JPS63155358A - Processing system for accumulation of account card - Google Patents

Abstract

PURPOSE:To accurately calculate a fare despite descriptions on plural slops by giving again rounding fare calculation to the items which are already stored in account cards after fare calculation and storing them in a card updating mode. CONSTITUTION:The items which undergo the rounding fare calculation is collectively converted into a record 4-1 among those items described on a slip. When it is needed for the record 4-1 to give the second rounding fare calculations to the items stored in an account card 8-1 after fare calculation, both types of items undergo the rounding calculation and the accumulated value of fare is stored in the card 8-1 in the updating mode. Thus it is possible to give the rounding calculation to the items described on the slips received at random for accumulation. Then the rounding fare calculation is attained.

Description

[Detailed Description of the Invention] [Summary] The present invention includes a classification processing unit that groups items to be subject to rounded charge calculation among the items manually entered for each slip; A convert file that stores all information in one unit, and one unit of information,
A grouping determination unit that determines whether or not to perform rounded charge calculation together with previously calculated units; a charge accounting processing unit that calculates charges and stores them in the accounting card, or calculates the charges again and stores them in an accumulated manner in the accounting card in combination with the previously calculated charges and stored in the accounting card; By outputting the result stored in this accounting card as the accounting processing result, accurate fee calculation is performed even if the item to be subjected to rounded fee calculation is written on a plurality of slips.

[Industrial application field]

The present invention relates to an accounting card accumulation processing method that is configured to accurately calculate the total amount of charges even if the items to be subject to the rounded charge calculation are written on a plurality of slips.

[Conventional technology]

Conventionally, as a method for accounting processing in hospitals, etc., there is a method in which test request information regarding tests such as blood tests is transferred from a testing system to a medical affairs system on a slip-by-slip basis, and this medical affairs system calculates fees and performs accounting processing. .

[Problems to be solved by the invention] The conventional method of performing the above-mentioned accounting processing is to calculate the fees sequentially for the inspection request information transferred in slip units and write them on the accounting card to perform the accounting processing. For example, if two slips are sent to you, one in the morning and one in the afternoon,
Even if it is necessary to perform a so-called "round charge calculation" in which accurate charge calculations can only be made by combining the number of items listed on both slips, charges are calculated separately for both slips and each bill is recorded on the accounting card. There was a problem in that the charges were recorded separately and accounted for, making it difficult to calculate the charges accurately.

In addition, if the number of test items increases or decreases due to revisions to medical laws or changes in testing operations, or if the format of the voucher changes, it becomes necessary to combine multiple vouchers to calculate accurate charges. However, there was a problem in that accounting processing could not be performed in the form of combining the plurality of slips.

[Means for solving problems]

In order to solve the above-mentioned problems, the present invention provides a processing unit 3 for classifying the items that are subject to rounded charge calculation among the items described in each input slip. A conversion file 4 that stores items in one unit; and a grouping determination unit 5 that determines whether or not one unit of information should be combined with the previously calculated unit to perform rounded charge calculation. Then, based on the determination result, a fee is calculated in Chinese and German for one unit read from the conversion file 4 and stored in the accounting card 8-1, or a fee is previously calculated and stored in the accounting card 8-1. A fee accounting processing unit 6 that calculates the fee again and stores it in the accounting card 8-1 in a manner that it is accumulated in the accounting card 8-1.
and outputs the accumulated results on this accounting card 8-1.

FIG. 1 shows a basic configuration diagram of the present invention. A test system 1 in the figure manages test request information regarding tests such as blood tests.

The interface file 2 stores inspection request information (slip) transferred from the inspection system 1 in the form of a record 2-1.

As for the classification, the processing unit 3 converts the items that require rounded fee calculation among the inspection request items listed in the record 2-1 read from the interface file 2 into one record 4-1. It is something. This converted record 4-1 is stored in the conversion file 4.

In the conversion file 4, when it is necessary to calculate charges on an item-by-item basis or in rounded form, the conversion file 4 converts the charges on an item-by-item basis and stores the result in the form of a record 4-1.

The grouping determination unit 5 re-calculates the rounded charges for the items described in the record 4-1 read from the conversion file 4 for which charges have already been calculated and stored in the accounting card 8-1. This is to determine whether or not it belongs to a group.

The charge accounting processing unit 6 calculates charges based on the results determined by the grouping determination unit 5, and stores the calculated charges in an accumulated manner in the accounting card 8-1 in the database file 8.

The data file 8 accumulates and stores the results of charge calculations in the form of an accounting card 8-1, for example, for each patient, each medical practice, and each month.

[Effect]

Next, the operation will be explained.

In FIG. 1, the slip transferred from the inspection system 1 is stored in the interface file 2 in the format of record 2-1. The stored items are classified into item units or item units that require rounded charge calculation, and are converted into records 4-1 and stored in the conversion file 4. The grouping determination unit 5 reads record 4-1 from the conversion file 4.
It is determined whether or not the items described in 1 are a group for which it is necessary to perform rounded charge calculation again for items whose charges have been previously calculated and stored in an accumulated manner in the accounting card 8-1. If there is no need to perform rounded charge calculation, charge calculation is performed for the items described in record 4-1, and the calculated charges are accumulated and stored in the corresponding record 4-1. On the other hand, if it is necessary to perform a rounded charge calculation, the items listed in record 4-1 and the items for which the charge was previously calculated are summarized and the rounded charge calculation is performed as a whole. Stored accounting card 8-1
Rewrite in a manner that updates the .

As described above, charges are calculated for the items listed on the slip and stored in the accounting card 8-1. On the other hand, if the items listed on the slip require rounded charge calculation, By calculating the charge and storing it in the accounting card 8-1, and then calculating the rounded charge for a certain item again and storing it in a manner that updates the accounting card 8-1, for example, it can be divided into morning and afternoon. It becomes possible to perform round-up charge calculations for the items written on each of the two forwarded slips.

〔Example〕

Next, the configuration and operation of one embodiment of the present invention will be explained in detail using FIGS. 2 to 4.

In Figure 2, an inspection request +
The form in which the rI information (for example, the raw Buddhist stamp 11 in Figure 3) is written in the interface file 2 and the form in which this form 11 is written is performed in the form of a record for each form.

The medical system data conversion program 3-1 converts the records read from the interface file 2 into a format convenient for charge calculation, for example, by item unit for charge calculation (in the case of rounded charge calculation, corresponding multiple items). unit) and stored in the medical conversion file 4-2 in record format. As a result, one day's worth of journals are stored for each patient, each slip, and each medical treatment unit (drug unit).

The fee accounting program 7-1 performs fee accounting processing on the record (for each medical practice) read from the medical conversion file 4-2 based on the Medical Care Act. This result is stored in the medical system data file 8-2 in the form of an accounting card. This accounting card stores medical treatment units (medication units) on a monthly basis, not in slip units. By having a cumulative value for each medical practice using this accounting card, it becomes possible to compress data rather than having a medical practice for each slip.

In addition, the inspection system 1, interface file 2, and medical system data conversion program 3- in FIG.
1. The medical conversion file 4-2, the charge accounting program 7-1, and the medical system data file 8-2 are stored in the inspection system 11 interface file 2 in FIG. They correspond to file 4, charge accounting PGM (program) 7, and database file 8, respectively.

Next, the operation of the configuration shown in FIG. 2 when a slip containing items for which round-up charge calculation is required is received in two parts will be explained in detail with reference to FIGS. 3 and 4.

FIG. 3 shows an operational explanatory diagram for explaining the accounting process for the first-arriving slip, and FIG. 4 shows an operational explanatory diagram for explaining the accounting process for the second-arriving voucher.

In FIG. 3, when a slip 11 with slip number "600" arrives from the inspection system 1 to the medical treatment system according to the present invention, the slip 11 is stored in the interface file 2 in the form of a record 12. This record 12
From the beginning, the document number is “600”, the inspection item is “Ol”,
"02", "03", and '049 are stored.

The records 13 are divided into items for which fee calculation is performed, and are stored in the medical system data conversion program 3.
-1, all items included in the record 12 read from the interface file 2 are separated from items that require rounded charge calculation and converted. This converted record 13 is stored in the medical conversion file 4-2.

The accounting card 14 has charges calculated from the records 13 by the accounting program 7-1. This accounting card 14 includes medical treatment for October 1985 (by month).
, blood test (in each item for which round-up charges are calculated), the number of points for which charges were calculated, the number of tests, and the date. Incidentally, when the charge is calculated using the record 13 and the score is stored in the accounting card 14, the used flag of the record 13 is set at l°.

As described above, accounting processing is performed for the first slip 11 that arrives, and the results are accumulated and written on the accounting card 14 on a monthly basis.

Next, in FIG. 4, slip 11 with slip number "6011"
-1 arrives from the inspection system I to the medical treatment system according to the present invention, the slip 11-1 is the record I2-
1 is stored in the interface file 2. This record 12-1 has document number “60” from the beginning.
1”, inspection items “01”, and “90” are stored.

Record 13-1 has been converted after being determined to be an item that requires new rounded charge calculation.

The accounting card 14-1 is one that has been processed by the fee accounting program 7-1 after determining that it is necessary to round up all the items listed in record 13 and record 13-1 and round the fee up again. It is. To be more specific, when it is determined that two records 13 and 13-1 require rounded charge calculation, the accounting card 14 corresponding to the used flag in record 13
After setting the number of times stored above to "0" (meaning that the old charge calculation results have been deleted), rounding charge calculations are performed for both and the results are updated. . In this accounting card 14-1, an item "90" for a blood test that has been newly processed for accounting has been added to the area shown using (al).This item "90'
Also, even if the item "01" already written on the accounting card 14-1 is inspected as if it were newly written on the second slip 11-1, the score as a result of the round fee calculation is "6".
0", so the same score "60" as before is stored. Then, if record 13-1 is used to calculate charges and blood test items etc. are stored in accounting card 14-1, , set the used flag of the record 13-1 to "1".

to

By combining the items listed on the second slip 11-1 that arrived as described above and the items listed on the already accounted slip 11, a new rounded fee calculation is performed.
The results are accumulated and written on the accounting card 14-1 on a monthly basis.

Next, the round fee calculation will be explained.

All fee calculation methods must comply with the Medical Law, but special fee calculations for tests, such as Na tests, Ca tests, etc.
When calculating the fee when multiple tests are performed within a group, such as C1 test, 1 item - 4 items is 60 points, 5 items - 9 items
Each item is worth 100 points, and 10 or more items are worth 150 points. In this way, we calculate the fee based on how many inspection items are collected together.
According to the present invention, even if the inspection items corresponding to this rounded charge calculation are written across multiple slips, the present invention reads out the items for which the rounded charge has already been calculated and performs the current rounded charge calculation. It becomes possible to calculate the rounded charges again for the items that have been added up and record them in an accumulative manner on the accounting card.

〔Effect of the invention〕

As explained above, according to the present invention, among the items written on the slip, the items for which rounded charge calculation is performed are collectively converted into record 4-1, and this record 4-1 has already been subjected to charge calculation. If it is necessary to perform the rounded charge calculation again for the items stored in the accounting card 8-1, the rounded charge calculation is performed for both items together and the calculated charges are added to the accounting card 8-1.
Since the system adopts a configuration in which cumulative values are stored in a manner that updates them, it is possible to perform round-up charge calculations and accumulate charges for items written on slips that have been transferred separately. For this reason, for inspection items that require multiple items to be calculated as a rounded fee, the inspection system that generates the invoice should be conscious of including these inspection items and recording them on one invoice. There is no need for this, and the medical system can automatically round up the test items written on these multiple slips and calculate the rounded charges.

[Brief explanation of the drawing]

FIG. 1 is a diagram illustrating the principle of the present invention, FIG. 2 is a diagram illustrating an embodiment of the present invention, and FIGS. 3 and 4 are diagrams illustrating the operation of the present invention. In the figure, 1 is an inspection system, 2 is an interface file, 2-1.4-1 is a record, 3 is a classification processing unit,
Reference numeral 4 represents a conversion file, 5 represents a grouping determination unit, 6 represents a charge accounting processing unit, 7 represents a charge accounting PGM, 8 represents a database file, and 8-1 represents an accounting card. Configuration diagram of one embodiment of the present invention Diagram for explaining the operation of the present invention (Part 1) Figure 2 Figure 3 Diagram for explaining the operation of the present invention (Part 2) Figure 4

Claims (1)

[Scope of Claims] In an accounting card accumulation processing method configured to perform accounting processing of fees from a plurality of slips, for each input slip, among the items described in this slip,
A classification processing unit (3) that groups items that are subject to rounded charge calculation, and a conversion file (4) that stores the items grouped by this classification processing unit (3) in one unit. and a grouping determination unit (5) that determines whether or not one unit of information read out from this conversion file (4) should be combined with the previously calculated unit to perform rounded charge calculation. , based on the determination result determined by the grouping determination section (5), independently calculate the charge for each unit read from the conversion file (4) and store it in the accounting card (8-1); Alternatively, the charge accounting processing unit (6) calculates the charges again and stores them in a manner that accumulates them in the accounting card (8-1) together with the charges previously calculated and stored in the accounting card (8-1). An accounting card accumulation processing method, characterized in that the accounting card (8-1) is configured to output the accumulated results on the accounting card (8-1).