JP6920526B2 - Medical accounting support system - Google Patents

Description

The present invention also relates to a medical accounting support system.

Conventionally, medical institutions such as hospitals and clinics mainly use receipt computers called receipt computers to calculate medical fees for insurance medical treatment. A receipt computer is a computer for creating a medical receipt statement (hereinafter, also referred to as a "receipt").
In addition to insurance medical treatment, medical institutions also provide non-insurance medical treatment such as privately funded medical treatment. If the receipt computer does not support non-insurance medical treatment, it is necessary to manage this non-insurance medical treatment using another terminal or the like. In addition, non-insurance medical care allows each medical institution to set its own price.

Regarding accounting management at medical institutions in such a situation, not only financial accounting but also management accounting can be efficiently executed, and medical affairs using a computer that can break down into medical departments, medical practices, etc. and analyze profits and losses. The accounting system is disclosed (see, for example, Patent Document 1).

Japanese Patent No. 3414697

In recent years, payments are often made by methods that do not use cash, such as cashless payments. The one described in Patent Document 1 did not consider the settlement method.
In addition, it is eagerly desired to utilize the data used for accounting at medical institutions in various fields.

An object of the present invention is to consider a payment method and to provide a medical accounting support system and a terminal provided in a medical institution that enable utilization of data used for accounting.

The present invention identifies the details of the balance data, including the balance items in a medical institution, the balance amount, the date information indicating the occurrence time of the balance items, and the payment method information. With reference to the income and expenditure amount storage unit that stores the information in association with the information and the income and expenditure amount storage unit, the sales amount is calculated from the income and expenditure amount of the income and expenditure data that has the date information in a specific range and the settlement method is cash. Medical accounting support including a sales calculation means to be calculated, a sales output means for outputting the specific range information calculated by the sales calculation means, and the sales calculated by the sales calculation means. Regarding the system.

Further, in the medical accounting support system, the income and expenditure data is associated with the terminal identification information for identifying the terminal, and the sales calculation means obtains the income and expenditure amount of the income and expenditure data for each of the terminal identification information. Sales may be calculated.

In addition, in the medical accounting support system, the items related to the balance are the distinction between medical business and non-medical business, the distinction between insurance medical treatment or non-insurance medical treatment in the case of medical business, and the out-of-pocket ratio in the case of insurance medical treatment. In the case of the insurance medical treatment item, the remuneration amount calculation means for calculating the remuneration amount to be paid at a later date from the payment institution and the remuneration amount calculated by the remuneration amount calculation means are included. May be provided with a reward amount registration means for storing the reward amount in the reward amount storage unit in association with the date information.

Further, in the medical accounting support system, the slip acquisition means for acquiring the slip data, the balance generation means for generating the balance data from the slip data acquired by the slip acquisition means, and the detail identification information are added to the balance. The balance amount registration means for storing the balance data generated by the generation means in the balance amount storage unit in association with the given detailed identification information may be provided.

Further, in the medical accounting support system, the slip data includes at least date information and image data of a paper medium in which the balance amount is described, and the slip data is given by the balance amount registration means to identify the details. A slip registration means that is associated with the information and stored in the slip storage unit may be provided.

Further, in the medical accounting support system, the balance data includes patient identification information for identifying a patient, refers to the balance amount storage unit of each medical institution, and obtains the date information in a predetermined range for the designated patient identification information. A patient information registration means may be provided which extracts the detail identification information associated with the balance data and stores the extracted detail identification information in the patient information storage unit.

Further, in the medical accounting support system, a patient permission storage unit that stores patient permission information related to data use in association with the patient identification information, a patient reception means that receives the patient identification information related to the patient to be processed, and a patient reception means. Only when the patient identification information has the permission information of the patient identification information received by the patient reception means with reference to the patient permission storage unit, the patient identification information is used as the designated patient identification information by the patient information registration means. A patient processing execution means for executing the treatment may be provided.

Further, the present invention includes items related to income and expenditure in a medical institution, income and expenditure amount, date information indicating the occurrence time of the item related to income and expenditure, information on a settlement method, and patient identification information for identifying a patient. The balance amount storage unit that stores the data in association with the detail identification information that identifies the balance data, the balance amount storage unit, the date information in a specific range, and the settlement method is cash. A sales calculation means for calculating sales for each medical institution from the balance amount of the balance data, information in the specific range calculated by the sales calculation means, and the sales calculated by the sales calculation means. With reference to the sales output means for outputting to the terminal of the medical institution corresponding to the sales and the income and expenditure amount storage unit, and the income and expenditure data having the date information in a predetermined range for the designated patient identification information. The medical accounting support system is provided with a patient data extraction means for extracting documents related to medical expense deduction.

Further, in the medical accounting support system, the form storage unit that stores the correspondence between the items of the balance data, the slip acquisition means that acquires the slip data, and the form storage unit are referred to for each format of the slip data. The balance generation means that generates the balance data from the slip data acquired by the slip acquisition means and the detail identification information are added, and the balance data generated by the balance generation means is associated with the given detail identification information. A means for registering the balance amount to be stored in the balance amount storage unit may be provided.

Further, in the medical accounting support system, the slip data includes at least date information and image data of a paper medium in which the balance amount is described, and the slip data used for generating the balance data by the balance generation means. A slip learning model that learns a combination with the balance data obtained from the slip data is provided, and the balance generating means further applies the slip learning model to the slip data acquired by the slip acquisition means. The balance data may be generated.

Further, in the medical accounting support system, a patient permission storage unit that stores patient permission information related to data use in association with the patient identification information, a patient reception means that receives the patient identification information related to the patient to be processed, and a patient reception means. The patient data extraction means refers to the patient permission storage unit, extracts the balance data when the patient identification information has the permission information received by the patient reception means, and extracts the patient data. A patient data output means may be provided which outputs detailed data in which the balance data extracted by the means is converted into a data format that can be used for creating a document relating to medical expense deduction to a user terminal.

Further, in the medical accounting support system, the patient license storage unit further stores the license information in association with the usage purpose, and the patient receiving means further accepts the usage usage and refers to the patient license storage unit. Then, when the patient receiving means has the licensed information of the patient identification information according to the usage, the balance data stored in the balance amount storage unit is extracted and processed according to the usage. The data utilization means to be used may be provided.

Further, the present invention identifies the balance data including the balance items in the medical institution, the balance amount, the date information indicating the occurrence time of the balance items, and the payment method information. Sales from the income and expenditure amount of the income and expenditure data which has the date information of a specific range and the settlement method is cash by referring to the income and expenditure amount storage unit which is stored in association with the item identification information and the income and expenditure amount storage unit. The sales calculation means for calculating the amount of money, the sales output means for outputting the information of the specific range calculated by the sales calculation means, and the sales amount calculated by the sales calculation means. Regarding terminals provided by medical institutions.

According to the present invention, it is possible to provide a medical accounting support system considering a payment method and a terminal provided in a medical institution.

It is an overall block diagram of the medical accounting support system which concerns on 1st Embodiment. It is a functional block diagram of the medical accounting support system which concerns on 1st Embodiment. It is a figure which shows the example of the storage part of the medical accounting support system which concerns on 1st Embodiment. It is a flowchart which shows the slip processing of the medical accounting support system which concerns on 1st Embodiment. It is a flowchart which shows the sales calculation processing of the medical accounting support system which concerns on 1st Embodiment. It is a flowchart which shows the remuneration amount calculation process of the medical accounting support system which concerns on 1st Embodiment. It is a flowchart which shows the patient information registration process of the medical accounting support system which concerns on 1st Embodiment. It is a figure which shows the specific example of the processing in the medical accounting support system which concerns on 1st Embodiment. It is an overall block diagram of the medical accounting support system which concerns on 2nd Embodiment. It is a functional block diagram of the medical accounting support system which concerns on 2nd Embodiment. It is a figure which shows the example of the image data of the receipt used in the medical accounting support system which concerns on 2nd Embodiment. It is a flowchart which shows the slip processing of the medical accounting support system which concerns on 2nd Embodiment. It is a flowchart which shows the patient data utilization processing of the medical accounting support system which concerns on 2nd Embodiment.

Hereinafter, embodiments for carrying out the present invention will be described with reference to the drawings. It should be noted that this is only an example, and the technical scope of the present invention is not limited to this.

(First Embodiment)
[Overall configuration of medical accounting support system 100]
FIG. 1 is an overall configuration diagram of the medical accounting support system 100 according to the first embodiment.
FIG. 2 is a functional block diagram of the medical accounting support system 100 according to the first embodiment.
FIG. 3 is a diagram showing an example of a storage unit 30 of the medical accounting support system 100 according to the first embodiment.
The medical accounting support system 100 is a system that supports accounting processing in a medical institution. The medical accounting support system 100 is a system that can be used in medical institutions of various scales nationwide, and by using data related to accounting of a plurality of medical institutions, it is possible to utilize the data in various fields. be.

As shown in FIG. 1, the medical accounting support system 100 is composed of, for example, one or more terminals 5 provided in each medical institution and a server 1 communicatively connected to the terminals 5 via a network N. It is composed.
The server 1 is, for example, owned by a system operating company and managed by an operating company that operates the medical accounting support system 100.
The terminal 5 may be, for example, a receipt computer provided at each medical institution. Further, the terminal 5 may be a general personal computer (PC) or may have a register function. The terminal 5 is a terminal used in a medical institution.
As shown in the example of Hospital A in FIG. 1, a plurality of terminals 5 may be used in one medical institution, or as shown in the example of Hospital B, the terminal 5 to which the scanner 6 is connected may be used. .. When the scanner 6 is connected, the terminal 5 can handle the digitized image data obtained by reading a paper slip such as a receipt with the scanner 6.

The network N is, for example, an Internet communication network or the like, and may be wired or wireless.
In the example shown in FIG. 1, the terminal 5 is directly connected to the network N. However, the medical institution may be provided with a server (not shown), the server of the medical institution relays the terminal 5 and the server 1, and the server of the medical institution may be connected to the network N.
Here, in the present specification, the “medical institution” mainly refers to a hospital or a clinic, and the scale is not limited.
In the following, as shown in FIG. 1, the medical accounting support system 100 will be described as an example of a system composed of a terminal 5 of each medical institution and a server 1 connected to the terminal 5.

As shown in FIG. 2, the medical accounting support system 100 includes a control unit 10, a storage unit 30, an input unit 45, a display unit 46, and a data communication interface unit 49.
The control unit 10 is a CPU (central processing unit) that controls the entire medical accounting support system 100. The control unit 10 appropriately reads and executes the OS (operating system) and the application program stored in the storage unit 30 to cooperate with the above-mentioned hardware and execute various functions.

The control unit 10 includes a slip processing unit 11, a calculation processing unit 16, and a patient information processing unit 19 (patient receiving means, patient balance registration means, patient processing executing means).
The slip processing unit 11 processes slips such as receipts issued by each medical institution and slip data created by each medical institution.
The slip processing unit 11 includes a slip acquisition unit 12 (slip acquisition means), a balance data generation unit 13 (balance generation means), a balance data registration unit 14 (balance amount registration means), and a slip registration unit 15 (slip registration means). ) And.

The slip acquisition unit 12 acquires slip data. Here, the slip data is data related to a slip such as a receipt, and includes at least the date on which the slip was issued and the amount of money. The slip data is, for example, electronic data created when a receipt is issued by the terminal 5 in the hospital A shown in FIG. Further, at Hospital B, the receipt is a paper-based receipt, which is image data of the receipt read by a scanner 6 and imaged.
Further, the slip may be a receipt output from a register of a hospital shop or the like, in addition to a receipt to be given to the patient in connection with medical treatment. Then, it is desirable that the slip acquired by the slip acquisition unit 12 includes all transactions related to the balance of payments at each medical institution.

The balance data generation unit 13 generates balance data from the slip data acquired by the slip acquisition unit 12. The balance data includes items related to the balance, the balance amount, date information, information on the payment method, and a patient ID (IDentification) that can identify the patient. Each information included in the balance data will be described later.
When the slip data is image data, the balance data generation unit 13 converts the characters included in the image data into text by, for example, OCR (optical character recognition). After that, the balance data generation unit 13 extracts the above-mentioned predetermined information (balance amount, date information, etc.) from the slip data.

The balance data registration unit 14 associates the balance data generated by the balance data generation unit 13 with the detail number (detail identification information) and registers it in the balance amount storage unit 32 (described later). The item number is identification information that identifies a slip that is a source of income and expenditure data. In addition, the detail number may be given unique identification information when the balance data registration unit 14 registers the balance data. Further, the detail number may be a slip number or the like described in the slip. Even when the one described in the slip is used, the item number needs to be unique in the information at least in the terminal 5.
The slip registration unit 15 associates the slip data acquired by the slip acquisition unit 12 with the detail number and registers it in the slip storage unit 33 (described later).

The calculation processing unit 16 performs processing for calculating information necessary for accounting processing using income and expenditure data.
The calculation processing unit 16 includes a sales calculation unit 17 (sales calculation means, sales output means) and a reward amount calculation unit 18 (reward amount calculation means, reward amount registration means).
The sales calculation unit 17 calculates sales for a designated period in units of medical institutions. More specifically, the sales calculation unit 17 uses the balance data in which the date information of the balance data is in the specific range of the specified period and the settlement method of the balance data is cash, and the sales amount is calculated from the balance amount. Is calculated. Further, the sales calculation unit 17 may calculate the sales for the designated period for each terminal 5, which is a unit such as a register. By performing this for each terminal 5, it is possible to collate the calculated sales with cash for each terminal 5. Further, by setting the designated period to a period such as one day or one week, collation can be performed at an appropriate timing.

The remuneration amount calculation unit 18 calculates the remuneration amount to be paid by the paying institution at a later date. The amount of medical expenses paid by the patient at the counter when performing insurance medical treatment is the amount according to the self-pay ratio. Currently, the out-of-pocket rate is 10%, 30%, etc., and is predetermined for each patient according to the patient's age and income, and the insurance organization to which the patient belongs. The remaining amount will be paid by the paying institution to the medical institution at a later date. Payment institutions are the National Health Insurance Association and the Social Insurance Medical Fee Payment Fund. The process by the remuneration amount calculation unit 18 calculates the remuneration amount that can be paid by the paying institution for the income and expenditure data of the insurance medical treatment. The reward amount F calculated by the reward amount calculation unit 18 is expressed by the following formula.
(Equation 1): Reward amount F = (Payment request amount at the counter) x (10-Self-pay ratio) / (Self-pay ratio)
If a person with a self-pay ratio of 30% pays 600 yen at the counter, the remuneration amount will be 1,400 yen by applying the above (Equation 1).
The reward amount calculation unit 18 registers the calculated reward amount in the reward amount storage unit 34 (described later) in association with the item number.

The patient information processing unit 19 associates the data so that the balance data can be extracted for each patient. The patient information processing unit 19 performs a process of associating a patient ID and a detailed number and registering them in the patient information storage unit 35 (described later) only for patients who have given permission to utilize the data.

The storage unit 30 is a storage area for a hard disk, a semiconductor memory element, or the like for storing programs, data, and the like necessary for the control unit 10 to execute various processes.
The storage unit 30 includes a program storage unit 31, a balance amount storage unit 32, a slip storage unit 33, a reward amount storage unit 34, a patient information storage unit 35, and a patient permission storage unit 36.
The program storage unit 31 is a storage area for storing application programs and the like for executing various functions performed by the control unit 10 described above. The program storage unit 31 can store a plurality of programs. The application program for executing the various functions performed by the control unit 10 described above may be, for example, a different program for each functional unit.

The balance amount storage unit 32 is a storage area for storing balance data in units of slips. As shown in FIG. 3A, for example, the balance amount storage unit 32 stores the balance data using the detail number and the terminal ID (terminal identification information) as keys.
The item number is identification information that identifies the balance data. In this example, the detail number shall be assigned when the income and expenditure data is stored in the medical accounting support system 100, and will be described as being different for each income and expenditure data.
The terminal ID is identification information that identifies the terminal 5. The terminal ID may be, for example, the IP address or serial number of the terminal 5.

The balance data includes items, balance amount, date, settlement method, and patient ID, and is data acquired from slip data.
Items include medical practice or non-medical practice, medical practice, insurance or non-insurance practice, insurance practice, institution, and out-of-pocket rate. Here, the institution means a payment institution, and indicates the distinction between "national health insurance (national health insurance)" and "company insurance (social insurance)". The item may include other items. The item may include a description such as a parking fee or a private room fee in the case of non-medical practice. Similarly, the item may include its contents, for example, in the case of uninsured medical care. The contents include the name of medical treatment, the number of medical treatment points for insurance, and the unit price in terms of unit points.
The income and expenditure amount is, for example, the amount requested at the counter in the case of medical practice.
The date indicates the time of occurrence, and is, for example, the date on which the slip is printed or the slip data is created. The time may be included.
The payment method is different from cash or cashless such as credit card and electronic money.
The patient ID is identification information that identifies the patient. The patient ID may be, for example, a health insurance card number or my number. Further, the patient ID may be a number uniquely assigned by each medical institution.

The slip storage unit 33 is a storage area for storing slip data. As shown in FIG. 3B, for example, the slip storage unit 33 stores the detail number and the slip data in association with each other. By storing the slip data, for example, the slip data can be used as needed when creating a document for medical expense deduction, which is an example of utilization of the data in various fields.

The reward amount storage unit 34 is a storage area for storing the reward amount. As shown in FIG. 3C, for example, the reward amount storage unit 34 stores the date and the reward amount in association with each other using the detail number as a key. The date can be obtained from the date of the balance data with which the item numbers match. The reward amount is the amount obtained by the above (Equation 1). By storing the reward amount, for example, the reward amount of the reward amount storage unit 34 can be used when performing factoring, which is an example of utilization of data in various fields.

The patient information storage unit 35 is a storage area for storing the patient who has agreed to use the data, in order to collect the patient's balance data in association with the patient ID and the item number. As shown in FIG. 3D, for example, the patient information storage unit 35 stores the medical institution code, the patient ID, and the detailed number in association with each other.
The patient permission storage unit 36 stores the patient ID of the patient who has agreed to use the data.

The input unit 45 is, for example, an input device such as a keyboard or a mouse. The input unit 45 may also include a scanner or the like.
The display unit 46 is, for example, a display device such as an LCD (Liquid Crystal Display).
The data communication interface unit 49 is an interface with the network N.

The computer is an information processing device provided with a control unit, a storage device, and the like, and the medical accounting support system 100 is an information processing device provided with a control unit 10, a storage unit, and the like, and is included in the concept of a computer. Is done.

When the functional block shown in FIG. 2 corresponds to the hardware of FIG. 1, for example, the server 1 has the function of the patient information processing unit 19, and each terminal 5 has the functions of the slip processing unit 11 and the calculation processing unit 16. May have. In that case, the program storage unit 31 is possessed by the server 1 and the terminal 5, and the balance amount storage unit 32, the slip storage unit 33, and the reward amount storage unit 34 are possessed by the terminal 5, and the patient information storage unit 35 and the patient license are provided. The storage unit 36 may be the one that the server 1 has. That is, since the balance amount storage unit 32, the slip storage unit 33, and the reward amount storage unit 34 are provided for each medical institution, there is no concern that the balance data will be referred to externally. The terminal 5 may include an input unit 45 and a display unit 46, and both the server 1 and the terminal 5 may include a data communication interface unit 49.

Further, for example, the server 1 may have the functions of the calculation processing unit 16 and the patient information processing unit 19, and each terminal 5 may have the functions of the slip processing unit 11. In that case, the program storage unit 31 is possessed by the server 1 and the terminal 5, and the balance amount storage unit 32 and the slip storage unit 33 are possessed by the terminal 5, and the reward amount storage unit 34, the patient information storage unit 35, and the patient license. The storage unit 36 may be the one that the server 1 has.
Further, for example, the server 1 has all the functions of the control unit 10 and the storage unit 30, and each terminal 5 has only the input unit 45, the display unit 46, and the data communication interface unit 49. May be good.
Then, which of the above configurations may be used may be determined according to the scale of each medical institution.

Here, the number of hardware constituting the medical accounting support system 100 is not limited, and for example, the server 1 may be configured by one or a plurality as required. Further, the hardware of the medical accounting support system 100 may be configured by using a device for each function indicated by each functional unit.

[Explanation of prerequisites]
Next, the prerequisites in the medical accounting support system 100 will be described.
Each medical institution uses the medical accounting support service when using the service provided by the medical accounting support system 100 (hereinafter, the service provided by the medical accounting support system 100 is also referred to as "medical accounting support service"). It is assumed that you have registered.
Specifically, each medical institution applies to the operating company that operates the medical accounting support system 100, and each medical institution obtains a medical institution code that identifies each medical institution. In addition, a program for executing processing by the medical accounting support service is installed in the terminal 5 of each medical institution.

[Description of processing]
Next, the processing in the medical accounting support system 100 will be described.
(1) Slip processing Slip processing is a process performed each time a medical institution generates sales and creates a slip.
FIG. 4 is a flowchart showing slip processing of the medical accounting support system 100 according to the first embodiment.

First, when the accounting staff of the medical institution creates a slip, in step S (hereinafter, “step S” is simply referred to as “S”) 11 in FIG. 4, the control unit 10 (slip acquisition) of the medical accounting support system 100 Part 12) acquires slip data.
For example, in the case of Hospital A shown in FIG. 1, if the terminal 5 also has a receipt computer function, the accounting staff performs accounting processing, and the control unit 10 (slip acquisition unit 12) performs slip data. Is automatically acquired.
Further, for example, in the case of Hospital B shown in FIG. 1, the accounting staff causes the scanner 6 to read the copy of the slip at an arbitrary timing, so that the control unit 10 (slip acquisition unit 12) acquires the slip data. do.

In S12, the control unit 10 (balance sheet data generation unit 13) generates balance data from the slip data acquired by the slip acquisition unit 12. Here, the control unit 10 can generate income and expenditure data by extracting necessary information as income and expenditure data from the slip data by using, for example, a known character recognition technique.
In consideration of the case where the information required for the balance data cannot be obtained from the slip data, the control unit 10 displays a screen (not shown) for registering the balance data on the display unit 46, and the slip. The information obtained from the data may be output to the corresponding item. Then, the person in charge may directly input the blank part of the required items via the input unit 45, so that the control unit 10 may generate the balance data including the input data.

In S13, the control unit 10 (balance data registration unit 14) assigns a detail number, and registers the balance data generated by the process of S12 in the balance amount storage unit 32 in association with the detail number and the terminal ID.
In S14, the control unit 10 (slip registration unit 15) registers the slip data acquired by the slip acquisition unit 12 in the slip storage unit 33 in association with the detail number assigned in the process of S13.
After that, the control unit 10 ends this process.

In this way, the information necessary for the accounting process of the medical institution can be converted into data and stored. By storing the balance data for all the slips that have undergone accounting processing in the balance amount storage unit 32, various processing using the balance data can be performed.

(2) Calculation process The calculation process is a process for calculating sales and remuneration amount, and is performed at a timing specified by a person in charge of a medical institution, for example.
FIG. 5 is a flowchart showing the sales calculation process of the medical accounting support system 100 according to the first embodiment.
FIG. 6 is a flowchart showing a remuneration amount calculation process of the medical accounting support system 100 according to the first embodiment.

First, the calculation of sales will be described.
In S21 of FIG. 5, the control unit 10 of the medical accounting support system 100 receives the designation of the target period and the target range for calculating sales via the input unit 45.
For example, the control unit 10 may display an input screen (not shown) for calculating sales on the display unit 46 and have the person in charge input the target period and the target range. Further, for example, the control unit 10 may recognize a predetermined target period and target range at the timing of performing the closing process related to accounting on the terminal 5. The target period is, for example, one day, one week, one month, and the like. Further, the target range may be a specific terminal 5 or all terminals 5 of a certain medical institution.

In S22, the control unit 10 (sales calculation unit 17) extracts the balance data of the target period and the target range from the balance amount storage unit 32. The balance data included in the target period can be extracted by the date of the balance data, and the balance data included in the target range can be extracted by the terminal ID.
In S23, the control unit 10 (sales calculation unit 17) calculates the sales based on the balance amount of the extracted balance data. Here, the control unit 10 calculates the sales of the extracted balance data for which the settlement method is cash.
The control unit 10 may calculate sales regardless of whether it is cash or cashless. Further, the control unit 10 may calculate the sales for the cashless payment method in addition to the cash payment method.
In S24, the control unit 10 (sales calculation unit 17) causes the display unit 46 to display the calculated sales. After that, the control unit 10 ends this process.

In this way, the match between the cash sales and the slip can be confirmed at the required timing, and the cash verification can be facilitated.

Next, the calculation of the reward amount will be described.
The amount of remuneration is calculated automatically, for example, after one day's work at a medical institution is completed.
In S31 of FIG. 6, the control unit 10 (reward amount calculation unit 18) of the medical accounting support system 100 extracts the balance data to be calculated of the reward amount from the balance amount storage unit 32. For example, the control unit 10 extracts from the income and expenditure amount storage unit 32 that the date of the income and expenditure data is the corresponding date and the item is insurance medical treatment.

In S32, the control unit 10 (reward amount calculation unit 18) calculates the remuneration amount for each balance data based on the self-pay ratio of the extracted balance data and the balance amount.
In S33, the control unit 10 (reward amount calculation unit 18) stores the calculated remuneration amount in the remuneration amount storage unit 34 in association with the detail number and the date corresponding to the balance data. After that, the control unit 10 ends this process.

In this way, the reward amount is stored in the reward amount storage unit 34. Therefore, for example, the expected reward amount can be calculated under the desired conditions by using the reward amount stored in the reward amount storage unit 34. Therefore, for example, when a medical institution performs factoring, the estimated remuneration amount can be utilized.

(3) Patient information registration process The patient information registration process makes it possible to refer to the patient's balance data and slip data only when the patient gives permission to use the data.
As a premise, when a patient gives permission to use data at a certain medical institution, for example, at the medical institution, by registering the patient's permission information from the terminal 5, the patient's permission storage unit 36 can be used to register the patient's permission information. The patient ID is stored.

FIG. 7 is a flowchart showing the patient information registration process of the medical accounting support system 100 according to the first embodiment.
In S41 of FIG. 7, the control unit 10 (patient information processing unit 19) of the medical accounting support system 100 receives the patient ID. Here, the patient ID can be specified not only by the medical institution but also by, for example, the patient himself or the person in charge of the life insurance company requested by the patient.
In S42, the control unit 10 (patient information processing unit 19) determines whether or not the received patient ID is licensed. Whether or not the accepted patient ID is licensed can be determined by referring to the patient license storage unit 36 and determining whether or not the accepted patient ID is registered. If the accepted patient ID is licensed (S42: YES), the control unit 10 shifts the process to S43. On the other hand, if the accepted patient ID is not licensed (S42: NO), the control unit 10 ends this process.

In S43, the control unit 10 (patient information processing unit 19) extracts the balance data within the designated period (predetermined range) associated with the received patient ID. Here, the designated period may be designated when the patient ID is designated. In addition, the designated period may be a predetermined period, such as one year before today's date.
In S44, the control unit 10 (patient information processing unit 19) registers the detail number associated with the extracted balance data in the patient information storage unit 35 in association with the patient ID.
Here, when only the patient information storage unit 35 and the patient permission storage unit 36 are on the server 1, communication is performed between the server 1 and the terminal 5, and the detail number is received from the terminal 5. In that case, the medical institution code that can be identified from the terminal ID of the terminal 5 is also associated. After that, the control unit 10 ends this process.

In this way, for example, when a patient wants to prepare a document for deducting medical expenses in a final tax return or the like, the medical accounting support system 100 refers to the patient information storage unit 35 and is associated with the target patient ID. Balance data and slip data can be extracted from the item number. Therefore, the medical accounting support system 100 can facilitate the preparation of medical expense deduction documents and support the preparation of documents for patients.
Further, for example, when a patient applies for life insurance, the medical accounting support system 100 refers to the patient information storage unit 35 and extracts balance data from the detail number associated with the target patient ID. be able to. Therefore, it becomes possible to determine the life insurance premium from the medical expenses paid by the patient in the past, and it becomes possible to make a contract by a new life insurance mechanism.

[Explanation of specific examples]
Next, a specific example in a medical institution will be described.
FIG. 8 is a diagram showing a specific example of processing in the medical accounting support system according to the first embodiment.
Event 70 is an example in which one patient undergoes medical treatment at a medical institution.
The detail 71 is the data registered in the balance amount storage unit 32 corresponding to the event 70.
Of the event 70, the regular consultation for arrhythmia on August 8 is divided into two slip data: the selected medical treatment fee for non-insurance medical treatment and the re-examination fee for insurance medical treatment. Therefore, the control unit 10 of the medical accounting support system 100 generates two balance data. Then, since the balance statement data 71a is for insurance medical treatment, the control unit 10 calculates the reward amount from the balance data, generates the reward detail data 72a, and registers it in the reward amount storage unit 34.

(Second Embodiment)
In the second embodiment, the utilization of data used for accounting, in particular, the utilization of data for preparing documents related to medical expense deduction will be described. In the following description, the same reference numerals or the same reference numerals will be added to the parts that perform the same functions as those in the first embodiment described above, and duplicate description will be omitted as appropriate.
[Overall configuration of medical accounting support system 200]
FIG. 9 is an overall configuration diagram of the medical accounting support system 200 according to the second embodiment.
FIG. 10 is a functional block diagram of the medical accounting support system 200 according to the second embodiment.
FIG. 11 is a diagram showing an example of image data 280 of a receipt used in the medical accounting support system 200 according to the second embodiment.

The medical accounting support system 200 shown in FIG. 9 includes a server 201 and a terminal 5 provided in a medical institution. Further, the medical accounting support system 200 is communicably connected to a user terminal 208 owned by a user such as a patient via a network N. In the following description, a person who has a user terminal 208 and utilizes accounting data is referred to as a user.
As shown in FIG. 10, the medical accounting support system 200 includes a control unit 210, a storage unit 230, an input unit 45, a display unit 46, and a data communication interface unit 49.

The control unit 210 includes a slip processing unit 211, a calculation processing unit 16, a patient information processing unit 219 (patient receiving means), a patient data extracting unit 220 (patient data extracting means), and a patient data output unit 221 (patient data). Output means).
The slip processing unit 211 includes a slip acquisition unit 212 (slip acquisition means), a balance data generation unit 213 (balance generation means), a balance data registration unit 14, and a slip registration unit 15.

The slip acquisition unit 212 acquires slip data.
The slip acquisition unit 212 acquires, as slip data, electronic data created when, for example, a terminal 5 of a medical institution (hospital A shown in FIG. 9) issues a receipt.
Further, the slip acquisition unit 212 acquires image data of the receipt obtained by having the scanner 6 of the medical institution (hospital B shown in FIG. 9) read the receipt of the paper medium as the slip data.
Further, the slip acquisition unit 212 obtains, for example, image data of a receipt issued by a medical institution (hospital, pharmacy, etc.) that does not use the medical accounting support system 200 as slip data from the user terminal 208, for example. get.

FIG. 11 shows an example of image data 280 of the receipt acquired by the slip acquisition unit 212. The image data 280 is the content of the receipt, and is the patient attribute area 281, the issue date area 282, the insurance classification area 283, the insurance point area 284, the insurance burden area 285, and the non-insurance coverage area 286. It is composed of a total receipt amount area 287 and a medical institution information area 288. The image data 280 of the receipt shown in FIG. 11 is an example, but the image data of the receipt has the above items regardless of the medical institution.

The balance data generation unit 213 generates balance data from the slip data acquired by the slip acquisition unit 212. More specifically, when the slip data is image data, the balance data generation unit 213 obtains text characters included in the image data by, for example, OCR. Then, the balance data generation unit 213 refers to the form storage unit 237 that stores the correspondence of the items of the balance data for each format of the slip data, and generates the balance data. Further, the balance data generation unit 213 may apply the slip learning model 238 to the slip data to generate the balance data.

The patient information processing unit 219 receives the patient ID related to the patient to be processed and the intended use from, for example, the user terminal 208. Here, if the patient ID is the same in all medical institutions such as My Number, the control unit 210 can perform the subsequent processing using the received patient ID. On the other hand, when the patient ID is an ID uniquely assigned by each medical institution, for example, by storing a table associated with each ID in the storage unit 230, an ID used by the medical institution for each medical institution is stored. The control unit 210 performs the subsequent processing by using. The purpose of use is the use of income and expenditure data, for example, the preparation of documents related to medical expense deduction and the preparation of documents related to insurance contracts.

The patient data extraction unit 220 refers to the patient license storage unit 236, and when the patient ID and the intended use are licensed, the patient data extraction unit 220 corresponds to the corresponding patient ID stored in the balance amount storage unit 32 and has a predetermined range. The balance data having the date information of is extracted.
The patient data output unit 221 outputs the detailed data obtained by converting the extracted income and expenditure data into a data format that can be used for creating documents related to medical expense deduction to the user terminal 208.

The storage unit 230 includes a program storage unit 231, a balance amount storage unit 32, a slip storage unit 33, a reward amount storage unit 34, a patient information storage unit 35, a patient permission storage unit 236, and a form storage unit 237. , The slip learning model 238 is provided.
The program storage unit 231 is a storage area for storing application programs and the like for executing various functions performed by the control unit 210 described above.
The patient permission storage unit 236 stores the patient ID of the patient who has agreed to use the data in association with the intended use.

The form storage unit 237 stores the correspondence of the items of the balance data for each format of the slip data. Here, the format of the slip data refers to the format of the slip, including the case of electronic data. Receipts issued by medical institutions (including pharmacies) are generally created using the systems of some companies that issue receipts at medical institutions. Even if the medical institutions are different, receipts in almost the same format will be issued if the systems of the same company are installed. Therefore, the format of the slip data is much smaller than the number of medical institutions. Therefore, if the format of the slip data used in the medical institution to some extent is registered in the form storage unit 237 and the items used in the balance data in each format are associated with each other, the balance data can be obtained from the slip data. Can be easily generated. When processing a receipt in a format that is not stored in the form storage unit 237, the medical accounting support system 200 outputs that fact to, for example, a display unit (not shown) of the server 201. , It is also possible to register later.

The slip learning model 238 is a classifier that has learned the combination of the slip data used for generating the balance data and the balance data obtained from the slip data.
As for the slip data, especially the one obtained as image data from the user terminal 208, the value of the item cannot be obtained or the obtained value is inaccurate even if the same OCR processing is performed due to the resolution and shooting conditions. It may become a thing. Further, even when the scanner 6 is used, even if the image data obtained by scanning the same receipt is in the same state as in the case of the user terminal 208 due to the difference in the settings of the scanner 6 and the manufacturer of the scanner 6. It may become. Even in such a case, more accurate income and expenditure data can be obtained by using the slip learning model 238.

The user terminal 208 is a mobile terminal owned by the user, for example, represented by a smartphone. The user terminal 208 may also be a PC or the like. Further, the user terminal 208 uses, for example, a mobile terminal equipped with a camera when taking a receipt and obtaining slip data, and when performing a process for creating a document for medical expense deduction, the user terminal 208 may be used. A PC may be used to create a statement of medical expense deduction, or one user may use a plurality of terminals.
Although not shown, the user terminal 208 includes a control unit, a storage unit, an input unit, an output unit, a data communication interface unit, and the like provided in a general computer.

[Description of processing]
Next, the processing in the medical accounting support system 200 will be described.
(1) Slip processing FIG. 12 is a flowchart showing slip processing of the medical accounting support system 200 according to the second embodiment.
In S211 of FIG. 12, the control unit 210 (slip acquisition unit 212) of the medical accounting support system 200 acquires the slip data.

For example, in the case of Hospital A shown in FIG. 9, if the terminal 5 also has a receipt computer function, the accounting staff performs accounting processing, and the control unit 210 (slip acquisition unit 212) can perform slip data. Is automatically acquired.
Further, for example, in the case of Hospital B shown in FIG. 9, the accounting staff causes the scanner 6 to read the copy of the slip at an arbitrary timing, so that the control unit 210 (slip acquisition unit 212) acquires the slip data. do.
Further, when the medical institution has not introduced the medical accounting support system 200, the user who is a patient himself / herself, for example, uses the user terminal 208 to take a picture of a paper receipt to control the control unit. 210 (slip acquisition unit 212) acquires the slip data. The user himself / herself acquires the image data of the paper receipt using a scanner (not shown), and transmits the acquired image data to the server 201 so that the control unit 210 (slip acquisition unit 212) can perform the slip data. May be obtained.

In S212, the control unit 210 (balance sheet data generation unit 213) generates balance data from the slip data acquired by the slip acquisition unit 212. Here, the control unit 210 refers to the form storage unit 237 and generates the balance data from the balance data items corresponding to the acquired slip data format. At that time, the control unit 210 can extract necessary information as income and expenditure data by using, for example, a known character recognition technique.
Further, when the balance data cannot be obtained from the slip data, the control unit 210 (balance data generation unit 213) may apply the slip learning model 238 to the slip data to generate the balance data. In this case, if the slip learning model 238 is used as a learning model for each patient, for example, similar medical treatments and drug prescriptions are often made, so that income and expenditure data estimated based on the learning model can be generated. Further, if the slip learning model 238 is used as a learning model for each medical institution, estimated balance data can be generated based on a learning model for a similar character sequence.

Further, the control unit 210 collates the balance data generated by using the form storage unit 237 with the balance data generated by applying the slip learning model 238, and determines the balance data generated when they match. You may. Then, in the case of a mismatch, the control unit 210 displays, for example, a screen (not shown) for registering the balance data on the display unit 46 (or the display unit (not shown) of the user terminal 208). Then, the information obtained from the slip data may be output to the corresponding item. Then, the person in charge (or the user) directly inputs the blank part of the required items via the input unit 45 (or the display unit (not shown) of the user terminal 208), so that the control unit 210 May generate balance data including the input data.

The processing of S213 and S214 is the same as the processing of S13 and S14 of the first embodiment (FIG. 4). After that, the control unit 210 ends this process.

In this way, the information necessary for the accounting process of the medical institution can be converted into data and stored. Then, by using the user terminal 208, it is possible to store the income and expenditure data described in the receipt even for the information of the receipt issued by the medical institution that does not use the medical accounting support system 200. Then, when generating the balance data from the digitized image data of the paper receipt, the character recognition technology is used, but the data stored in the form storage unit 237 is used, or the slip learning model 238 is used. By doing so, the accuracy of the balance data can be improved.

(2) Calculation process The calculation process is the same as that of the first embodiment (FIGS. 5 and 6).
(3) Data utilization processing Next, the utilization of income and expenditure data will be described.
FIG. 13 is a flowchart showing a patient data utilization process of the medical accounting support system 200 according to the second embodiment.
In this process, the balance data registered in the balance amount storage unit 32 for use in the accounting process is used for the purpose of improving the convenience of the user.

In S241 of FIG. 13, the control unit 210 (patient information processing unit 219) of the medical accounting support system 100 receives the patient ID and the intended use from the user terminal 208. Here, the patient ID to be designated is assumed to be, for example, the user himself / herself. However, it may be a family member or the like who has the same livelihood as the patient and is requested by the patient or the like.
In S242, the control unit 210 determines whether or not the received usage is related to medical expense deduction. If it relates to medical expense deduction (S242: YES), the control unit 210 shifts the process to S243. On the other hand, if it is not related to medical expense deduction (S242: NO), the control unit 210 shifts the processing to S249.

In S243, it is determined whether or not the patient ID received by the control unit 210 is licensed. Whether or not the accepted patient ID is licensed is determined by referring to the patient license storage unit 236 and determining whether or not the accepted patient ID is registered and the intended use includes medical expense deductions. can. If the accepted patient ID is licensed (S243: YES), the control unit 210 shifts the process to S244. On the other hand, if the accepted patient ID is not licensed (S243: NO), the control unit 210 ends this process. At that time, the control unit 210 may output to the user terminal 208 that the permission is not granted.

In S244, the control unit 210 (patient data extraction unit 220) extracts the income and expenditure data having the date and time information within the designated period (predetermined range) associated with the received patient ID from the income and expenditure amount storage unit 32. Here, regarding the designated period, the acquisition year may be specified when the patient ID is specified. Further, the designated period may be a predetermined period such as from January 1st to December 31st of the previous year of the year including today's date.

In S245, the control unit 210 (patient data output unit 221) receives the detailed data obtained by converting the extracted income and expenditure data into a data format that can be used for creating documents related to medical expense deduction in the process of S241. Output to the user terminal 208. Here, the control unit 210 can convert the data into CSV format data and output it so that it can be easily input to the statement of medical expense deduction, for example. Further, the control unit 210 may input and output the medical expense deduction statement format based on the income and expenditure data. After that, the control unit 210 ends this process.

On the other hand, in S249, the data utilization means of the control unit 210 refers to the patient license storage unit 236 and confirms that the accepted patient ID is registered and the accepted usage is licensed. , Execute various processes according to the received usage. Here, as the usage, for example, there is a usage such as when the medical expenses of the user himself / herself are output at the time of contract with a life insurance company or the like and used for calculating insurance premiums. After that, the control unit 210 ends this process.

By doing so, the income and expenditure data stored in the income and expenditure amount storage unit 32 can be used not only for the accounting of the medical institution but also for the improvement of the convenience of the user (patient). In particular, it is complicated for the user to create the documents to be submitted when applying for the medical expense deduction, but by outputting the detailed data based on the balance data, the documents can be easily created. This will improve user convenience.

Although the embodiments of the present invention have been described above, the present invention is not limited to the above-described embodiments. Moreover, the effects described in the embodiments are merely a list of the most preferable effects arising from the present invention, and the effects according to the present invention are not limited to those described in the embodiments. The above-described embodiment and the modified form described later can be used in combination as appropriate, but detailed description thereof will be omitted.

(Transformed form)
(1) The data and the like of the storage unit in each embodiment are examples, and are not limited thereto. As long as various support processes can be performed using the medical accounting support system, other data may be used or other processes may be used.

(2) In each embodiment, the tax amount may be managed separately, although the income and expenditure amount is not particularly mentioned. By doing so, it is possible to manage the amount of tax paid.

1,201 Server 5 Terminal 6 Scanner 10,210 Control unit 11,211 Slip processing unit 12,212 Slip acquisition unit 13,213 Balance data generation unit 14 Balance data registration unit 15 Slip registration unit 16 Calculation processing unit 17 Sales calculation unit 18 Reward amount calculation unit 19,219 Patient information processing unit 30,230 Storage unit 31,231 Program storage unit 32 Balance amount storage unit 33 Slip storage unit 34 Reward amount storage unit 35 Patient information storage unit 36,236 Patient permission storage unit 45 Input unit 46 Display unit 49 Data communication interface unit 100,200 Medical accounting support system 208 User terminal 220 Patient data extraction unit 221 Patient data output unit 237 Form storage unit 238 Voucher learning model N network

Claims (6)

Electronic data created when issuing a receipt and / or image data of a receipt, a slip acquisition means for acquiring slip data from a terminal of a medical institution, and
The slip acquisition of the income and expenditure data including the item related to the income and expenditure in the medical institution, the income and expenditure amount, the date information indicating the occurrence time of the item related to the income and expenditure, the information about the settlement method, and the patient identification information for identifying the patient. The income and expenditure generating means generated from the slip data acquired by the means, and
The grant item identification information for identifying the balance data, the balance data to which the balance generating means has generated a balance amount registering means in association before KiAkira fine identification information is stored in the yield支金amount storage unit,
With reference to the income and expenditure amount storage unit, a sales calculation means for calculating sales for each medical institution from the income and expenditure amount of the income and expenditure data having the date information in a specific range and the settlement method being cash.
A sales output means that outputs the information of the specific range calculated by the sales calculation means and the sales calculated by the sales calculation means to the terminal of the medical institution corresponding to the sales.
A patient data extraction means that refers to the income and expenditure amount storage unit and extracts the income and expenditure data having the date information in a predetermined range for the designated patient identification information in order to create a document relating to medical expense deduction.
Equipped with a,
The slip acquisition means further acquires the slip data, which is image data of a paper medium on which at least date information and income and expenditure amount are described, from a user terminal.
The balance generating means further generates the balance data from the slip data acquired from the user terminal, and further generates the balance data.
The detailed data on the available data formats of the balance data to which the patient data extracting means has extracted to create the documents related to the medical expenses deduction, further Ru comprising a patient data output means for outputting to the user terminal, medical accounting Support system. In the medical accounting support system according to claim 1 ,
Said slip data that was used to generate the balance data by previous SL balance generating means, a first slip learning model that the combination of the balance data obtained from the document data learned for each of the patient,
A second slip learning model in which the combination of the slip data used to generate the balance data by the balance generating means and the balance data obtained from the slip data is learned for each medical institution, and
With
The balance generating means applies said previous to said slip data document acquisition unit acquires Symbol first slip learning model and / or the second slip learning model to generate the balance data, a medical accounting support system .. In the medical accounting support system according to claim 1 or 2.
A form storage unit that stores the correspondence of the items of the income and expenditure data is provided for each format of the slip data.
The balance generating means, wherein, when the slip data acquired by the document obtaining means is the image data, that generates said balance data from the previous SL slip data with reference to the form storage unit, a medical accounting support system .. In the medical accounting support system according to any one of claims 1 to 3.
A patient license storage unit that stores patient license information related to data use in association with the patient identification information.
Patient reception means for receiving the patient identification information related to the patient to be processed, and
With
The patient data extracting unit refers to the patient permission storage unit, when having the permission information of the patient identification information which the patient reception unit receives, you extract the balance data, a medical accounting support system. In the medical accounting support system according to claim 4,
The patient license storage unit further stores the license information in association with the intended use, and stores the license information.
The patient receiving means further accepts the intended use,
With reference to the patient permission storage unit, when the patient reception means has the permission information of the patient identification information according to the intended use, the balance data stored in the balance amount storage unit is extracted and described. Data usage means used for processing according to the purpose of use,
Medical accounting support system equipped with. In the medical accounting support system according to any one of claims 1 to 5.
The items related to the balance include the distinction between medical practice and non-medical practice, the distinction between insurance medical treatment or non-insurance medical treatment in the case of medical practice, and the out-of-pocket ratio in the case of insurance medical treatment.
A remuneration amount calculation means for calculating the remuneration amount to be paid at a later date from the payment institution in the case of the insurance medical treatment item by referring to the income and expenditure amount storage unit.
A reward amount registration means for storing the reward amount calculated by the reward amount calculation means in the reward amount storage unit in association with the date information.
Medical accounting support system equipped with.

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