JPH061472B2 - Survey method for the number of medical bills created - Google Patents

Survey method for the number of medical bills created

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Publication number
JPH061472B2
JPH061472B2 JP9368087A JP9368087A JPH061472B2 JP H061472 B2 JPH061472 B2 JP H061472B2 JP 9368087 A JP9368087 A JP 9368087A JP 9368087 A JP9368087 A JP 9368087A JP H061472 B2 JPH061472 B2 JP H061472B2
Authority
JP
Japan
Prior art keywords
medical
medical care
billing
format
bill
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
JP9368087A
Other languages
Japanese (ja)
Other versions
JPS63257867A (en
Inventor
卓朗 工藤
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
NEC Corp
Original Assignee
Nippon Electric Co Ltd
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Nippon Electric Co Ltd filed Critical Nippon Electric Co Ltd
Priority to JP9368087A priority Critical patent/JPH061472B2/en
Publication of JPS63257867A publication Critical patent/JPS63257867A/en
Publication of JPH061472B2 publication Critical patent/JPH061472B2/en
Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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  • Management, Administration, Business Operations System, And Electronic Commerce (AREA)
  • Medical Treatment And Welfare Office Work (AREA)

Description

【発明の詳細な説明】 〔産業上の利用分野〕 本発明は診療費用請求明細書作成件数調査方式に関し、
特に種類の多い診療費用請求明細書の様式ごとの作成件
数が出力される診療費用請求明細書作成件数調査方式に
関する。
[Detailed Description of the Invention] [Industrial field of application]
Particularly, the present invention relates to a method for investigating the number of prepared medical care bill statements, in which the number of prepared medical care bill detailed statements for each format is output.

〔従来の技術〕[Conventional technology]

従来、診療費用請求明細書(一般には診療報酬明細書と
称している)は、費用請求先または入院・通院の別など
の診療形態によって、診療費用請求明細書(以下請求明
細書という)の様式が異っており、一般には20〜30
種類の様式が使われている。また、一定期間に1回の割
合で(通常は1箇月に1回)請求する請求明細書は、小
さい診療所でも数千件、大きい診療所では数万件に達す
る。従っていずれの場合でも、コンピュータ処理により
請求明細書を作成している場合が多い。
Conventionally, medical expense bill statements (generally referred to as medical fee bills) are in the form of medical expense bill statements (hereinafter referred to as billing statements) depending on the medical billing destination or the type of medical treatment such as hospitalization / outpatient treatment. Are different, generally 20-30
Different styles are used. In addition, bills billed at a rate of once per fixed period (usually once a month) amount to thousands of small clinics and tens of thousands of large clinics. Therefore, in either case, the billing statement is often prepared by computer processing.

しかも、請求明細書の様式によっては、1回の請求件数
が非常に少ない(例えば数件)様式と、非常に多い(例
えば全件数の30〜40%に達する)様式とがある。そ
の請求明細書の作成時には、請求明細書用紙の供給を、
作業前の用紙の推定は過去の経験で行っていたが、当り
外れが多く用紙の在庫調整も十分できなかった。
In addition, depending on the format of the billing statement, there are a format in which the number of requests for one time is very small (for example, several cases) and a format in which the number of requests is very large (for example, 30 to 40% of the total number of cases). When creating the invoice, supply the invoice form
The paper before work was estimated based on past experience, but the paper stock could not be adjusted sufficiently because of a lot of hits.

さらに、作業途中で用紙が不足したときはオペレータが
供給する必要があり、用紙が手許になくて補給できない
ときは、これに対する診療費用の請求を次の月まで延期
する場合もあった。
Further, when the paper runs out during the work, the operator has to supply the paper, and when the paper is not available and the paper cannot be replenished, the billing for the medical care for the paper may be postponed until the next month.

〔発明が解決しようとする問題点〕[Problems to be solved by the invention]

上述した従来の診療費用請求明細書作成件数調査方式の
問題点は、過去の経験などで請求明細書の用紙の様式別
の作成件数を予測して用意していたので、予測に当り外
れがあり、オペレータは用紙の供給のため常時コンピュ
ータの監視が必用であったり、使用すべき用紙が不足し
てその分に対応する費用の請求を手作業で行ったときも
あった。
The problem with the conventional method of investigating the number of bills for medical expenses described above is that the number of bills prepared for each form of the billing statement is prepared based on past experience, etc. In some cases, the operator must constantly monitor the computer to supply the paper, or when the paper to be used is insufficient and the operator manually bills for the cost.

本発明の目的は、上記欠点を解決した診療費用請求明細
書作成件数調査方式を提供することにある。
An object of the present invention is to provide a method for examining the number of bills for preparing medical care bills, which solves the above drawbacks.

〔問題点を解決するための手段〕[Means for solving problems]

本発明の診療費用請求明細書作成件数調査方式は、一患
者分の診療情報のうち少なくとも患者の診療費用請求用
紙の様式を含む診療情報を読込む診療情報読込手段と、 前記診療情報読込手段で読込まれた診療情報に従って診
療費用請求の可否を判定し、診療費用の請求がないと判
定されたときはふたたび次の患者について前記診療情報
読込手段を実行する請求可否判定手段と、 前記請求可否判定手段によって診療費用の請求がありと
判定されたときは前記読込手段に読込まれた診療情報に
従って前記診療費用請求明細書の様式ごとの枚数を決定
する用紙指定手段と、 前記用紙指定手段で定められた前記診療費用請求明細書
の枚数を様式ごとに順次蓄積して記憶する記憶手段と、 前記診療費用請求明細書の各様式ごとの数量を表示する
表示手段とを備えて構成される。
The method for investigating the number of medical care billing statement preparations according to the present invention comprises a medical care information reading means for reading medical care information including at least the format of a medical care charge request form for a patient among the medical care information for one patient, and the medical care information reading means. Whether or not the medical fee is charged according to the read medical information, and when it is determined that the medical fee is not charged, the medical information reading means is executed again for the next patient; When it is determined by the means that there is a request for medical expenses, a paper designation means for determining the number of sheets for each format of the medical treatment bill statement according to the medical information read by the reading means, and the paper designation means Storage means for sequentially accumulating and storing the number of medical care bills for each format, and a display for displaying the quantity of each medical bill form for each format. And a step.

〔実施例〕〔Example〕

次に本発明について実施例を示す図面を参照して説明す
る。
Next, the present invention will be described with reference to the drawings illustrating an embodiment.

第1図は本発明の一実施例の構成を示すブロック図、第
2図は本発明の一実施例を適用するハードウエアの構成
を示すブロック図、第3図は本発明の一実施例の作動を
示すフローチャートである。
FIG. 1 is a block diagram showing a configuration of an embodiment of the present invention, FIG. 2 is a block diagram showing a configuration of hardware to which the embodiment of the present invention is applied, and FIG. 3 is a diagram of an embodiment of the present invention. It is a flow chart which shows operation.

まず本発明の概要について説明する。First, the outline of the present invention will be described.

診療費用は直接患者に請求されて支払を受ける場合と、
診療のための保険(通称は健康保険と呼ばれている)・
基金などの支払請求先から支払を受ける場合とがある
が、一般には前者が一部を負担し後者が大きな部分を負
担している。そのためこれの請求書の作成には、初期に
患者の保険情報内容と診療内容が、再診のたびごとに診
療内容が、磁気デイスクまたは磁気テープなどのメモリ
に格納されている。
When the medical expenses are billed and paid directly to the patient,
Medical insurance (commonly called health insurance)
There are cases where payment is received from a billing party such as a fund, but in general, the former bears part and the latter bears a large portion. Therefore, in the preparation of the bill, the insurance information content and the medical treatment content of the patient are stored in the memory such as the magnetic disk or the magnetic tape at the beginning of each medical examination.

そして、これらのメモリから診療費用の請求書があらか
じめ定められた期間ごとに作成されるので、これに先立
ち各患者ごとにその期間に診療費用の請求の有無を検査
し、請求があればその請求用紙の種類を指定し、その数
量を順次記憶させる。かようにして請求用紙の数量を種
類別に端末のCRT表示器などに表示する。
Then, since a bill for medical treatment fee is created from these memories for each predetermined period, prior to this, each patient is inspected for the medical treatment fee during that period, and if there is a request, it is billed. Specify the type of paper and store the quantity in sequence. In this way, the quantity of billing sheets is displayed according to the type on the CRT display device of the terminal.

このデータをもとにして必要な請求用紙を用意すると共
に、このデータは請求用紙の在庫管理の資料とするもの
である。
Necessary billing forms are prepared based on this data, and this data is used as data for inventory management of billing forms.

次に本実施例の構成について第1〜2図を参照して述べ
る。
Next, the configuration of this embodiment will be described with reference to FIGS.

第1図を見るに本実施例は、診療情報読込手段1と、請
求可否判定手段2と、用紙指定手段3と、記憶手段4
と、表示手段5とを備えて構成される。これを適用する
ハードウエアの一実施例は第2図を見るに、主メモリ1
1Aを伴う中央処理装置11と端末12と磁気ディスク1
3と印字装置14からなり、データバス100で接続さ
れている。このうち主メモリ11Aは、本発明を駆動す
るプログラムをあらかじめ格納しておくと共に、診療デ
ータを読込んだときにこれを一時記憶することや、請求
用紙の種類別数量の格納場所ともなっている。
As shown in FIG. 1, in the present embodiment, medical information reading means 1, billability determination means 2, paper designation means 3, and storage means 4 are shown.
And a display means 5. An example of hardware to which this is applied is shown in FIG.
Central processing unit 11 with 1A, terminal 12 and magnetic disk 1
3 and the printing device 14, which are connected by a data bus 100. Of these, the main memory 11A stores the program for driving the present invention in advance, temporarily stores the medical care data when the medical care data is read, and also serves as a storage location for the quantity of billing sheets by type.

次に本実施例の作動について第3図を中心に述べる。Next, the operation of this embodiment will be described mainly with reference to FIG.

まず端末12から、請求明細書件数調査プログラムを起
動し、磁気ディスク13に格納されている診療情報が、
診療データ読込手段に従って一患者ごとに患者番号また
は氏名の序列の順に、中央処理装置11に接続されてい
る主メモリ11Aに読込まれる(ステップ)。
First, start the billing statement number survey program from the terminal 12, and the medical information stored in the magnetic disk 13 is
According to the medical care data reading means, the data is read into the main memory 11A connected to the central processing unit 11 in order of patient number or name for each patient (step).

次に主メモリ11Aに読込まれた診療情報が、今期(ま
たは今月)の請求ができるか否かを患者の保険の有効期
間などで判断する。今期(または今月)の請求がないと
きは、この診療情報を主メモリ11から削除しふたたび
ステップに戻る。また、今期(または今月)の請求が
あるときは、次のステップに移る(ステップ)。
Next, it is determined whether or not the medical information read in the main memory 11A can be charged for this term (or this month) based on the validity period of the patient's insurance. When there is no request for this term (or this month), this medical care information is deleted from the main memory 11 and the process returns to the step again. If there is a request for this term (or this month), move to the next step (step).

ステップにおいて、今期(または今月)の請求がある
ときは、診療情報の中にある請求明細書の様式を指定し
て、主メモリ11A内のあらかじめ指定された区域の中
の指定された当該様式の数量を示す区域に1件を追加す
る(ステップ)。
In the step, when there is a request for this term (or this month), the format of the billing statement in the medical information is designated to specify the designated format in the predesignated area in the main memory 11A. One item is added to the area indicating the quantity (step).

次にステップの処理が完了した診療情報の患者は、診
療情報を読込む最後の患者であるか否かを、その診療情
報に付随した後読データの有無を表わすデータから判断
する。その結果、読込みを必要とする後続患者の情報が
あるときは、ステップに戻る。また、後続患者の情報
がないときはステップの処理を行う。いずれの場合も
ステップの処理が完了した診療情報は、主メモリ11A
から削除される(ステップ)。
Next, whether or not the patient of the medical care information for which the processing of the step has been completed is the last patient to read the medical care information is judged from the data indicating the presence or absence of read-after data attached to the medical care information. As a result, when there is information on the subsequent patient that needs to be read, the process returns to the step. If there is no information on the subsequent patient, the step processing is performed. In any case, the medical information for which the processing of the step is completed is stored in the main memory 11A.
Deleted from (step).

またステップでは、主メモリ11Aに格納されている
請求明細書の様式別の用紙の数量を、端末12のディス
プレイに表示させるか、印字装置14に出力させる。
Further, in the step, the number of sheets of each billing form stored in the main memory 11A is displayed on the display of the terminal 12 or is output to the printing device 14.

上述の説明では、件数調査が完了してから請求明細書の
様式別用紙数量を端末12に表示されることになってい
るが、ステップの処理の中で様式ごとに順次蓄積して
主メモリ11Aに記憶せしめると共に、端末12などに
順次積して表示させることもできる。
In the above description, the number of form-specific sheets of the billing statement is to be displayed on the terminal 12 after the investigation of the number of cases is completed. It is also possible to store the data in the memory and store it in the terminal 12 or the like and display it in sequence.

以上のような方法により、診療費用の請求明細書の作成
に先立って各様式ごとの用紙の数量を求めることができ
る。
By the method as described above, the number of sheets for each format can be obtained prior to the preparation of the bill for the medical fee.

〔発明の効果〕〔The invention's effect〕

以上詳細に説明したように本発明の診療費用請求明細書
作成件数調査方式は、その作成に先立ち請求明細書の2
0〜30種類に及ぶ各様式ごとの数量があらかじめ得ら
れるようにしたので、請求明細書作成時に先立って必要
数の請求明細書用紙を用意することができ、請求明細書
作成中に用紙管理のためのコンピュータの監視をするこ
とが不要となり、また用紙の様式別の在庫についても有
効な管理ができるという効果がある。さらに使用すべき
用紙が不足して、その分に対応する診療費用の請求が当
該日または当期の締切りに間に合わないといった問題は
解消するという効果もある。
As described in detail above, according to the method for investigating the number of medical bill bill preparations according to the present invention, 2
Since the quantity for each format ranging from 0 to 30 types is obtained in advance, it is possible to prepare the required number of bill statement sheets prior to the bill statement preparation, and to manage the paper sheets during the bill statement preparation. Therefore, there is no need to monitor the computer for this purpose, and it is possible to effectively manage the stock of the papers by style. Furthermore, there is an effect that the problem that the amount of paper to be used is insufficient, and the billing for the corresponding medical expenses cannot be made on time or on the deadline of the current period, is solved.

【図面の簡単な説明】[Brief description of drawings]

第1図は本発明の一実施例の構成を示すブロック図、第
2図は本発明の一実施例を適用するハードウエアの構成
を示すブロック図、第3図は本発明の一実施例の作動を
示すフローチャート。 1……診療情報読込手段、2……請求可否判定手段、3
……用紙指定手段、4……記憶手段、5……表示手段。
FIG. 1 is a block diagram showing a configuration of an embodiment of the present invention, FIG. 2 is a block diagram showing a configuration of hardware to which the embodiment of the present invention is applied, and FIG. 3 is a diagram of an embodiment of the present invention. The flowchart which shows operation. 1 ... Medical information reading means, 2 ... Requestability determination means, 3
…… Paper designation means, 4 …… storage means, 5 …… display means.

Claims (1)

【特許請求の範囲】[Claims] 【請求項1】一患者分の診療情報のうち少なくとも患者
の診療費用請求用紙の様式を含む診療情報を読込む診療
情報読込手段と、 前記診療情報読込手段で読込まれた診療情報に従って診
療費用請求の可否を判定し、診療費用の請求がないと判
定されたときはふたたび次の患者について前記診療情報
読込手段を実行する請求可否判定手段と、 前記請求可否判定手段によって診療費用の請求がありと
判定されたときは前記読込手段に読込まれた診療情報に
従って前記診療費用請求明細書の様式ごとの枚数を決定
する用紙指定手段と、 前記用紙指定手段で定められた前記診療費用請求明細書
の枚数を様式ごとに順次蓄積して記憶する記憶手段と、 前記診療費用請求明細書の各様式ごとの数量を表示する
表示手段とを備えたことを特徴とする診療費用請求明細
書作成件数調査方式。
1. Medical care information reading means for reading medical care information including at least the format of a medical care charge bill form for one patient among medical care information for one patient, and medical care billing according to the medical care information read by the medical care information reading means. If it is determined that there is no medical treatment fee billed, the billing possibility determination means for executing the medical treatment information reading means for the next patient again, and the medical treatment fee is billed by the billing possibility determination means. When it is determined, a sheet designation means for determining the number of sheets for each format of the medical treatment bill statement according to the medical treatment information read by the reading means, and the number of medical treatment bill statements defined by the sheet designation means Medical expenses comprising: storage means for sequentially accumulating and storing each format, and display means for displaying the quantity of each format of the medical treatment bill. Billing statement preparation number survey method.
JP9368087A 1987-04-15 1987-04-15 Survey method for the number of medical bills created Expired - Lifetime JPH061472B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP9368087A JPH061472B2 (en) 1987-04-15 1987-04-15 Survey method for the number of medical bills created

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP9368087A JPH061472B2 (en) 1987-04-15 1987-04-15 Survey method for the number of medical bills created

Publications (2)

Publication Number Publication Date
JPS63257867A JPS63257867A (en) 1988-10-25
JPH061472B2 true JPH061472B2 (en) 1994-01-05

Family

ID=14089120

Family Applications (1)

Application Number Title Priority Date Filing Date
JP9368087A Expired - Lifetime JPH061472B2 (en) 1987-04-15 1987-04-15 Survey method for the number of medical bills created

Country Status (1)

Country Link
JP (1) JPH061472B2 (en)

Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2687731B2 (en) * 1991-01-24 1997-12-08 富士通株式会社 Receipt paper type determination method
JP5434742B2 (en) * 2010-03-29 2014-03-05 富士通株式会社 Work amount estimation program, work amount estimation method, and work amount estimation device

Also Published As

Publication number Publication date
JPS63257867A (en) 1988-10-25

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