CN116825296A - Big data analysis system for actively discovering medical insurance cheating insurance behavior through medical process of inpatients - Google Patents
Big data analysis system for actively discovering medical insurance cheating insurance behavior through medical process of inpatients Download PDFInfo
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- CN116825296A CN116825296A CN202110945669.8A CN202110945669A CN116825296A CN 116825296 A CN116825296 A CN 116825296A CN 202110945669 A CN202110945669 A CN 202110945669A CN 116825296 A CN116825296 A CN 116825296A
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- 238000007405 data analysis Methods 0.000 title claims abstract description 16
- 238000000968 medical method and process Methods 0.000 title description 3
- 238000005242 forging Methods 0.000 claims abstract description 8
- 238000000034 method Methods 0.000 claims abstract description 7
- 238000004458 analytical method Methods 0.000 claims abstract description 5
- 230000003287 optical effect Effects 0.000 claims 1
- 230000000007 visual effect Effects 0.000 claims 1
- 230000006399 behavior Effects 0.000 abstract description 16
- 238000003745 diagnosis Methods 0.000 abstract description 5
- 230000000694 effects Effects 0.000 abstract description 3
- 241000208340 Araliaceae Species 0.000 description 1
- 235000005035 Panax pseudoginseng ssp. pseudoginseng Nutrition 0.000 description 1
- 235000003140 Panax quinquefolius Nutrition 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000002708 enhancing effect Effects 0.000 description 1
- 235000008434 ginseng Nutrition 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
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- Medical Treatment And Welfare Office Work (AREA)
Abstract
The invention realizes face recognition and medical treatment process and behavior analysis of inpatients under the condition of not influencing normal medical treatment by a positioning module, a medical service information acquisition module, a video acquisition module and a face and behavior big data analysis module, and actively judges whether cheating protection behaviors such as taking a patient for inpatient, forging a medical document, virtually opening diagnosis and treatment service, forging medical record notes, falsely inpatient, impersonating inpatient and the like exist. The fraudulent activities are found, i.e. recorded and sent to the relevant departments and personnel.
Description
Technical Field
The invention relates to the technical fields of positioning, video acquisition, face recognition, behavior analysis, big data analysis, medical insurance and medical treatment, in particular to a big data analysis system for actively discovering medical insurance cheating and guaranteeing behaviors through the medical treatment process of inpatients.
Background
Social medical insurance is a social insurance system that meets basic medical requirements when workers are ill, according to national and social laws and regulations. The system is a social guarantee system for solving the problems of heavier economic burden of medical treatment of the masses and the like and enhancing the sense of acquisition, happiness and safety of the masses.
However, various illegal vains are cheated and protected by various means, and the national and people property is infringed. And various means of fraud such as: ginseng and baoshen hanging for hospitalization, counterfeit medical documents, false open diagnosis and treatment services, counterfeit medical records, false hospitalization, importation for hospitalization and the like. Because the cheating protection actions occur randomly and the amount of money is small, the cheating protection actions are extremely hidden and difficult to find. Therefore, a system capable of actively discovering hospitalization cheating behaviors is continuously developed to protect the state and people property.
Drawings
Fig. 1 is a system logic block diagram.
Disclosure of Invention
The invention realizes face recognition and medical treatment process and behavior analysis of inpatients under the condition of not influencing normal medical treatment by a positioning module, a medical service information acquisition module, a video acquisition module and a face and behavior big data analysis module, and actively judges whether cheating protection behaviors such as taking a patient for inpatient, forging a medical document, virtually opening diagnosis and treatment service, forging medical record notes, falsely inpatient, impersonating inpatient and the like exist. The fraudulent activities are found, i.e. recorded and sent to the relevant departments and personnel.
Detailed Description
In order to achieve the above purpose, the present invention provides the following technical solutions:
positioning modules are adopted to realize positioning of patients, doctors, nurses, other medical service personnel, medical facilities and equipment; positioning accuracy is within 10 meters or positioning in a region; and the data are transmitted to a face and behavior big data analysis module in a wired or wireless communication mode.
The medical service information acquisition module is characterized in that all medical information and data related to a patient are acquired, and the data are transmitted to the face and behavior big data analysis module in a wired or wireless communication mode.
The system is characterized in that videos of a public area and a special area are collected, and data are transmitted to a face and behavior big data analysis module in a wired or wireless communication mode.
The face and behavior big data analysis module is characterized in that the face recognition and behavior analysis is realized through the positioning information of patients, doctors, nurses, other medical service personnel, medical facilities and equipment and the video of the patients in public areas and special areas, and whether the cheating protection behaviors such as taking the help of the insured person for hospital hanging, forging medical documents, virtually opening diagnosis and treatment services, forging medical records, falsely hospitalizing, impersonating hospitalizing and the like are actively judged. The fraudulent activities are found, i.e. recorded and sent to the relevant departments and personnel.
The invention has the following beneficial effects:
on the premise of not influencing the normal medical process, the utility model provides a tool and a method for supervising the inpatient medical service process for the national medical insurance bureau and related supervision units. Can fundamentally solve the problems that the cheating insurance actions such as the taking of the paramedics and the hospitalization, the counterfeiting of medical documents, the false diagnosis and treatment service, the counterfeiting of medical records, the false hospitalization, the impoverishment and the like are difficult to find and difficult to find. The seriousness of the social medical insurance system is maintained, and the state and people property are protected.
The foregoing is merely illustrative of the present invention, and the present invention is not limited thereto, and any person skilled in the art will readily recognize that changes and substitutions are within the scope of the present invention.
Claims (5)
1. A big data analysis system for proactively discovering medical cheating warranty actions through an inpatient medical procedure, the system characterized by comprising: the system comprises a positioning module, a medical service information acquisition module, a video acquisition module, a human face and behavior big data analysis module.
2. The positioning module of claim 1, wherein the positioning of the patient, doctor, nurse, other healthcare personnel and facilities, equipment is accomplished using UWB, WIFI, bluetooth, ZIGBEE, LED, GPS, beidou and optical and visual positioning techniques, TOA, TDOA, AOA, field strength positioning algorithms; positioning accuracy is within 10 meters or positioning in a region; and the data are transmitted to a face and behavior big data analysis module in a wired or wireless communication mode.
3. The medical service information acquisition module according to claim 1, wherein all medical information and data related to the patient are acquired and the data are transmitted to the face and behavior big data analysis module by wired or wireless communication.
4. The video acquisition module of claim 1, wherein videos of the public area and the special area are acquired, and data are transmitted to the face and behavior big data analysis module through a wired or wireless communication mode.
5. The face and behavior big data analysis module according to claim 1, wherein the face and behavior analysis is realized by the positioning information of the patient, doctor, nurse, other medical service personnel, medical facilities and equipment, all medical information and data related to the patient, the video of the patient in public area and special area, whether the cheating and protecting behavior such as taking the patient for hospital, forging medical papers, virtual diagnosis and treatment service, forging medical records, false hospitalization, impoverishment hospitalization exists or not is actively judged, and the cheating and protecting behavior is found, namely recorded and sent to related departments and personnel.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110945669.8A CN116825296A (en) | 2021-08-22 | 2021-08-22 | Big data analysis system for actively discovering medical insurance cheating insurance behavior through medical process of inpatients |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110945669.8A CN116825296A (en) | 2021-08-22 | 2021-08-22 | Big data analysis system for actively discovering medical insurance cheating insurance behavior through medical process of inpatients |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN116825296A true CN116825296A (en) | 2023-09-29 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202110945669.8A Pending CN116825296A (en) | 2021-08-22 | 2021-08-22 | Big data analysis system for actively discovering medical insurance cheating insurance behavior through medical process of inpatients |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN116825296A (en) |
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2021
- 2021-08-22 CN CN202110945669.8A patent/CN116825296A/en active Pending
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