JP6360423B2 - Medical fee addition confirmation server, medical fee addition confirmation method, and medical fee addition confirmation server program - Google Patents
Medical fee addition confirmation server, medical fee addition confirmation method, and medical fee addition confirmation server program Download PDFInfo
- Publication number
- JP6360423B2 JP6360423B2 JP2014222614A JP2014222614A JP6360423B2 JP 6360423 B2 JP6360423 B2 JP 6360423B2 JP 2014222614 A JP2014222614 A JP 2014222614A JP 2014222614 A JP2014222614 A JP 2014222614A JP 6360423 B2 JP6360423 B2 JP 6360423B2
- Authority
- JP
- Japan
- Prior art keywords
- addition
- medical
- medical fee
- condition
- information
- 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.)
- Active
Links
Landscapes
- Medical Treatment And Welfare Office Work (AREA)
Description
本発明は、診療報酬加算確認サーバ、診療報酬加算確認方法及び診療報酬加算確認サーバ用プログラムに関する。 The present invention relates to a medical fee addition confirmation server, a medical fee addition confirmation method, and a medical fee addition confirmation server program.
従来、公的医療保険制度において、病院や診療所等の医療機関は、診療内容等を保険者（全国健康保険協会、健康保険組合等）に申請する。保険者は、診療内容等を審査し、適正な診療報酬を医療機関に支払う。
医療機関は、診療内容等の申請の際、診療明細書（レセプト）を作成し保険者に提出する。保険者は、診療明細書に不備があった場合、診療明細書を差し戻したり、診療報酬を減額又は削除したりする。
Conventionally, in a public medical insurance system, medical institutions such as hospitals and clinics apply to medical insurers (National Health Insurance Association, Health Insurance Association, etc.) for medical treatment contents. The insurer examines the medical treatment contents and pays an appropriate medical treatment fee to the medical institution.
The medical institution prepares a medical statement (receipt) and submits it to the insurer when applying for medical treatment contents. In the case where the medical statement is incomplete, the insurer returns the medical statement and reduces or deletes the medical fee.
そこで、診療報酬を請求するための複数のレセプトに関する仮レセプト点検結果情報であって、診療行為特定情報と、診療報酬金額情報と、レセプトに不備が存在する可能性があるか否かの点検結果を特定する不備可能性情報とを、相互に関連付けて構成された仮レセプト点検結果情報の入力を受け付ける入出力ＩＦと、不備が存在する可能性があることを特定する不備可能性情報に関連付けられた診療報酬金額情報を抽出して診療報酬金額を参照することにより、医療機関への支払いが行われない可能性がある診療報酬金額である疑義金額を特定する特定部と、特定された疑義金額を含む情報を出力する出力制御部とを備えるレセプト分析装置が提案されている。 Therefore, provisional receipt check result information on a plurality of receipts for claiming a medical fee, and a check result of whether or not there is a possibility that there is a defect in the medical treatment specific information, medical fee amount information, and the receipt The input / output IF that accepts the input of temporary receipt inspection result information that is configured to correlate with the defect possibility information that identifies the defect, and the defect possibility information that identifies the possibility that the defect exists. By identifying the medical fee amount information and referring to the medical fee amount, a specific unit that identifies the suspicious amount that is a medical fee amount that may not be paid to the medical institution, and the identified suspicious amount There has been proposed a receptor analysis device including an output control unit that outputs information including.
特許文献１のレセプト分析装置によれば、レセプトの差し戻しや、診療報酬の減額又は削除の原因となるレセプトの不備に関する分析を行うことが可能となる。 According to the receipt analysis apparatus of Patent Document 1, it is possible to perform an analysis regarding a defect of a receipt that causes a receipt return and a reduction or deletion of a medical fee.
ところで、診療報酬の加算項目は、多岐多様であり、加算されるための加算条件を満たすための要件が多数ある場合もある。
このため、医療機関では、加算条件を満たしているにもかかわらず、加算項目を保険者に申請漏れしてしまい、本来得られる診療報酬を失っている場合もある。
By the way, there are a wide variety of items for adding medical fees, and there may be many requirements for satisfying the addition conditions for addition.
For this reason, even if the medical institution satisfies the addition condition, the application for the addition item may be omitted from the insurer and the medical fee that is originally obtained may be lost.
本発明は、医療機関における診療報酬の加算の申請漏れを防止し、本来得られる診療報酬の逸失を防止可能とする診療報酬加算確認サーバを提供することを目的とする。 It is an object of the present invention to provide a medical fee addition confirmation server that prevents omission of application for adding medical fees in a medical institution and can prevent loss of medical fees that are originally obtained.
本発明では、以下のような解決手段を提供する。 The present invention provides the following solutions.
第１の特徴に係る発明は、医療機関における診療報酬の加算について確認を可能とする診療報酬加算確認サーバであって、
所定の加算項目に対して前記診療報酬が加算されるための加算条件と、前記加算条件が満たされた場合の加算点数と、が対応付けられた診療報酬点数表を記憶する診療報酬点数表記憶手段と、
前記加算項目の内容を示す加算項目情報を受け付ける加算項目情報受付手段と、
前記加算項目情報受付手段が受け付けた前記加算項目情報及び、通信可能に接続された業務管理サーバから受信した業務内容に基づき、前記診療報酬点数表記憶手段に記憶された前記診療報酬点数表を参照して、前記加算項目情報に示された内容及び前記業務内容が、前記加算条件を満たすか否かを判定する加算条件判定手段と、
前記医療機関に勤務する勤務者の情報である勤務者情報を受け付ける勤務者情報受付手段と、
前記勤務者情報受付手段が受け付けた前記勤務者情報に基づき、前記診療報酬点数表記憶手段に記憶された前記診療報酬点数表を参照して、前記勤務者情報に関連する前記加算条件を抽出する加算条件抽出手段と、を備える診療報酬加算確認サーバを提供する。
The invention according to the first feature is a medical fee addition confirmation server that enables confirmation of addition of medical fees in a medical institution,
Medical fee score table storage for storing a medical fee score table in which an addition condition for adding the medical fee to a predetermined addition item and an additional score when the additional condition is satisfied are stored Means,
Addition item information receiving means for receiving addition item information indicating the content of the addition item;
Based on the addition item information received by the addition item information receiving means and the business contents received from the work management server connected so as to be communicable , refer to the medical reward score table stored in the medical reward score table storage means Then, addition condition determination means for determining whether the content indicated in the addition item information and the business content satisfy the addition condition;
Worker information receiving means for receiving worker information which is information of a worker working at the medical institution;
Based on the worker information received by the worker information receiving means, the addition condition related to the worker information is extracted with reference to the medical reward score table stored in the medical reward score table storage means. A medical fee addition confirmation server comprising an addition condition extraction means is provided.
第１の特徴に係る発明によれば、診療報酬加算確認サーバは、医療機関における診療報酬の加算について確認を可能とし、診療報酬点数表記憶手段と、加算項目情報受付手段と、加算条件判定手段と、を備える。
診療報酬点数表記憶手段は、所定の加算項目に対して診療報酬が加算されるための加算条件と、加算条件が満たされた場合の加算点数と、が対応付けられた診療報酬点数表を記憶する。
加算項目情報受付手段は、加算項目の内容を示す加算項目情報を受け付ける。
加算条件判定手段は、加算項目情報受付手段が受け付けた加算項目情報及び、通信可能に接続された業務管理サーバから受信した業務内容に基づき、診療報酬点数表記憶手段に記憶された診療報酬点数表を参照して、加算項目情報に示された内容及び前記業務内容が、加算条件を満たすか否かを判定する。
勤務者情報受付手段は、医療機関に勤務する勤務者の情報である勤務者情報を受け付け、
加算条件抽出手段は、勤務者情報受付手段が受け付けた勤務者情報に基づき、診療報酬点数表記憶手段に記憶された診療報酬点数表を参照して、勤務者情報に関連する加算条件を抽出する。
According to the invention relating to the first feature, the medical fee addition confirmation server enables confirmation of the addition of the medical fee at the medical institution, the medical fee score table storage means, the addition item information reception means, and the addition condition determination means. And comprising.
The medical fee score table storage means stores a medical fee score table in which an addition condition for adding a medical fee to a predetermined addition item and an additional score when the addition condition is satisfied are associated with each other. To do.
The addition item information reception means receives addition item information indicating the contents of the addition item.
The addition condition determination means is based on the addition item information received by the addition item information reception means and the work contents received from the work management server connected so as to be communicable. Referring to FIG. 4, it is determined whether the content indicated in the addition item information and the business content satisfy the addition condition.
The worker information reception means receives worker information, which is information of a worker working at a medical institution,
Based on the worker information received by the worker information receiving means, the addition condition extracting means refers to the medical fee score table stored in the medical fee score table storage means and extracts an additional condition related to the worker information. .
これにより、加算項目の内容が、診療報酬が加算されるための加算条件を満たすか否かを判定できる。この判定結果を、例えば、表示手段に表示したり、診療報酬加算確認サーバに接続されたユーザ端末に送信したりすることで、ユーザは、加算項目の内容が加算条件を満たし、所定の加算点数で示される診療報酬を得ることができるかを確認できる。
したがって、医療機関における診療報酬の加算の申請漏れを防止し、本来得られる診療報酬の逸失を防止可能とする診療報酬加算確認サーバを提供できる。
さらに、医療機関に勤務する勤務者の勤務者情報に基づき、加算条件を抽出できる。
ここで、本発明における「勤務者情報」には、例えば、勤務者の保有資格、勤務経験年数、雇用形態、年収等の情報が含まれる。
例えば、抽出した加算条件を、表示手段に表示したり、診療報酬加算確認サーバに接続された勤務者の端末に送信したりすることで、勤務者の過失により、本来得られる診療報酬を逸失してしまうのを防止できる。
Thereby, it can be determined whether the content of the addition item satisfies the addition condition for adding the medical fee. By displaying this determination result on, for example, a display means or transmitting it to the user terminal connected to the medical fee addition confirmation server, the user satisfies the addition condition and the predetermined addition score It can be confirmed whether or not the medical fee indicated by can be obtained.
Therefore, it is possible to provide a medical fee addition confirmation server that prevents omission of an application for adding medical fees at a medical institution and prevents loss of medical fees that are originally obtained.
Furthermore, the addition condition can be extracted based on the worker information of the worker who works at the medical institution.
Here, the “worker information” in the present invention includes, for example, information such as a worker's possession qualification, years of work experience, employment form, and annual income.
For example, by displaying the extracted addition condition on the display means or sending it to the worker's terminal connected to the medical fee addition confirmation server, the medical fee originally obtained can be lost due to the negligence of the worker. Can be prevented.
第２の特徴に係る発明は、第１の特徴に係る発明であって、
前記加算条件判定手段により前記加算条件を満たさないと判定であった場合に、前記加算項目情報に示された内容及び前記業務内容と、前記加算条件との違いである未達条件を検出する未達条件検出手段を、更に備える診療報酬加算確認サーバを提供する。
The invention according to the second feature is the invention according to the first feature,
When it is determined by the addition condition determination means that the addition condition is not satisfied, the unachieved condition that is the difference between the content indicated in the addition item information and the business content and the addition condition is not detected. A medical fee addition confirmation server further provided with a delivery condition detection means is provided.
第２の特徴に係る発明によれば、加算項目情報に示された内容と加算条件との違いである未達条件を検出できる。この検出した未達条件を、例えば、表示手段に表示したり、診療報酬加算確認サーバに接続されたユーザ端末に送信したりすることで、ユーザは、未達条件を確認することで、加算条件を満たし所定の加算点数で示される診療報酬を得るために必要な具体的な施策が明確になる。 According to the second aspect of the invention, it is possible to detect an unreached condition that is the difference between the content indicated in the addition item information and the addition condition. By displaying the detected unreached condition on, for example, a display means or transmitting it to a user terminal connected to the medical fee addition confirmation server, the user can confirm the unreached condition by adding the additional condition. The specific measures necessary to satisfy the above and obtain the medical fee indicated by a predetermined number of points to be added are clarified.
第３の特徴に係る発明は、第１又は第２の特徴に係る発明であって、
前記加算条件判定手段の判定の結果に基づき、前記診療報酬点数表記憶手段に記憶された前記診療報酬点数表を参照して、前記医療機関の推定利益を算出する推定利益算出手段を、更に備える診療報酬加算確認サーバを提供する。
The invention according to the third feature is the invention according to the first or second feature,
Based on the determination result of the addition condition determining means, the estimated profit calculating means for calculating the estimated profit of the medical institution with reference to the medical fee score table stored in the medical fee score table storage means is further provided. A medical fee addition confirmation server is provided.
第３の特徴に係る発明によれば、加算条件判定手段の判定の結果に基づき、医療機関の推定利益を算出できる。例えば、加算条件を満たした場合の推定利益と、加算条件を満たさない場合の推定利益と、を表示手段に表示したり、診療報酬加算確認サーバに接続されたユーザ端末に送信したりする。これにより、ユーザは、現状では加算条件を満たしていない加算項目について、例えば、加算条件を満たした場合と満たさない場合の推定利益の差が大きい加算項目から診療報酬を得るための施策を行うといった、診療報酬を得るための施策に優先順位を付けることで、効率的な経営を行うことができる。 According to the third aspect of the invention, the estimated profit of the medical institution can be calculated based on the determination result of the addition condition determination means. For example, the estimated profit when the addition condition is satisfied and the estimated profit when the addition condition is not satisfied are displayed on the display means or transmitted to the user terminal connected to the medical fee addition confirmation server. As a result, the user, for example, takes measures to obtain medical fees from addition items that have a large difference in estimated profit when the addition condition is satisfied and when the addition condition is not satisfied, for the addition item that does not satisfy the addition condition at present. By prioritizing measures for obtaining medical fees, efficient management can be performed.
これら上記の全ての発明は、診療報酬加算確認サーバのカテゴリであるが、方法、プログラムのカテゴリであっても、そのカテゴリに応じた同様の作用、効果を奏する。 All of the above inventions are categories of the medical fee addition confirmation server, but even if the category is a method or a program, the same actions and effects according to the category are exhibited.
本発明によれば、医療機関における診療報酬の加算の申請漏れを防止し、本来得られる診療報酬の逸失を防止可能とする診療報酬加算確認サーバを提供できる。 ADVANTAGE OF THE INVENTION According to this invention, the medical fee addition confirmation server which prevents omission of the application of the medical fee addition in a medical institution and can prevent the loss of the medical fee originally obtained can be provided.
以下、本発明を実施するための最良の形態について図を参照しながら説明する。なお、これはあくまでも一例であって、本発明の技術的範囲はこれに限られるものではない。 Hereinafter, the best mode for carrying out the present invention will be described with reference to the drawings. This is merely an example, and the technical scope of the present invention is not limited to this.
本発明の実施形態の診療報酬加算確認サーバの概要は、医療機関における診療報酬の加算について確認を可能とし、所定の加算項目に対して診療報酬が加算されるための加算条件と、加算条件が満たされた場合の加算点数と、が対応付けられた診療報酬点数表を記憶し、加算項目の内容を示す加算項目情報を受け付け、受け付けた加算項目情報に基づき、診療報酬点数表を参照して、加算項目情報に示された内容が、加算条件を満たすか否かを判定する。
また、診療報酬加算確認サーバは、加算条件を満たさないと判定であった場合に、加算項目情報に示された内容と加算条件との違いである未達条件を検出する。
また、診療報酬加算確認サーバは、判定の結果に基づき、診療報酬点数表を参照して、医療機関の推定利益を算出する。
また、診療報酬加算確認サーバは、医療機関に勤務する勤務者の情報である勤務者情報を受け付け、受け付けた勤務者情報に基づき、診療報酬点数表を参照して、勤務者情報に関連する加算条件を抽出する。
The outline of the medical fee addition confirmation server according to the embodiment of the present invention is capable of confirming the addition of the medical fee at a medical institution, and the addition condition for adding the medical fee to a predetermined addition item and the addition condition are When the medical fee is satisfied, the medical fee score table associated with the medical fee is stored, the additional item information indicating the content of the additional item is received, and the medical fee score table is referred to based on the received additional item information. Then, it is determined whether or not the content indicated in the addition item information satisfies the addition condition.
In addition, when it is determined that the addition condition is not satisfied, the medical fee addition confirmation server detects an unreached condition that is a difference between the content indicated in the addition item information and the addition condition.
The medical fee addition confirmation server calculates an estimated profit of the medical institution with reference to the medical fee score table based on the determination result.
In addition, the medical fee addition confirmation server accepts worker information that is information on workers working at medical institutions, refers to the medical fee score table based on the received worker information, and adds related to worker information Extract conditions.
このような診療報酬加算確認サーバは、医療機関の経営を支援する医療機関経営支援システムに適用される。 Such a medical fee addition confirmation server is applied to a medical institution management support system that supports the management of a medical institution.
［医療機関経営支援システムの概要］
図１に基づいて、本発明の好適な実施形態である診療報酬加算確認サーバ１０が適用された医療機関経営支援システム１の概要について説明する。図１は、医療機関経営支援システム１の概要を説明するための概念図である。
[Outline of medical institution management support system]
Based on FIG. 1, the outline | summary of the medical institution management support system 1 to which the medical treatment fee addition confirmation server 10 which is suitable embodiment of this invention was applied is demonstrated. FIG. 1 is a conceptual diagram for explaining an outline of a medical institution management support system 1.
医療機関経営支援システム１は、診療報酬加算確認サーバ１０と、業績管理サーバ２０と、病院経営統計解析サーバ３０と、人事管理サーバ４０と、を備え、これらのサーバが協働することで、医療機関の経営を支援する。
なお、本実施形態において、「医療機関」とは、医院、病院、診療所、接骨院、調剤薬局等が含まれる。
The medical institution management support system 1 includes a medical fee addition confirmation server 10, a performance management server 20, a hospital management statistical analysis server 30, and a human resources management server 40. Support the management of the organization.
In the present embodiment, “medical institution” includes a clinic, a hospital, a clinic, an osteopath, a dispensing pharmacy, and the like.
診療報酬加算確認サーバ１０は、詳しくは後述するが、診療報酬の加算の申請の可否を判定したり、診療報酬の加算条件の改訂に迅速に対応したりすることで、申請抜けを防止する。また、診療報酬の加算による収益のシミュレーション等を実行する。
診療報酬加算確認サーバ１０の詳細は、後述する。
As will be described in detail later, the medical fee addition confirmation server 10 determines whether or not an application for adding medical fees can be made, or promptly responds to revision of the conditions for adding medical fees, thereby preventing omission of applications. In addition, a simulation of revenue by adding medical fees is performed.
Details of the medical fee addition confirmation server 10 will be described later.
業績管理サーバ２０は、医療機関における年間の業務を一括管理することで、例えば、勤務者（例えば、医師、看護師、薬剤師、臨床検査技師等）の資格の申請忘れを防止する。 The performance management server 20 collectively manages annual work in a medical institution, thereby preventing forgetting to apply for qualifications of workers (for example, doctors, nurses, pharmacists, clinical technologists, etc.).
病院経営統計解析サーバ３０は、医療機関における各期の利益の統計を蓄積したり、医療機関の経営シミュレーションを行い、経営上の問題点を洗い出したり、医学研究のための統計解析を行ったりする。 The hospital management statistical analysis server 30 accumulates profit statistics for each period in the medical institution, performs management simulation of the medical institution, identifies management problems, and performs statistical analysis for medical research. .
人事管理サーバ４０は、勤務者の部署配置管理、勤務者の取得資格の一括管理、勤務者の配置転換による業務シミュレーション等を行う。 The HR management server 40 performs department placement management of workers, collective management of worker qualifications, and business simulation by changing the placement of workers.
［医療機関経営支援システムのシステム構成］
図２は、医療機関経営支援システム１のシステム構成を示す。医療機関経営支援システム１は、診療報酬加算確認サーバ１０と、業績管理サーバ２０と、病院経営統計解析サーバ３０と、人事管理サーバ４０と、医療機関の勤務者により操作されるユーザ端末２００と、を備え、これらがローカルエリアネットワークなどの回線網３を介して互いに通信可能に接続されている。なお、回線網３は、インターネット網などの公衆回線網であってもよい。
[System configuration of medical institution management support system]
FIG. 2 shows a system configuration of the medical institution management support system 1. The medical institution management support system 1 includes a medical fee addition confirmation server 10, a performance management server 20, a hospital management statistical analysis server 30, a personnel management server 40, and a user terminal 200 operated by a worker of the medical institution. Are connected to each other via a network 3 such as a local area network. The line network 3 may be a public line network such as the Internet network.
診療報酬加算確認サーバ１０、業績管理サーバ２０、病院経営統計解析サーバ３０及び人事管理サーバ４０は、ソフトウェア的又はハードウェア的な設定により、各種機能を実行する情報機器であり、それぞれ別のサーバで構築してもよいし、一つのサーバで各機能を実行させてもよい。また、ユーザ端末２００は、パソコン、携帯電話、スマートフォン、スレート端末、表示機能付き電話機、ネットブック端末、電子書籍端末等の一般的な情報機器であってよい。 The medical fee addition confirmation server 10, the performance management server 20, the hospital management statistical analysis server 30, and the human resources management server 40 are information devices that execute various functions by software or hardware settings, and each is a separate server. It may be constructed, or each function may be executed by one server. The user terminal 200 may be a general information device such as a personal computer, a mobile phone, a smartphone, a slate terminal, a telephone with a display function, a netbook terminal, an electronic book terminal, or the like.
［診療報酬加算確認サーバ１０の構成の説明］
図３に基づいて、診療報酬加算確認サーバ１０の構成について説明する。図３は、診療報酬加算確認サーバ１０の機能ブロック図である。
診療報酬加算確認サーバ１０は、制御部１１として、ＣＰＵ（Ｃｅｎｔｒａｌ Ｐｒｏｃｅｓｓｉｎｇ Ｕｎｉｔ），ＲＡＭ（Ｒａｎｄｏｍ Ａｃｃｅｓｓ Ｍｅｍｏｒｙ），ＲＯＭ（Ｒｅａｄ Ｏｎｌｙ Ｍｅｍｏｒｙ）等を備え、データ通信部１３として、業績管理サーバ２０、病院経営統計解析サーバ３０、人事管理サーバ４０及びユーザ端末２００と通信可能にするためのデバイス、例えば、ＩＥＥＥ８０２．１１に準拠したＷｉＦｉ（Ｗｉｒｅｌｅｓｓ Ｆｉｄｅｌｉｔｙ）対応デバイスを備える。加えて、診療報酬加算確認サーバ１０は、データやファイルを記憶する診療報酬点数表記憶手段の一例であるデータ記憶部１２として、ハードディスクや半導体メモリ、記録媒体、メモリカード等による、データのストレージ部を備える。データ記憶部１２は、診療報酬加算確認プログラム１００や診療報酬点数表データベース（以下、ＤＢとも言う）１１０（図５参照）を記憶する。
[Description of the configuration of the medical fee addition confirmation server 10]
Based on FIG. 3, the structure of the medical fee addition confirmation server 10 is demonstrated. FIG. 3 is a functional block diagram of the medical fee addition confirmation server 10.
The medical fee addition confirmation server 10 includes a central processing unit (CPU), a random access memory (RAM), a read only memory (ROM), and the like as the control unit 11, and a performance management server 20, a hospital management as the data communication unit 13. A device for enabling communication with the statistical analysis server 30, the personnel management server 40, and the user terminal 200, for example, a WiFi (Wireless Fidelity) compatible device compliant with IEEE802.11 is provided. In addition, the medical fee addition confirmation server 10 includes a data storage unit 12 that is a hard disk, a semiconductor memory, a recording medium, a memory card, or the like as a data storage unit 12 that is an example of a medical fee score table storage unit that stores data and files. Is provided. The data storage unit 12 stores a medical fee addition confirmation program 100 and a medical fee score table database (hereinafter also referred to as DB) 110 (see FIG. 5).
診療報酬加算確認サーバ１０において、制御部１１が診療報酬加算確認プログラム１００を読み込むことで、データ通信部１３と協働して、業績管理サーバ２０、病院経営統計解析サーバ３０、人事管理サーバ４０及びユーザ端末２００から送信された情報を処理する、加算項目情報受付モジュール１０１、利益情報受付モジュール１０４、勤務者情報受付モジュール１０７及び診療報酬加算確認情報生成モジュール１０９を実現する。また、診療報酬加算確認サーバ１０において、制御部１１が診療報酬加算確認プログラム１００を読み込むことで、データ記憶部１２及びデータ通信部１３と協働して、加算条件判定モジュール１０２、未達条件検出モジュール１０３、推定利益算出モジュール１０５及び加算条件抽出モジュール１０８を実現する。 In the medical fee addition confirmation server 10, the control unit 11 reads the medical fee addition confirmation program 100, so that the performance management server 20, the hospital management statistical analysis server 30, the personnel management server 40, and the data communication unit 13 cooperate with each other. An addition item information reception module 101, a profit information reception module 104, a worker information reception module 107, and a medical fee addition confirmation information generation module 109 that process information transmitted from the user terminal 200 are realized. In addition, in the medical fee addition confirmation server 10, the control unit 11 reads the medical fee addition confirmation program 100 to cooperate with the data storage unit 12 and the data communication unit 13, and the addition condition determination module 102, unreached condition detection A module 103, an estimated profit calculation module 105, and an addition condition extraction module 108 are realized.
業績管理サーバ２０、病院経営統計解析サーバ３０及び人事管理サーバ４０は、診療報酬加算確認サーバ１０と同様に、制御部、データ通信部及びデータ記憶部を備える。業績管理サーバ２０、病院経営統計解析サーバ３０及び人事管理サーバ４０は、所定のプログラムを読み込み、これらのハードウェアと協働して、ユーザ端末２００からの要求に応じて、診療報酬加算確認サーバ１０に各種の情報の送信、各種機能を実行するモジュールを実現する。 The performance management server 20, the hospital management statistical analysis server 30, and the personnel management server 40 are provided with a control unit, a data communication unit, and a data storage unit, like the medical fee addition confirmation server 10. The performance management server 20, the hospital management statistical analysis server 30, and the personnel management server 40 read a predetermined program, cooperate with these hardware, and according to a request from the user terminal 200, the medical fee addition confirmation server 10 In addition, a module for transmitting various information and executing various functions is realized.
ユーザ端末２００は、診療報酬加算確認サーバ１０と同様に、制御部、データ通信部及びデータ記憶部を備え、更に、通常のディスプレイ、タッチパネル等で構成され、ウェブページを表示する表示部、通常のキーボード、マウス、タッチパネル等で構成され、ユーザの操作を受け付ける入力部を備える。ユーザ端末２００は、所定のプログラムを読み込み、これらのハードウェアと協働して、医療機関の勤務者の操作に基づき、各種情報や要求を、診療報酬加算確認サーバ１０、業績管理サーバ２０、病院経営統計解析サーバ３０及び人事管理サーバ４０と送受信するモジュールを実現する。 Similar to the medical fee addition confirmation server 10, the user terminal 200 includes a control unit, a data communication unit, and a data storage unit, and further includes a normal display, a touch panel, etc., and a display unit that displays a web page, The keyboard includes a keyboard, a mouse, a touch panel, and the like, and includes an input unit that receives user operations. The user terminal 200 reads a predetermined program, cooperates with these hardware, and sends various information and requests to the medical fee addition confirmation server 10, the performance management server 20, the hospital based on the operation of the worker of the medical institution. The module which transmits / receives with the management statistics analysis server 30 and the personnel management server 40 is implement | achieved.
［診療報酬加算確認処理］
図４は、診療報酬加算確認サーバ１０が実行する診療報酬加算確認処理のフローチャートである。加算項目情報受付モジュール１０１は、医療機関における診療報酬の加算項目の内容を示す加算項目情報を受け付ける（ステップＳ１１）。
本ステップにおいて、加算項目情報受付モジュール１０１は、例えば、医療機関の勤務者の操作に基づくユーザ端末２００から受信した加算項目情報を受け付ける。なお、加算項目情報受付モジュール１０１は、例えば、所定間隔（例えば、１月毎）に、診療報酬加算確認サーバ１０の内部処理において生成された加算項目情報や、業績管理サーバ２０、病院経営統計解析サーバ３０及び人事管理サーバ４０から送信された加算項目情報を受け付けてもよい。
[Medical fee addition confirmation processing]
FIG. 4 is a flowchart of the medical fee addition confirmation process executed by the medical fee addition confirmation server 10. The addition item information reception module 101 receives addition item information indicating the contents of the addition item of the medical fee at the medical institution (step S11).
In this step, the addition item information receiving module 101 receives, for example, the addition item information received from the user terminal 200 based on the operation of a worker at a medical institution. In addition, the addition item information reception module 101, for example, the addition item information generated in the internal processing of the medical fee addition confirmation server 10, the performance management server 20, the hospital management statistical analysis at a predetermined interval (for example, every month). The addition item information transmitted from the server 30 and the personnel management server 40 may be received.
加算条件判定モジュール１０２は、ステップＳ１１で加算項目情報受付モジュール１０１が受け付けた加算項目情報に基づき、データ記憶部１２に記憶された診療報酬点数表を参照して、加算項目情報に示された内容が、加算条件を満たすか否かを判定する（ステップＳ１２）。 The addition condition determination module 102 refers to the medical remuneration score table stored in the data storage unit 12 based on the addition item information received by the addition item information reception module 101 in step S11, and the contents indicated in the addition item information Determines whether or not the addition condition is satisfied (step S12).
図５は、診療報酬加算確認サーバ１０のデータ記憶部１２に記憶された診療報酬点数表ＤＢ１１０を説明する図である。
診療報酬点数表ＤＢ１１０は、厚生労働省の告示する診療報酬点数表に準じ、所定の加算項目（図５に示す例では、「感染防止対策加算」）に対して診療報酬が加算されるための加算条件と、この加算条件が満たされた場合の加算点数（図５に示す例では、「４００」）と、が対応付けられている。
また、加算条件は、複数の主要件（図５に示す例では、「要件１」、「要件２」、「要件３」、「要件４」）があり、主要件の一つを満たすための副要件（図５に示す例では、「要件２」を満たすための「要件２−１」、「要件２−２」、「要件２−３」、「要件２−４」、「要件２−５」）がある。なお、加算条件は、複数の要件に限らす、一つの要件でもよい。
また、診療報酬加算確認サーバ１０は、厚生労働省による診療報酬点数表の改訂に基づき、診療報酬点数表ＤＢ１１０の内容を更新する。
FIG. 5 is a diagram illustrating the medical fee score table DB 110 stored in the data storage unit 12 of the medical fee addition confirmation server 10.
The medical fee score table DB 110 is an addition for adding a medical fee to a predetermined additional item (in the example shown in FIG. 5, “infection prevention measure addition”) according to the medical fee score table notified by the Ministry of Health, Labor and Welfare. The condition is associated with the number of points to be added when the addition condition is satisfied (“400” in the example shown in FIG. 5).
In addition, there are a plurality of main cases (in the example shown in FIG. 5, “requirement 1”, “requirement 2”, “requirement 3”, “requirement 4”) for satisfying one of the main cases. Sub-requirements (in the example shown in FIG. 5, “requirement 2-1”, “requirement 2-2”, “requirement 2-3”, “requirement 2-4”, “requirement 2-” to satisfy “requirement 2” 5 ”). The addition condition is not limited to a plurality of requirements, and may be a single requirement.
The medical fee addition confirmation server 10 updates the contents of the medical fee score table DB 110 based on the revision of the medical fee score table by the Ministry of Health, Labor and Welfare.
加算条件判定モジュール１０２は、ステップＳ１２の処理において、例えば、加算項目情報受付モジュール１０１が受け付けた加算項目情報に加え、業績管理サーバ２０や人事管理サーバ４０から、各要件を満たすか否かを判定するために必要な情報（図５に示す例では、常勤医師、看護師、薬剤師の経歴や、業務内容等を示す情報）を取得する。そして、加算条件判定モジュール１０２は、加算条件の全ての要件を満たすか否かを判定し、全ての要件を満たしていた場合には加算条件を満たすと判定し、全ての要件を満たしていない場合には加算条件を満たさないと判定する。 In the process of step S12, for example, the addition condition determination module 102 determines whether or not each requirement is satisfied from the performance management server 20 or the personnel management server 40 in addition to the addition item information received by the addition item information reception module 101. Information necessary to do this (in the example shown in FIG. 5, information indicating the careers of full-time doctors, nurses, and pharmacists, business details, etc.) is acquired. Then, the addition condition determination module 102 determines whether or not all requirements of the addition condition are satisfied. When all the requirements are satisfied, the addition condition determination module 102 determines that the addition condition is satisfied and does not satisfy all the requirements. Is determined not to satisfy the addition condition.
図４に戻って、ステップＳ１２の処理で、加算条件判定モジュール１０２が加算条件を満たさないと判定した場合、未達条件検出モジュール１０３は、加算項目情報に示された内容と加算条件との違いである未達条件を検出する（ステップＳ１３）。 Returning to FIG. 4, when the addition condition determination module 102 determines that the addition condition is not satisfied in the process of step S <b> 12, the unreached condition detection module 103 determines the difference between the content indicated in the addition item information and the addition condition. The unachieved condition is detected (step S13).
勤務者情報受付モジュール１０７は、業績管理サーバ２０や人事管理サーバ４０から、医療機関に勤務する勤務者の情報である勤務者情報を受け付ける（ステップＳ１４）。
「勤務者情報」には、例えば、業績管理サーバ２０から受け付ける勤務者の業務スケジュール（例えば、学会への参加予定を示す情報等）や、人事管理サーバ４０から受け付ける勤務者の保有資格に関する情報等が含まれる。
The worker information reception module 107 receives worker information, which is information on a worker working at a medical institution, from the performance management server 20 or the personnel management server 40 (step S14).
The “worker information” includes, for example, a worker's work schedule received from the performance management server 20 (for example, information indicating a plan to participate in an academic conference, etc.), information on worker qualifications received from the personnel management server 40, etc. Is included.
加算条件抽出モジュール１０８は、勤務者情報受付モジュール１０７が受け付けた勤務者情報に基づき、データ記憶部１２に記憶された診療報酬点数表ＤＢ１１０を参照して、勤務者情報に関連する加算条件を抽出する（ステップＳ１５）。
この抽出された加算条件は、診療報酬加算確認サーバ１０から業績管理サーバ２０に送信される。業績管理サーバ２０は、この加算条件に関連する情報を検索し、検索した情報に基づくアラート情報を生成し、この加算条件に関連する勤務者のユーザ端末２００に生成したアラート情報を送信する。
Based on the worker information received by the worker information reception module 107, the addition condition extraction module 108 refers to the medical remuneration score table DB 110 stored in the data storage unit 12, and extracts an addition condition related to the worker information. (Step S15).
The extracted addition condition is transmitted from the medical fee addition confirmation server 10 to the performance management server 20. The performance management server 20 searches for information related to the addition condition, generates alert information based on the searched information, and transmits the generated alert information to the worker's user terminal 200 related to the addition condition.
図６は、診療報酬加算確認サーバ１０から業績管理サーバ２０に送信された加算条件に基づき生成されたアラート情報の一例を説明する図である。
ステップＳ１５の処理において、加算条件抽出モジュール１０８は、勤務者情報として勤務者の保有資格（例えば、臨床検査技師）に関する情報に基づき、診療報酬点数表ＤＢ１１０（図５参照）を参照して、図５に示す要件２−４（３年以上の病院勤務経験を持つ専任の臨床検査技師からなる感染制御チーム）を抽出する。そして、加算条件抽出モジュール１０８は、この抽出した加算条件（要件２−４）を示す情報を、業績管理サーバ２０に送信する。
FIG. 6 is a diagram illustrating an example of alert information generated based on the addition condition transmitted from the medical fee addition confirmation server 10 to the performance management server 20.
In the process of step S15, the addition condition extraction module 108 refers to the medical remuneration score table DB 110 (see FIG. 5) based on the information on the worker's qualification (for example, clinical laboratory technician) as the worker information. Requirement 2-4 shown in 5 (Infectious control team consisting of full-time clinical technologists with at least 3 years of hospital work experience) is extracted. Then, the addition condition extraction module 108 transmits information indicating the extracted addition condition (requirement 2-4) to the performance management server 20.
業績管理サーバ２０は、この加算条件（要件２−４）に関連する情報（図６に示す例では、「○月×日の△学会に参加しないと、臨床検査技師の資格が失効する」という情報）を検索し、この加算条件に関連する勤務者（図６に示す例では、「鈴木一郎医師」）のユーザ端末２００に検索した情報に基づくアラート情報（図６に示す例では、「○月×日の△学会に参加しないと、臨床検査技師の資格が失効してしまいます。○月×日の△学会への参加を、お願いいたします。」とのメッセージを示す情報）を生成し送信する。
ユーザ端末２００は、業績管理サーバ２０から送信されたアラート情報をディスプレイ等の表示手段に表示する。
The performance management server 20 has information related to the addition condition (requirement 2-4) (in the example shown in FIG. 6, “the qualification of the clinical technologist will be invalidated unless it participates in the △ month x day Δ society”). Information), and alert information (“○” in the example shown in FIG. 6) based on the information searched in the user terminal 200 of the worker (in the example shown in FIG. 6, “Dr. Ichiro Suzuki”) related to this addition condition. If you do not participate in △ Month x Day △ Society, your qualification as a clinical laboratory technician will be invalidated. Send.
The user terminal 200 displays the alert information transmitted from the performance management server 20 on a display means such as a display.
図４に戻って、利益情報受付モジュール１０４は、ステップＳ１２で加算条件判定モジュール１０２が判定した加算項目情報に関する利益情報（例えば、前期の利益情報）を、病院経営統計解析サーバ３０から受け付ける（ステップＳ１６）。 Returning to FIG. 4, the profit information receiving module 104 receives profit information (for example, profit information of the previous period) regarding the addition item information determined by the addition condition determination module 102 in step S <b> 12 from the hospital management statistical analysis server 30 (step S <b> 12). S16).
推定利益算出モジュール１０５は、ステップＳ１２における加算条件判定モジュール１０２の判定の結果に基づき、データ記憶部１２に記憶された診療報酬点数表ＤＢ１１０及びステップＳ１６で利益情報受付モジュール１０４が取得した利益情報を参照して、医療機関の推定利益を算出する（ステップＳ１７）。 Based on the determination result of the addition condition determination module 102 in step S12, the estimated profit calculation module 105 stores the profit information acquired by the profit information reception module 104 in step S16 and the medical fee score table DB 110 stored in the data storage unit 12. Referring to, the estimated profit of the medical institution is calculated (step S17).
診療報酬加算確認情報生成モジュール１０９は、ステップＳ１１で加算項目情報受付モジュール１０１が受け付けた加算項目情報、ステップＳ１２における加算条件判定モジュール１０２の判定結果、ステップＳ１７で推定利益算出モジュール１０５が算出した推定利益に基づき、診療報酬加算確認情報を生成する（ステップＳ１８）。 The medical fee addition confirmation information generation module 109 receives the addition item information received by the addition item information reception module 101 in step S11, the determination result of the addition condition determination module 102 in step S12, and the estimation calculated by the estimated profit calculation module 105 in step S17. Based on the profit, medical fee addition confirmation information is generated (step S18).
図７は、診療報酬加算確認サーバ１０の診療報酬加算確認情報生成モジュール１０９が生成する診療報酬加算確認情報の一例を説明する図である。
診療報酬加算確認情報は、診療報酬として、加算項目情報受付モジュール１０１が受け付けた加算項目情報に、加算条件の達成度を示すレベル、加算条件判定モジュール１０２の判定結果、判定結果に基づく申請の可否、推定利益算出モジュール１０５が算出した推定利益が対応付けられている。
FIG. 7 is a diagram illustrating an example of medical fee addition confirmation information generated by the medical fee addition confirmation information generation module 109 of the medical fee addition confirmation server 10.
The medical fee addition confirmation information includes, as the medical fee, a level indicating the achievement level of the addition condition in the addition item information received by the addition item information reception module 101, the determination result of the addition condition determination module 102, and the applicability based on the determination result. The estimated profit calculated by the estimated profit calculation module 105 is associated.
また、診療報酬加算確認情報生成モジュール１０９は、ステップＳ１２で未達条件検出モジュール１０３が検出した未達条件（図７に示す例では、「３年以上の病院勤務経験を持つ感染防止対策にかかわる専任の薬剤師」）や、未達条件を満たすための施策や、未達条件を満たした場合の増益を、診療報酬加算確認情報に含める。
そして、診療報酬加算確認情報生成モジュール１０９は、生成した診療報酬加算確認情報を、例えば、医療機関の経営者のユーザ端末２００に送信する。
ユーザ端末２００は、診療報酬加算確認情報生成モジュール１０９から送信された診療報酬加算確認情報をディスプレイ等の表示手段に表示する。
In addition, the medical fee addition confirmation information generation module 109 detects the unreached condition detected by the unreached condition detection module 103 in step S12 (in the example shown in FIG. Include full-time pharmacists ”), measures to meet unfulfilled conditions, and profit increase when unfulfilled conditions are met.
Then, the medical fee addition confirmation information generation module 109 transmits the generated medical fee addition confirmation information to the user terminal 200 of the manager of the medical institution, for example.
The user terminal 200 displays the medical fee addition confirmation information transmitted from the medical fee addition confirmation information generation module 109 on a display unit such as a display.
上述した手段、機能は、コンピュータ（ＣＰＵ，情報処理装置，各種端末を含む）が、所定のプログラムを読み込んで、実行することによって実現される。プログラムは、例えば、フレキシブルディスク、ＣＤ（ＣＤ−ＲＯＭなど）、ＤＶＤ（ＤＶＤ−ＲＯＭ、ＤＶＤ−ＲＡＭなど）等のコンピュータ読取可能な記録媒体に記録された形態で提供される。この場合、コンピュータはその記録媒体からプログラムを読み取って内部記憶装置または外部記憶装置に転送し記憶して実行する。また、そのプログラムを、例えば、磁気ディスク、光ディスク、光磁気ディスク等の記憶装置（記録媒体）に予め記録しておき、その記憶装置から通信回線を介してコンピュータに提供するようにしてもよい。 The means and functions described above are realized by a computer (including a CPU, an information processing apparatus, and various terminals) reading and executing a predetermined program. The program is provided in a form recorded on a computer-readable recording medium such as a flexible disk, CD (CD-ROM, etc.), DVD (DVD-ROM, DVD-RAM, etc.), for example. In this case, the computer reads the program from the recording medium, transfers it to the internal storage device or the external storage device, stores it, and executes it. The program may be recorded in advance in a storage device (recording medium) such as a magnetic disk, an optical disk, or a magneto-optical disk, and provided from the storage device to a computer via a communication line.
以上、本発明の実施形態について説明したが、本発明は上述したこれらの実施形態に限るものではない。また、本発明の実施形態に記載された効果は、本発明から生じる最も好適な効果を列挙したに過ぎず、本発明による効果は、本発明の実施形態に記載されたものに限定されるものではない。 As mentioned above, although embodiment of this invention was described, this invention is not limited to these embodiment mentioned above. The effects described in the embodiments of the present invention are only the most preferable effects resulting from the present invention, and the effects of the present invention are limited to those described in the embodiments of the present invention. is not.
１ 医療機関経営支援システム、１０ 診療報酬加算確認サーバ、１１ 制御部、１２ データ記憶部、
１３ データ通信部、１００ 診療報酬加算確認プログラム、１０１ 加算項目情報受付モジュール、
１０２ 加算条件判定モジュール、１０３ 未達条件検出モジュール、１０４ 利益情報受付モジュール、
１０５ 推定利益算出モジュール、１０７ 勤務者情報受付モジュール、１０８ 加算条件抽出モジュール、
１０９ 診療報酬加算確認情報生成モジュール、２０ 業績管理サーバ、３０ 病院経営統計解析サーバ、
４０ 人事管理サーバ
1 medical institution management support system, 10 medical fee addition confirmation server, 11 control unit, 12 data storage unit,
13 data communication unit, 100 medical fee addition confirmation program, 101 addition item information reception module,
102 addition condition determination module, 103 unachieved condition detection module, 104 profit information reception module,
105 Estimated profit calculation module, 107 Worker information reception module, 108 Addition condition extraction module,
109 medical fee addition confirmation information generation module, 20 performance management server, 30 hospital management statistical analysis server,
40 Human Resource Management Server
Claims (5)
所定の加算項目に対して前記診療報酬が加算されるための加算条件と、前記加算条件が満たされた場合の加算点数と、が対応付けられた診療報酬点数表を記憶する診療報酬点数表記憶手段と、
前記加算項目の内容を示す加算項目情報を受け付ける加算項目情報受付手段と、
前記加算項目情報受付手段が受け付けた前記加算項目情報及び、通信可能に接続された業務管理サーバから受信した業務内容に基づき、前記診療報酬点数表記憶手段に記憶された前記診療報酬点数表を参照して、前記加算項目情報に示された内容及び前記業務内容が、前記加算条件を満たすか否かを判定する加算条件判定手段と、
前記医療機関に勤務する勤務者の情報である勤務者情報を受け付ける勤務者情報受付手段と、
前記勤務者情報受付手段が受け付けた前記勤務者情報に基づき、前記診療報酬点数表記憶手段に記憶された前記診療報酬点数表を参照して、前記勤務者情報に関連する前記加算条件を抽出する加算条件抽出手段と、を備える診療報酬加算確認サーバ。 A medical fee addition confirmation server that enables confirmation of medical fee addition at a medical institution,
Medical fee score table storage for storing a medical fee score table in which an addition condition for adding the medical fee to a predetermined addition item and an additional score when the additional condition is satisfied are stored Means,
Addition item information receiving means for receiving addition item information indicating the content of the addition item;
Based on the addition item information received by the addition item information receiving means and the business contents received from the work management server connected so as to be communicable , refer to the medical reward score table stored in the medical reward score table storage means Then, addition condition determination means for determining whether the content indicated in the addition item information and the business content satisfy the addition condition;
Worker information receiving means for receiving worker information which is information of a worker working at the medical institution;
Based on the worker information received by the worker information receiving means, the addition condition related to the worker information is extracted with reference to the medical reward score table stored in the medical reward score table storage means. A medical fee addition confirmation server comprising: addition condition extraction means;
前記加算項目の内容を示す加算項目情報を受け付ける加算項目情報受付ステップと、
前記加算項目情報受付ステップで受け付けた前記加算項目情報及び、通信可能に接続された業務管理サーバから受信した業務内容に基づき、前記診療報酬点数表記憶手段に記憶された前記診療報酬点数表を参照して、前記加算項目情報に示された内容、前記業務内容が、前記加算条件を満たすか否かを判定する加算条件判定ステップと、
前記医療機関に勤務する勤務者の情報である勤務者情報を受け付けるステップと、
受け付けた前記勤務者情報に基づき、前記診療報酬点数表記憶手段に記憶された前記診療報酬点数表を参照して、前記勤務者情報に関連する前記加算条件を抽出するステップと、を含む診療報酬加算確認方法。 It is possible to confirm the addition of the medical fee at a medical institution, and an addition condition for adding the medical fee to a predetermined addition item is associated with an additional score when the addition condition is satisfied A medical fee addition confirmation method executed by a medical fee addition confirmation server provided with a medical fee score table storage means for storing a medical fee score table,
An addition item information receiving step for receiving addition item information indicating the content of the addition item;
Based on the additional item information received in the additional item information receiving step and the business content received from the business management server connected to be communicable , refer to the medical fee table stored in the medical fee table storage means Then, an addition condition determination step for determining whether or not the content indicated in the addition item information and the business content satisfy the addition condition;
Receiving worker information which is information of a worker working at the medical institution;
Extracting the addition condition related to the worker information with reference to the medical fee score table stored in the medical fee score table storage means based on the received worker information. Addition confirmation method.
前記加算項目の内容を示す加算項目情報を受け付ける加算項目情報受付ステップ、
前記加算項目情報受付ステップで受け付けた前記加算項目情報及び、通信可能に接続された業務管理サーバから受信した業務内容に基づき、前記診療報酬点数表記憶手段に記憶された前記診療報酬点数表を参照して、前記加算項目情報に示された内容、前記業務内容が、前記加算条件を満たすか否かを判定する加算条件判定ステップ、
前記医療機関に勤務する勤務者の情報である勤務者情報を受け付けるステップ、
受け付けた前記勤務者情報に基づき、前記診療報酬点数表記憶手段に記憶された前記診療報酬点数表を参照して、前記勤務者情報に関連する前記加算条件を抽出するステップ、を実行させるための診療報酬加算確認サーバ用プログラム。 It is possible to confirm the addition of the medical fee at a medical institution, and an addition condition for adding the medical fee to a predetermined addition item is associated with an additional score when the addition condition is satisfied To the medical fee addition confirmation server provided with the medical fee score table storage means for storing the medical fee score table
An addition item information receiving step for receiving addition item information indicating the content of the addition item;
Based on the additional item information received in the additional item information receiving step and the business content received from the business management server connected to be communicable , refer to the medical fee table stored in the medical fee table storage means Then, an addition condition determination step for determining whether or not the contents indicated in the addition item information and the business contents satisfy the addition condition,
Receiving worker information which is information of a worker working at the medical institution;
Based on the received worker information, referring to the medical fee score table stored in the medical fee score table storage means, and executing the step of extracting the addition condition related to the worker information A program for a medical fee addition confirmation server.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2014222614A JP6360423B2 (en) | 2014-10-31 | 2014-10-31 | Medical fee addition confirmation server, medical fee addition confirmation method, and medical fee addition confirmation server program |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| JP2014222614A JP6360423B2 (en) | 2014-10-31 | 2014-10-31 | Medical fee addition confirmation server, medical fee addition confirmation method, and medical fee addition confirmation server program |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| JP2016091168A JP2016091168A (en) | 2016-05-23 |
| JP6360423B2 true JP6360423B2 (en) | 2018-07-18 |
Family
ID=56019309
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| JP2014222614A Active JP6360423B2 (en) | 2014-10-31 | 2014-10-31 | Medical fee addition confirmation server, medical fee addition confirmation method, and medical fee addition confirmation server program |
Country Status (1)
| Country | Link |
|---|---|
| JP (1) | JP6360423B2 (en) |
Families Citing this family (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP7168294B2 (en) * | 2018-09-27 | 2022-11-09 | 株式会社スズケン | Insurance pharmacy management system |
| CN109670173B (en) * | 2018-12-13 | 2023-02-03 | 平安医疗健康管理股份有限公司 | Checking method of reimbursement data, identification server and storage medium |
Family Cites Families (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH10261013A (en) * | 1997-03-19 | 1998-09-29 | Sanyo Electric Co Ltd | Diagnosis point calculating method and computer system for medical fee calculation |
| JP2002169882A (en) * | 2000-12-01 | 2002-06-14 | Net Bee Co Ltd | System and software for processing medical office work for medical bill preparation |
| JP4373633B2 (en) * | 2001-10-10 | 2009-11-25 | 株式会社東芝 | Medical accounting method and medical accounting system |
| JP2005174143A (en) * | 2003-12-12 | 2005-06-30 | Yuyama Manufacturing Co Ltd | Processing device for medical office work |
| JP5798336B2 (en) * | 2011-02-22 | 2015-10-21 | ジーイー・メディカル・システムズ・グローバル・テクノロジー・カンパニー・エルエルシー | Medical information system and interpretation report system |
-
2014
- 2014-10-31 JP JP2014222614A patent/JP6360423B2/en active Active
Also Published As
| Publication number | Publication date |
|---|---|
| JP2016091168A (en) | 2016-05-23 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| White et al. | Health worker mHealth utilization: a systematic review | |
| Adelman et al. | Understanding and preventing wrong-patient electronic orders: a randomized controlled trial | |
| Fontaine et al. | Systematic review of health information exchange in primary care practices | |
| US20140236630A1 (en) | System and methods for health analytics using electronic medical records | |
| Bauer et al. | Addressing disparities in the health of American Indian and Alaska Native people: the importance of improved public health data | |
| Filipova | Electronic health records use and barriers and benefits to use in skilled nursing facilities | |
| Kelly et al. | Creating a culture of safety around bar-code medication administration: an evidence-based evaluation framework | |
| Moss et al. | Costing nursing care: using the clinical care classification system to value nursing intervention in an acute-care setting | |
| US20200372586A1 (en) | Storage medium, information processing apparatus, and information processing method | |
| Nielsen et al. | Essential documentation elements: quality tool for the emergency department nurse | |
| Son | Generic atorvastatin and rosuvastatin in the South Korean market: time of introduction in relation to manufacturer characteristics | |
| JP6360423B2 (en) | Medical fee addition confirmation server, medical fee addition confirmation method, and medical fee addition confirmation server program | |
| US10930391B2 (en) | Device for reducing fraud, waste, and abuse in the ordering and performance of medical testing and methods for using the same | |
| Arora | Pharmacovigilance obligations of the pharmaceutical companies in India | |
| Price et al. | What is the return on investment for laboratory medicine? The antidote to silo budgeting in diagnostics | |
| Goldsack et al. | The impact of health information technology on staffing | |
| Bhagyalakshmi et al. | Utilization of noncommunicable disease services provided by public health facilities in Kasaragod, Kerala | |
| Bahuguna et al. | Economic analysis of delivering postpartum intrauterine contraceptive device services in India | |
| Busis et al. | The AAN's Axon Registry: mastering how we are measured | |
| Gulati | Bridging miles to achieve milestones: Corporate social responsibility for primary health care | |
| Pina et al. | With Major Investments From Congress and Technology in Hand, What Will It Take to Make Public Health Data Modernization a Reality? | |
| Harris et al. | Improving access in a VA primary care clinic using an innovative Panel Retention Tool: a quality improvement report | |
| JP2017033244A (en) | Information processing device, information processing method, program, and system | |
| Kassler | Is There a Future for Primary Care? | |
| Van Doren et al. | Structure and process variables affecting outcomes for heart failure clients |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| A977 | Report on retrieval |
Free format text: JAPANESE INTERMEDIATE CODE: A971007 Effective date: 20160726 |
|
| A131 | Notification of reasons for refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A131 Effective date: 20160728 |
|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20160921 |
|
| A02 | Decision of refusal |
Free format text: JAPANESE INTERMEDIATE CODE: A02 Effective date: 20170113 |
|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20170407 |
|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A821 Effective date: 20170410 |
|
| A911 | Transfer to examiner for re-examination before appeal (zenchi) |
Free format text: JAPANESE INTERMEDIATE CODE: A911 Effective date: 20170508 |
|
| A912 | Re-examination (zenchi) completed and case transferred to appeal board |
Free format text: JAPANESE INTERMEDIATE CODE: A912 Effective date: 20170526 |
|
| A521 | Request for written amendment filed |
Free format text: JAPANESE INTERMEDIATE CODE: A523 Effective date: 20180222 |
|
| A61 | First payment of annual fees (during grant procedure) |
Free format text: JAPANESE INTERMEDIATE CODE: A61 Effective date: 20180622 |
|
| R150 | Certificate of patent or registration of utility model |
Ref document number: 6360423 Country of ref document: JP Free format text: JAPANESE INTERMEDIATE CODE: R150 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |
|
| R250 | Receipt of annual fees |
Free format text: JAPANESE INTERMEDIATE CODE: R250 |