for standard price data of being engaged in.It is further preferred that hospital's price control module 1062 can also be to user (for example, doctor
Raw, nurse or fee-collector etc.) terminal pushes price standard update message, while comparing the difference in HIS price standard library, and it is poor to send
Different information, to notify user in time.
Policy document database 109 is used for according to national file, provincial, and municipal level file, hospital-grade file, department's grade file
Catalogue setting, store national Medical Treatment Price policy document, provincial, and municipal level Medical Treatment Price policy document, hospital-grade Medical Treatment Price political affairs
Plan file and department's grade Medical Treatment Price policy document.Policy document management module 110 be used for policy document database upload or
National Medical Treatment Price policy document, provincial, and municipal level Medical Treatment Price policy document, hospital-grade medical treatment are downloaded from policy document data bank
Pricing policy file and department's grade Medical Treatment Price policy document.Cloud price control module 1061 can be automatic according to these files
(or in the case where price assistant director assists) carries out the medical services standard price data in cloud medical service prices java standard library 1051
It updating, these files can also be downloaded automatically and be pushed to corresponding medical worker by hospital's price control module 1062, so as to
Medical worker recognizes newest medical policy document in time.
Auditing rule obtains module 102 and is used to obtain medical expense auditing rule from medical expense rule-based knowledge base 107
Knowledge, medical expense rule-based knowledge base 107 is for storing medical expense auditing rule knowledge, and medical expense auditing rule knowledge
Including rule knowledge classification, regular detail and rule items, wherein rule knowledge classification (dividing from regulatory issues) refers to together
The regulatory issues of one type (same algorithm) carry out unified classification, for example, repeating charge is rule knowledge classification, this is one
Big classification is arranged with the rule for having same problem, as illustratively, for example, oxygen uptake repeats to charge.Rule items refer to
Charging item title, for example, repeating the project that oxygen uptake rule is related to has low discharge oxygen supply, assisted mechanical ventilator etc..It examines
Core rule maintenance module 108 then for the medical expense auditing rule knowledge stored in medical expense rule-based knowledge base 107 into
Row maintenance, for example, the operation such as increased the rule in medical expense rule-based knowledge base 107, deleted, modify, so that curing
Rule can real-time update in treatment expense rule-based knowledge base 107.
Diagnosis information of the medical information acquisition module 13 for acquisition Hospital medical basic information, patient in hospital from HIS,
The inspection that patient in hospital is obtained from LIS and PACS checks information, and the anesthesia that patient in hospital is obtained from hospital's hand fiber crops system is received
Take project information.Preferably, Hospital medical basic information includes medical service of hospital project, hygienic material, drug and department's letter
Breath, diagnosis information includes the basic diagnosis information of patient, cost details, doctor's advice information and settlement information, in order to subsequent right
Patient medical service fee is accurately examined.
Medical expense is verified module 14 and is used for when receiving examination trigger event, obtains what module 11 obtained according to price
Medical services standard price, auditing rule obtain the medical expense auditing rule knowledge that module 12 obtains and medical information is adopted
Collect the Hospital medical basic information of the acquisition of module 13, the diagnosis information of patient in hospital, examine inspection information and anesthesia charging item
Information examines the corresponding patient medical service fee of the examination trigger event, to according to the demand of examination or examine touching
Hair event automatically audits patient medical service fee, improves the flexibility of patient medical service fee examination and accurate
Degree.
In embodiments of the present invention, it is preferable that examine that trigger event is the event, preset that doctor uploads doctor's advice in diagnostic table
Free time at night arrival event, patient are transferred from one department to another and/or event of leaving hospital in advance, patient settle accounts preset time period arrival thing after discharge
Part improves patient medical service fee so that the key node in patient assessment examines the medical services expense of patient
The accuracy of statistics verifies discovery by accurate expense or associated medical person is reminded to verify the diagnosis and treatment process of patient
Or correct, and patient assessment's expense is verified comprehensively after patient discharge, further improve patient medical service fee
The accuracy of statistics.
It is therefore preferred that it includes that doctor's advice verifies submodule 1041 that medical expense, which verifies module 104, for receiving
When the doctor's advice that doctor uploads, medical services standard price, auditing rule that module 101 obtains are obtained according to price and obtain module
102 obtain medical expense auditing rule knowledge and medical information acquisition module 103 obtain Hospital medical basic information,
The diagnosis information of patient in hospital examines inspection information and anesthesia charging item information, medical treatment clothes corresponding to the previous doctor's advice of patient
Business expense carries out diagnostic table examination, reminds doctor in time for expense abnormal conditions.It is of course also possible to certainly when previous doctor's advice is completed
To patient, the corresponding medical services expense of the previous doctor's advice carries out diagnostic table examination for dynamic triggering.
Daily cost verifies submodule 1042 and is used to obtain the doctor that module obtains according to price in preset free time at night
Treat service standard price, auditing rule obtains the medical expense auditing rule knowledge and medical information acquisition mould that module obtains
The diagnosis information of Hospital medical basic information, patient in hospital that block obtains examines inspection information and anesthesia charging item information,
Institute examines after being admitted to hospital to patient at night to the medical services expense on the same day, to realize the daily of patient medical service fee
It examines, in order to be found in time when expense occurs extremely and be pushed to related personnel.
Nurse station verifies submodule 1043 and is used to obtain the medical services standard price of module acquisition according to price, audits and advise
The Hospital medical basis letter that the medical expense auditing rule knowledge and medical information acquisition module for then obtaining module acquisition obtain
Breath, the diagnosis information of patient in hospital, inspection check information and anesthesia charging item information, when patient transfers from one department to another and/or leaves hospital in advance
Patient medical service fee is examined, thus when patient transfers from one department to another and/or leaves hospital in advance in time to patient medical service fee
It is examined, to reduce follow up check complexity, is found in time when expense occurs extremely and be pushed to related personnel.
Submodule 1044 is verified after clearing to be used to obtain the medical services standard price of module acquisition according to price, audit and advise
The Hospital medical basis letter that the medical expense auditing rule knowledge and medical information acquisition module for then obtaining module acquisition obtain
Breath, the diagnosis information of patient in hospital, inspection check information and anesthesia charging item information, to patient doctor after patient settles accounts discharge
It treats service fee to be examined, passes through the statement of expense and doctor's advice inventory verification patient medical number in patient data exception details table
According to whether having exception, for there is abnormal data to record by feedback operation, consequently facilitating maintenance personnel is in time to hospital
Medical expense system (for example, medical expense auditing rule knowledge) is corrected.
Government verify module 1045 be used for according to the medical services standard price of storage, medical insurance auditing rule knowledge,
The medical expense auditing rule knowledge of hospital's upload, Hospital medical basic information, the diagnosis information of patient in hospital, inspection check letter
Breath and anesthesia charging item information, examine patient medical service fee, consequently facilitating Government Medical supervisory organ (example
Such as, social security office) hospital administration, charge etc. are monitored.
Medical expense in the embodiment of the present invention verifies module can verify submodule, daily cost verification submodule by doctor's advice
Block, nurse station verify submodule after verifying submodule, clearing and government verifies module, in the key node that patient sees a doctor according to doctor
Treat service standard price, medical expense auditing rule knowledge and Hospital medical basic information, patient in hospital diagnosis information,
It examines and checks information and anesthesia charging item information, realize that corresponding patient medical service fee examines, improve patient medical
The flexibility and accuracy that service fee examines.
The foregoing is merely illustrative of the preferred embodiments of the present invention, is not intended to limit the invention, all in essence of the invention
Made any modifications, equivalent replacements, and improvements etc., should all be included in the protection scope of the present invention within mind and principle.
Claims (10)
1. a kind of medical expense intelligence direct auditing system, which is characterized in that the system comprises:
Price obtains module, for obtaining medical services standard price data from medical service prices java standard library；
Auditing rule obtains module, for obtaining medical expense auditing rule knowledge from medical expense rule-based knowledge base；
Medical information acquisition module, for obtaining the diagnosis information of Hospital medical basic information, patient in hospital from HIS, from LIS
Information is checked with the inspection for obtaining patient in hospital in PACS, and the anesthesia charging item of patient in hospital is obtained from hospital's hand fiber crops system
Information；And
Medical expense verify module, for receive examine trigger event when, according to the medical services standard price of acquisition
Lattice, medical expense auditing rule knowledge and Hospital medical basic information, the diagnosis information of patient in hospital, inspection check information
With anesthesia charging item information, the corresponding patient medical service fee of the examination trigger event is examined.
2. the system as claimed in claim 1, which is characterized in that the system also includes:
Medical service prices java standard library, for storing medical services standard price data；
Price control module, for being taken according to preset update trigger event to the medical treatment in the medical service prices java standard library
Business standard price data are updated；
Medical expense rule-based knowledge base, for storing medical expense auditing rule knowledge, the medical expense auditing rule knowledge
Including rule knowledge classification, regular detail and rule items；And
Auditing rule maintenance module, for the medical expense auditing rule knowledge stored in the medical expense rule-based knowledge base
It is safeguarded.
3. system as claimed in claim 2, which is characterized in that
The medical service prices java standard library includes:
Cloud medical service prices java standard library, for storing the medical services standard price data beyond the clouds；And
Medical service of hospital price standard library, for the medical services standard price data to be locally stored in hospital；
The price control module includes:
Cloud price control module, for updating trigger event to the cloud medical service prices standard according to preset cloud
Medical services standard price data in library are updated；And
Hospital's price control module, for updating trigger event to the medical service of hospital price standard according to preset hospital
Medical services standard price data in library are updated.
4. the system as claimed in claim 1, which is characterized in that the system also includes:
Policy document database, for the catalogue according to national file, provincial, and municipal level file, hospital-grade file, department's grade file
Setting stores national Medical Treatment Price policy document, provincial, and municipal level Medical Treatment Price policy document, hospital-grade Medical Treatment Price policy document
With department's grade Medical Treatment Price policy document；And
Policy document management module, for being uploaded to the policy document database or downloading state from the policy document database
Family's grade Medical Treatment Price policy document, provincial, and municipal level Medical Treatment Price policy document, hospital-grade Medical Treatment Price policy document and department grade doctor
Treat pricing policy file.
5. the system as claimed in claim 1, which is characterized in that the Hospital medical basic information includes medical service of hospital item
Mesh, hygienic material, drug and department's information, the diagnosis information include basic diagnosis information, cost details, doctor's advice information
And settlement information.
6. the system as claimed in claim 1, which is characterized in that the medical expense verifies module and includes:
Doctor's advice verifies submodule, for obtaining the doctor that module obtains according to the price when receiving the doctor's advice of doctor's upload
Treat service standard price, auditing rule obtains the medical expense auditing rule knowledge and medical information acquisition mould that module obtains
The diagnosis information of Hospital medical basic information, patient in hospital that block obtains examines inspection information and anesthesia charging item information, right
The corresponding medical services expense of the previous doctor's advice of patient carries out diagnostic table examination.
7. the system as claimed in claim 1, which is characterized in that the medical expense verifies module and includes:
Daily cost verifies submodule, takes for obtaining the medical treatment that module obtains according to the price in preset free time at night
Business standard price, auditing rule obtain the medical expense auditing rule knowledge that module obtains and medical information acquisition module obtains
The diagnosis information of the Hospital medical basic information, patient in hospital that take examines inspection information and anesthesia charging item information, at institute's night
Between be admitted to hospital to patient after examine to the medical services expense on the same day.
8. the system as claimed in claim 1, which is characterized in that the medical expense verifies module and includes:
Nurse station verifies submodule, for obtaining medical services standard price, the auditing rule that module obtains according to the price
Obtain the medical expense auditing rule knowledge that module obtains and the Hospital medical basis letter that medical information acquisition module obtains
Breath, the diagnosis information of patient in hospital, inspection check information and anesthesia charging item information, when patient transfers from one department to another and/or leaves hospital in advance
Patient medical service fee is examined.
9. the system as claimed in claim 1, which is characterized in that the medical expense verifies module and includes:
Submodule is verified after clearing, for obtaining medical services standard price, the auditing rule that module obtains according to the price
Obtain the medical expense auditing rule knowledge that module obtains and the Hospital medical basis letter that medical information acquisition module obtains
Breath, the diagnosis information of patient in hospital, inspection check information and anesthesia charging item information, to patient doctor after patient settles accounts discharge
Service fee is treated to be examined.
10. the system as claimed in claim 1, which is characterized in that the medical expense verifies module and includes:
Government verifies module, the doctor uploaded according to the medical services standard price of storage, medical insurance auditing rule knowledge, hospital
Treat expense auditing rule knowledge, Hospital medical basic information, the diagnosis information of patient in hospital, inspection inspection information and anesthesia charge
Project information examines the medical services expense of the patient of selection.
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| CN110866835A (en) * | 2019-11-12 | 2020-03-06 | 常州市第一人民医院 | Intelligent expense control system for hospital |
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| CN112086175A (en) * | 2020-09-07 | 2020-12-15 | 广州医博信息技术有限公司 | Medical price charge monitoring method, system, computer equipment and storage medium |
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| CN113450904A (en) * | 2020-03-24 | 2021-09-28 | 北京平安联想智慧医疗信息技术有限公司 | Apparatus, system and method for assessing medical behavior |
| CN114840579A (en) * | 2022-04-20 | 2022-08-02 | 广东铭太信息科技有限公司 | Hospital internal auditing system |
| CN116894674A (en) * | 2023-06-02 | 2023-10-17 | 华中科技大学同济医学院附属同济医院 | Order interception method |
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| CN110866835A (en) * | 2019-11-12 | 2020-03-06 | 常州市第一人民医院 | Intelligent expense control system for hospital |
| CN111192643A (en) * | 2019-12-02 | 2020-05-22 | 泰康保险集团股份有限公司 | Medical record data processing method and related equipment |
| CN113450904A (en) * | 2020-03-24 | 2021-09-28 | 北京平安联想智慧医疗信息技术有限公司 | Apparatus, system and method for assessing medical behavior |
| CN111475529A (en) * | 2020-04-03 | 2020-07-31 | 重庆市第九人民医院 | Price detection system |
| CN111882311A (en) * | 2020-06-12 | 2020-11-03 | 福建亿能达信息技术股份有限公司 | Hospital charge supervision system, equipment and medium |
| CN112086175A (en) * | 2020-09-07 | 2020-12-15 | 广州医博信息技术有限公司 | Medical price charge monitoring method, system, computer equipment and storage medium |
| CN113241165A (en) * | 2021-05-17 | 2021-08-10 | 杭州云呼医疗科技有限公司 | Price management system for regional medical inspection projects |
| CN114840579A (en) * | 2022-04-20 | 2022-08-02 | 广东铭太信息科技有限公司 | Hospital internal auditing system |
| CN114840579B (en) * | 2022-04-20 | 2022-12-27 | 广东铭太信息科技有限公司 | Hospital internal auditing system |
| CN116894674A (en) * | 2023-06-02 | 2023-10-17 | 华中科技大学同济医学院附属同济医院 | Order interception method |
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