JP2003296442A - Hospital accounting system and program - Google Patents

Abstract

<P>PROBLEM TO BE SOLVED: To provide a hospital accounting system and a program surely correcting patients' medical care information in changing a medical care department and the name of an insurance after finishing the accounting. <P>SOLUTION: This hospital accounting system 10 for performing an accounting using the patients' medical care information formed by recording a medical care detail and bills along with the medical care department when a patient has a check-up and the name of the insurance is provided with a medical care information origination part 11 originating the patients' medical care information according to the operation, a medical care information change part 12 changing the patients' medical care information originated by the medical care information origination part 11 according to the operation, and a correction necessity/ non-necessity determination part 13 determining the necessity/non-necessity of the correction of the patients' medical care information, when performing the change by the medical information change part 12, by collating the patients' medical care information after the change with basic detail information expressing the combination between the medical care detail and its bills prescribed by the health insurance system according to the name of the insurance and the medical care department respectively. <P>COPYRIGHT: (C)2004,JPO

Description

Detailed Description of the Invention

[0001]

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a hospital accounting system and a hospital accounting program for accounting for a medical treatment fee of a patient.

[0002]

2. Description of the Related Art Conventionally, in a hospital accounting system that performs accounting processing of a patient's medical treatment fee, after the accounting processing is completed, the medical care information of the patient, the medical department to which the patient consulted, and the insurance applied to the patient. The name may be changed, and in that case, it may be necessary to correct the patient medical care information according to the change of the name of the medical department or insurance.

[0003]

However, when the name of the department or insurance is changed, it is determined whether or not the patient medical care information of the patient needs to be corrected, and if so, which data and how is corrected. There is a problem in that the work of deciding whether or not it is necessary is complicated, and errors are likely to occur in manual processing. If incorrect patient medical care information is created due to a mistake, there is a possibility that it will seriously hinder subsequent health insurance-related processing and other processing performed based on the patient medical care information.

In view of the above-mentioned circumstances, the present invention provides a hospital accounting system and a hospital accounting program which can surely correct the patient medical care information due to the change of the name of the medical department or insurance after the accounting process is completed. The purpose is to

[0005]

According to the hospital accounting system of the present invention which achieves the above object, the details of the medical treatment received by the patient and the medical treatment fee are included in the medical department to which the patient consulted and the insurance applied to the patient. In a hospital accounting system that performs accounting processing of a patient's medical treatment fee using the patient medical care information recorded together with the name, the medical care information creating unit that creates the patient medical care information according to the operation and the medical care information creating unit When a change is made by the medical care information changing unit that changes the patient medical care information according to the operation, and the medical care information changing unit described above, the changed patient medical care information, the insurance name, and the department Whether or not the patient medical care information needs to be corrected is determined by matching the basic medical care information specified by the health insurance system and detailed medical care information that represents the combination of medical care charges. Characterized by comprising a modification necessity determination unit.

According to the hospital accounting system of the present invention, by providing the above-mentioned correction necessity determining unit, it is possible to determine whether or not the patient medical care information needs to be corrected when the name of the medical department or insurance is changed after the accounting process. Since the determination can be automatically made, the correction work of the patient medical care information can be surely performed.

[0007] Here, it is preferable that the hospital accounting system includes a medical care information correction unit that corrects the patient medical care information when the correction necessity determination unit determines that the correction is necessary.

With such a configuration, the medical care information correcting unit can automatically correct the medical care information for the patient, so that the labor of the correction work can be saved and the correction of the medical care information for the patient can be performed more reliably. Can be done.

Further, it is preferable that the hospital accounting system is provided with a correction information display section for displaying patient medical care information requiring correction when the correction necessity determination section determines that the correction is necessary.

With this configuration, the correction information display section displays the patient medical care information that needs to be corrected on the screen, so that the correction work of the patient medical care information is facilitated and the number of work errors can be reduced. .

Further, the hospital accounting program of the present invention which achieves the above object operates in a computer, and the details of the medical treatment received by the patient and the medical treatment fee for the computer are determined by the medical department to which the patient consulted and the patient. In a hospital accounting system for accounting treatment of a patient's medical treatment fee using the patient medical treatment information recorded together with the name of the insurance applied to the medical treatment information creating unit for creating the patient medical care information according to the operation, The medical care information changing unit that changes the patient medical care information created by the medical care information creating unit according to the operation, and the patient medical care information after the change, the insurance name and the By comparing the basic medical information and the detailed medical information specified by the health insurance system for each medical department , And having a determining corrected necessity determining unit necessity of patient clinical information modification.

According to the hospital accounting program of the present invention, it is possible to easily provide a hospital accounting system on a computer, which can surely correct the patient medical care information due to the change of the name of the medical department or insurance after the accounting process. Can be built into.

[0013]

BEST MODE FOR CARRYING OUT THE INVENTION Embodiments of the present invention will be described below.

FIG. 1 is a block diagram showing an embodiment of the hospital accounting system of the present invention.

The hospital accounting system 10 of this embodiment is
Accounting for the medical treatment fee of the patient using the patient medical treatment information file 16 in which the details of the medical treatment received by the patient and the medical treatment fee thereof are recorded together with the name of the medical department to which the patient consulted and the insurance applied to the patient. As shown in FIG. 1, it is connected via a communication network 20 such as the Internet to an insurance accounting system 30 installed on the insurer side such as a social insurance agency or a health insurance association.

The contents of the patient medical care information file 16 are transferred from the hospital accounting system 10 to the insurance accounting system 30, and the hospital accounting system 10 makes a monthly claim request to the insurance accounting system 30. Each time it is seen, the insurance accounting system 30 side checks the medical treatment fee based on the transferred patient medical treatment information. If a calculation mistake in the medical treatment fee is found at this stage, the receipt is returned to the hospital side, and the hospital accounting system 10 must correct the mistake and recalculate the medical treatment fee and request the receipt again. .

In the hospital accounting system 10 of this embodiment,
A medical information creating unit 11, a medical information changing unit 12, a correction necessity determination unit 13, a medical information correcting unit 14, and a correction information display unit 15 are provided.

The medical care information creation unit 11 creates the patient medical care information in the patient medical care information file 16 according to the operation of the person in charge.

The medical care information changing unit 12 is a medical care information creating unit 1.
The patient medical care information created in 1 is changed according to the operation of the person in charge.

The correction necessity judgment unit 13 is a medical information changing unit 1.
When the change is made according to item 2, the patient medical care information after the change, the details of the medical care defined by the health insurance system for each insurance name and each medical department, and the combination of the medical treatment charges are specified. By comparing with the basic information, it is determined whether or not the patient medical care information needs to be corrected.

The medical care information correction unit 14 is a correction necessity judgment unit 1
When it is determined in step 3 that correction is necessary, the patient medical care information is corrected.

The correction information display section 15 includes a correction necessity determination section 1
When it is determined that the correction is required by 4, the patient medical care information that needs to be corrected is displayed.

Further, the hospital accounting system 10 of this embodiment.
In addition to the patient medical care information file 16 described above, the medical care record master 17 and the insurance information master 18 are provided. Details of each of these files will be described later.

FIG. 2 is an external perspective view of a computer that operates as an embodiment of the hospital accounting system of the present invention.

The hospital accounting system as one embodiment of the present invention comprises the hardware of the computer 100 and the software executed therein.

The computer 100 includes a CPU and RA
Main body 101 with built-in M memory, magnetic disk, communication board, etc., and its display screen 102 according to instructions from the main body
a CRT display 102 for displaying a screen on a, a keyboard 103 for inputting operator's instructions and character information in this computer, an icon displayed at that position by designating an arbitrary position on the display screen A mouse 104 for inputting instructions according to the above is provided.

A CD-ROM 105 (see FIG. 3) is removably loaded into the main body 101, and the loaded CD-
A CD-ROM drive for driving the ROM 105 is also incorporated.

Here, the hospital accounting program is stored in the CD-ROM 105, and the CD-ROM 10 is stored.
5 is loaded in the main body 101, and the hospital accounting program stored in the CD-ROM 105 is installed in the magnetic disk of the computer 100 by the CD-ROM drive. When the hospital accounting program installed in the magnetic disk of the computer 100 is activated, the computer 100 operates as an embodiment of the main body of the hospital accounting system of the present invention.

FIG. 3 is a hardware configuration diagram of the computer 100 shown in FIG.

In this hardware configuration diagram, a central processing unit (CPU) 111, RAM 112, magnetic disk controller 113, CD-ROM drive 115, mouse controller 116, keyboard controller 11 are shown.
7, a display controller 118, and a communication board 119 are shown, which are interconnected by a bus 110. The communication board 119 has a communication network 20.
The insurance accounting system 30 is connected via (see FIG. 1).

As described with reference to FIG. 2, the CD-ROM drive 115 is loaded with the CD-ROM 105, and accesses the loaded CD-ROM 105.

Further, in FIG. 3, the magnetic disk 114 accessed by the magnetic disk controller 113 and the mouse 10 controlled by the mouse controller 116 are shown.
4, the keyboard 103 controlled by the keyboard controller 117, and the display controller 11
A CRT display 102 controlled by 8 is also shown.

FIG. 4 is a diagram schematically showing an embodiment of the hospital accounting program of the present invention.

Here, this hospital accounting program 130
Is stored in the CD-ROM 105, and the CD-RO
The M105 is loaded and driven in the computer 100 shown in FIGS. 2 and 3, and the hospital accounting program 130 stored in the CD-ROM 105 is stored in the computer 10.
The computer 100 operates as one embodiment of the hospital accounting system of the present invention by being installed and executed on the computer.

As shown in FIG. 4, the hospital accounting program 1
Reference numeral 30 denotes a medical care information creating unit 131 and a medical care information changing unit 13.
2, correction necessity determination unit 133, and medical care information correction unit 134
And a correction information display section 135.

The medical care information creation unit 131 corresponds to the medical care information creation unit 11 which constitutes the hospital accounting system 10 of FIG.
The medical care information changing unit 132 is the hospital accounting system 10 of FIG.
1 corresponds to the medical care information changing unit 12, the correction necessity determination unit 133 corresponds to the correction necessity determination unit 13 included in the hospital accounting system 10 of FIG. 1, and the medical care information correction unit 134 corresponds to
1 corresponds to the medical care information correction unit 14 included in the hospital accounting system 10 of FIG. 1, and the correction information display unit 135 corresponds to the correction information display unit 15 included in the hospital accounting system 10 of FIG. The configuration of the hospital accounting system 10 is shown in FIG.
1 and the hospital accounting program 130 shown in FIG. 4 installed therein, the medical care information creating unit 11, the medical care information changing unit 12, and the necessity of correction of the hospital accounting system 10 shown in FIG. The determination unit 13, the medical care information correction unit 14, and the correction information display unit 15 include computer hardware, an OS (operation system),
While it is configured as a composite of the hospital accounting program as the application program, the hospital accounting program 130 shown in FIG. 4 is configured by only the application program among them.

The operation of each part constituting the hospital accounting program 130 of FIG. 4 is the same as the operation of each corresponding part of the hospital accounting system 10 of FIG. 1, and a duplicate description will be omitted.

Next, the operation of the hospital accounting system of this embodiment will be described.

FIG. 5 is a flow chart showing the operation of the hospital accounting system of this embodiment.

As shown in FIG. 5, the accounting processing by the hospital accounting system includes "first accounting" from step S01 to step S04 and step S11 to step S17.
It is carried out in two stages of "correction accounting".

In the "first-time accounting", the medical care information creation unit 11
In FIG. 1, the operation of the person in charge selects the medical department that the patient visited (step S01), and then the name of the insurance to be applied (step S01).
02), the patient medical care information is created based on the information and the information stored in the medical care statement master 17 and the insurance information master 18, and is input to the patient medical care information file 16 (step S03).

Next, a bill is created based on the patient medical care information (step S04), and the "first-time accounting" process ends.

In this way, after the accounting process is completed once, there may be a case where the insurance name and the medical department of the created patient medical care information are changed.

For example, the name of the insurance applied at the beginning was “social insurance”, but since it was later found that the illness or injury subject to medical treatment corresponded to an industrial accident, it was changed to “injury insurance”. When it is done. In such cases,
The “correction accounting” process is performed by the medical information changing unit 12 (see FIG. 1).

In "corrected accounting", first, the person in charge
It is judged whether or not the insurance applicable to the patient is changed (step S11), and if there is no change, the step S1 is performed.
3. If there is a change, go to step S12 to change the insurance name, and then go to step S13. Details of the insurance name change processing in step S12 will be described in detail with reference to FIGS. 6 and 7.

In step S13, the person in charge determines whether or not there is a change in the medical department. If there is no change, the process proceeds to step S15, and if there is a change, step S1.
After proceeding to step 4 to change the medical department, proceed to step S15. Details of the medical department changing process in step S14 will be described in detail with reference to FIGS. 8 and 9.

In step S15, the correction necessity determination unit 13
(See FIG. 1), it is determined whether the medical treatment details need to be corrected, and if it is determined that the medical treatment details need not be corrected, step S is performed.
If it is determined that the correction is necessary, go to step S16.
After the medical information is corrected by the medical information correcting unit 14 (see FIG. 1), the process proceeds to step S17.

In step S17, a bill is prepared,
The “corrected accounting” process ends.

FIG. 6 is a flow chart of insurance name change processing in the hospital accounting system of the present invention, and FIG.
It is a figure which shows the mode of change by the content of each file and insurance name change in this embodiment.

As shown in FIG. 7, in this embodiment, three files, that is, a patient medical care information file 16, a medical care specification master 17, and an insurance information master 18 are used.

The patient medical care information file 16 stores a plurality of patient medical care information 16_1, 16_2, ... Composed of a plurality of items such as a medical care group 16a, an insurance name 16b, a medical department 16c, a medical care description name 16d, and an amount 16e. Has been done.

The medical care statement master 17 includes a code 17a,
Medical treatment item name 17b, amount 17c, insurance check category 1
7d, department check category 17e, insurance-related transfer category 17
f, insurance related transfer code 17g, clinical department related transfer category 1
7h, a plurality of items of medical care detailed information 17_1, 17_2, ... Consisting of a plurality of items such as a department related transfer code 17i are stored.

In addition, "9:
In the case of the medical treatment details in which “error display” is recorded, the correction section information display section 15 (see FIG. 1) displays a color to prompt the person in charge to execute the correction procedure. Details of the error display will be described later.

The insurance information master 18 includes the insurance name 18
A, a plurality of insurance information items 18_1, 18_2, 18_3, ... Composed of a plurality of items such as the insurance group 18b are stored.

The operation of changing the medical care information, determining the necessity of correction, correcting the medical care information, and displaying the correction information in this embodiment will be described below with reference to FIGS. 6 and 7.

First, in the medical care information changing unit 12 (see FIG. 1), the patient medical care information file 16 is operated according to the operation of the person in charge.
The medical care group 16a recorded in (see FIG. 7) is “basic”, the insurance name 16b is “company insurance principal”, and the medical department 16
If the insurance name 16b of the patient medical care information 16_1 in which c is “internal medicine”, the medical treatment description name 16d is “first consultation fee”, and the amount 16e is “2500”, the insurance is first changed to “worker's accident”. The information master 18 is searched, and the insurance group 18b after the change: "2. labor accident" is acquired from the insurance information 18_3 whose insurance name 18a is "labor accident" (step S21).

Next, the correction necessity determination unit 13 (see FIG. 1) uses the medical treatment detailed information 1 corresponding to the patient medical treatment information 16_1.
The insurance check classification 17d of 7_1 is the insurance information master 1
It is determined whether the insurance group 18b is the same as the insurance group 18b of No. 8 (step S22). In this case, insurance check category 1
7d is “1: medical department” and the insurance group 18b is “2.
Proceed to. As a result of the determination in step S22, if the insurance check classification 17d of the medical treatment detailed information 17_1 is the same as the insurance group 18b, the process ends.

In step S23, the medical treatment detailed information 17_
It is determined whether or not the insurance check classification 17d of 1 is "0: common". In this case, insurance check classification 17d
Is "1: medical department" and not "0: common", the process proceeds to step S24. As a result of the determination in step S23, if the insurance check classification 17d is "0: common", the process ends.

In step S24, the medical treatment detailed information 17_
It is determined whether or not the insurance-related transfer classification 17f of 1 is "9: error display". In this case, insurance-related transfer category 1
Since 7f is “2: labor accident” and not “9: error display”, the process proceeds to step S25. Even if the result of determination in step S24 is that the insurance-related transfer classification 17f of the medical treatment specification information 17_1 is "9: error display", the flow proceeds to step S27, after which an error display described below is displayed and then the processing ends.

In step S25, the medical treatment detailed information 17_
It is determined whether the insurance-related transfer classification 17f of 1 is the same as the insurance group 18b of the insurance information master 18. In this case, the insurance-related transfer classification 17f is "2: labor accident" and the insurance group 18b is also "2: labor accident", so the process proceeds to step S26. Note that, as a result of the determination in step S25, the insurance-related transfer classification 17 of the medical treatment detailed information 17_1
If f is the same as the insurance group 18b, the process proceeds to step S27, an error display described later is displayed, and then the process ends.

In step S26, the medical care information correction unit 14
(See FIG. 1), the patient medical care information 16_1 is corrected. That is, here, since the transfer code 17g of the insurance-related transfer of the medical treatment detailed information 17_1 is "00010", the medical treatment detailed name 16d and the amount 16e of the patient medical treatment information 16_1 and the medical treatment detailed information whose code 17a is "00010". The medical treatment item name 17b of 17_2 is transferred to the “first consultation fee (labor accident)” and the amount 17c: “3590”, and the process is terminated.

In step S27, the correction information display section 15
(See FIG. 1) error display is performed. In the present embodiment, the patient medical care information 16_1 that needs correction is displayed in color, a warning is given to the person in charge, and the process is ended after confirmation by the person in charge.

In this embodiment, when the insurance name 16b is changed after the accounting process, the insurance information master 18 (see FIG. 8) is used to check the insurance group 18b. At present, the insurance group 18b has only two types, "medical" and "labor injury",
Insurance group 1 only if the insurance name 16b is "labor accident"
8b is "labor accident" and insurance name 16b is "medical" unconditionally except "labor accident". Therefore, insurance name 1
It is possible to identify the insurance group 18b from 6b. Therefore, at present, the check by the insurance information master 18 is not essential.

Next, referring to FIGS. 8 and 9, the operation of changing the medical care information, determining the necessity of correction, correcting the medical care information, and displaying the correction information in this embodiment will be described.

FIG. 8 is a flow chart of the medical department change processing in the hospital accounting system of the present invention, and FIG. 9 is a diagram showing the contents of each file and the state of change due to the medical department change in this embodiment.

As shown in FIG. 9, in this embodiment, as shown in FIG.
Similar to the patient medical care information file 16, the medical care specification master 1
7 and insurance information master 18 are used.

The file structures of the patient medical care information file 16, the medical care description master 17, and the insurance information master 18 are the same as those shown in FIG.

First, the medical care information changing unit 12 (see FIG. 1) records the medical care group 16a in the patient medical care information file 16 (see FIG. 9) as “basic” and the insurance name 16
b is “company insurance principal”, medical department 16c is “dental”, medical treatment description name 16d is “dental initial consultation fee 2”, and amount 16e is “21”.
When the medical department 16c of the patient medical care information 16_3 that is "80" is changed from "dental" to "internal medicine", the correction necessity determination unit 13 (see FIG. 1) searches the medical care item master 17 and the medical department check category. 17e is patient medical care information 16_
It is determined whether or not the department is the same as the department after change 3 (step S31). In this case, the patient medical care information 16_3
Medical treatment name 16d: The medical department check section 17e of the medical care information 17_3 of the medical care master 17 corresponding to the "dental initial medical examination fee 2" is "1: dentistry only", and the medical care department after the change of the patient medical care information 16_3 is Since they are “internal medicine” and not the same, the process proceeds to step S32. Note that step S3
As a result of the determination in 1, when the medical department check classification 17e of the medical care detailed information 17_3 is the same as the medical department after the change of the patient medical care information 16_3, the process ends.

In step S32, the medical treatment detailed information 17_
It is determined whether or not the department check category 17e of 3 is "0: common". In this case, the department check category 17e is
Since it is "1: only dentistry" and not "0: common", the process proceeds to step S33. As a result of the determination in step S32, if the department check classification 17e is "0: common", the process ends.

In step S33, the medical treatment detailed information 17_
It is determined whether or not the transfer classification 17h of the department related transfer of 3 is "9: error display". In this case, since the transfer division 17h of the transfer related to the medical department is "9: error display", the process proceeds to step S36 and the error display described later is performed, and then the process ends.

As a result of the determination in step S33, if the transfer division 17h of the medical department related transfer of the medical treatment detailed information 17_3 is not "9: error display", step S
Proceed to 34.

In step S34, the medical treatment detailed information 17_
It is determined whether or not the transfer division 17h of the department related transfer of 3 is the same as the department after the change of the patient medical care information 16_3. As a result of the determination, if the transfer division 17h of the medical department related transfer of the medical treatment detailed information 17_3 is the same as the changed medical department of the patient medical care information 16_3, the process proceeds to step S35.
If they are not the same, the process proceeds to step S36, an error display described later is displayed, and then the process ends.

In step S35, the medical care information correction unit 14
(See FIG. 1), the patient medical care information is corrected. That is, in the medical treatment detailed information file 16, the medical treatment detailed information of the medical treatment detailed master 17 corresponding to the medical treatment detailed name 16d of the medical treatment detailed information whose medical treatment is changed is searched, and it corresponds to the transfer code 17i of the medical treatment related transfer. The medical care item name 17b and the amount of money 1 of the medical care item information corresponding to the code 17a
7c is read out and transferred to the medical care specification name 16d and the amount of money 16e of the medical care specification information in which the medical department has been changed, and then the processing is ended.

In step S36, the correction information display unit 15
(See FIG. 1) error display is performed. In the present embodiment, the patient medical care information 16_3 that needs correction is displayed in color, a warning is given to the person in charge, and the process is ended after confirmation by the person in charge.

[0075]

As described above, according to the hospital accounting system of the present invention, it is determined whether or not the patient medical care information needs to be corrected when the insurance name and the clinical department are changed. By providing the department, it is possible to realize a hospital accounting system capable of surely correcting the patient medical care information due to the change of the insurance name and the medical department after the accounting process is completed.

Further, according to the hospital accounting program of the present invention, the above hospital accounting system can be easily constructed on a computer.

[Brief description of drawings]

FIG. 1 is a block diagram showing an embodiment of a hospital accounting system of the present invention.

FIG. 2 is an external perspective view of a computer that operates as one embodiment of the hospital accounting system of the present invention.

3 is a hardware configuration diagram of a computer 100 shown in FIG.

FIG. 4 is a diagram schematically showing an embodiment of a hospital accounting program of the present invention.

FIG. 5 is a flowchart showing the operation of the hospital accounting system of this embodiment.

FIG. 6 is a flowchart of insurance name change processing in the hospital accounting system of the present invention.

FIG. 7 is a diagram showing the contents of each file in the present embodiment and how the insurance name is changed.

FIG. 8 is a flowchart of medical department change processing in the hospital accounting system of the present invention.

FIG. 9 is a diagram showing the contents of each file according to the present embodiment and the manner of change caused by a change in the medical department.

[Explanation of symbols]

10 hospital accounting system 11 Medical Information Creation Department 12 Medical Information Change Department 13 Correction necessity judgment unit 14 Medical Information Correction Department 15 Correction information display section 16 Patient medical care information file 16_1, 16_2, 16_3, ... Patient medical care information 16a Medical care group 16b Insurance name 16c Medical department 16d Medical treatment item name 16e amount 17 Medical treatment master 17_1, 17_2, 17_3, ... Medical treatment detailed information 17a code 17b Medical treatment name 17c amount 17d Insurance check classification 17e department check division 17f Insurance-related transfer classification 17g Insurance-related transfer code 17h Medical department related transfer classification 17i Department-related transfer code 18 insurance information master 18_1, 18_2, 18_3 ... Insurance information 18a Insurance name 18b insurance group 20 communication network 30 insurance accounting system 100 computers 101 main body 102 CRT display 102a display screen 103 keyboard 104 mice 105 CD-ROM 110 bus 111 Central processing unit (CPU) 112 RAM 113 Magnetic Disk Controller 114 magnetic disk 115 CD-ROM drive 116 mouse controller 117 keyboard controller 118 display controller 119 Communication board 130 Hospital Accounting Program 131 Medical Information Creation Department 132 Medical Information Change Department 133 Correction necessity determination unit 134 Medical Information Correction Department 135 Correction information display section

Claims (4)

[Claims] 1. A medical treatment fee for a patient is recorded using patient medical care information in which the details of the medical treatment received by the patient and the medical treatment fee are recorded together with the name of the medical department to which the patient consulted and the insurance applied to the patient. In a hospital accounting system that performs accounting processing, a medical care information creating unit that creates the patient medical care information according to an operation, and a medical care information changing unit that changes the patient medical care information created by the medical care information creating unit according to the operation. When the change is made by the medical care information changing unit, the changed patient medical care information, the details of the medical care defined by the health insurance system for each insurance name and each medical department, and the medical treatment fee thereof. A hospital accounting system characterized by further comprising: a correction necessity determination unit that determines whether or not the patient medical care information needs to be corrected by matching detailed basic information indicating a combination of the above. 2. The hospital accounting system according to claim 1, further comprising a medical care information correction unit that corrects the patient medical care information when the correction necessity determination unit determines that the correction is necessary. 3. The hospital accounting system according to claim 1, further comprising a correction information display unit which displays patient medical care information requiring correction when the correction necessity determination unit determines that the correction is necessary. . 4. A patient operating in a computer, in which the details of medical treatment received by the patient and the medical treatment fee thereof are recorded together with the medical department to which the patient consulted and the name of insurance applied to the patient. In a hospital accounting system that performs accounting processing of a medical treatment fee of a patient using medical treatment information, a medical care information creating unit that creates the patient medical care information according to an operation, and patient medical care information created by the medical care information creating unit is operated. The medical care information changing unit that changes according to the medical care information changing unit, and when the medical care information changing unit changes the medical care information, the changed medical care information, the insurance name, and the medical department are defined by the health insurance system. A correction necessity determination unit that determines whether or not to correct the patient medical care information by matching the detailed medical care information and detailed basic information that represents a combination of the medical care charges. A hospital accounting program characterized by having.