JPH0370276B2 - - Google Patents

Description

[Detailed description of the invention]

<Technical Field> The present invention relates to a counter accounting machine for simplifying counter operations at hospitals, clinics, etc., and particularly to a counter accounting machine that allows easy registration of each patient's treatment details (medications, injections, holidays, night consultations, etc.). This can be done by operation, and it is also possible to register whether the payment for the medical treatment is paid out of pocket or by various insurances, and the above-mentioned registration contents can be registered for each medical department (internal medicine, pediatrics, surgery, etc.) The present invention relates to a counter accounting machine that is capable of classification and aggregation, and that allows only the minimum necessary data to be registered and printed, rather than registering all the details of each input item when registering each of the above-mentioned medical treatment contents. <Prior art> In conventional medical counter operations, a medical office staff with specialized knowledge calculates the burden based on the insurance points calculated based on each patient's medical records and the type of insurance used by the patient. Currently, each patient is billed for the cost. Therefore, those who handle such counter procedures should be aware that the contents of the medical records mentioned above vary depending on the medical department, treatment content, medication details, etc., and that they are well aware of the drug price standards based on the Health Insurance Act. This processing work is extremely troublesome due to necessity, and since there are two methods for calculating the copayment amount for each patient: a fixed rate calculation method and a variable amount calculation method, the calculation requires a great deal of effort. <Purpose of the Invention> The present invention was made to solve the above-mentioned conventional problems, and its purpose is to use the fixed rate calculation method or irregular fixed amount when calculating the copayment amount for each patient. An object of the present invention is to provide an accounting machine which can simplify counter operations by adding a function of easily selecting one of the two methods. <Structure of the Invention> The present invention includes a first input means for inputting data such as medical department, type of inpatient/outpatient treatment, type of insurance, etc.;
a second input means for inputting patient medical data;
A storage means for storing the data inputted by each of the input means, and an operation that calculates medical expenses based on the medical care data stored in the storage means in accordance with calculation instructions, and calculates the self-pay amount based on the medical expenses. A flat rate calculation table that stores copayment rates according to the type of insurance and type of inpatient/outpatient treatment, an irregular fixed rate table that classifies medical expenses into multiple stages and stores the copayment amount for each category, and a selection means for selecting either a calculation table or an irregular fixed amount table, and the calculation means refers to the table selected by the selection means based on the calculation result of medical expenses to determine the copayment amount. It is characterized by the fact that it is structured to seek. <Embodiments of the Invention> The present invention will be described in detail below with reference to embodiments shown in the drawings. FIG. 1 is a diagram showing the external appearance of a counter accounting machine embodying the present invention. key 2 for entering the subject (internal medicine, surgery, etc.), inputting the details of each patient's medical treatment and the type of insurance used to pay for the medical treatment, and the fixed rate calculation method and irregular fixed amount that are the calculation methods for the patient's co-payment amount. An input means 3 for inputting the selection of a method, a display means 4 for checking the input contents when registering each medical treatment, and printing the registered contents for each patient's medical treatment on a receipt and a journal. A printing means 5, a storage means 6 for storing medical fees for each patient, a switch means 7 for forcing the suspension of receipt issuance, and a person in charge key 8 for inputting the person in charge of operating the device. It is provided. FIG. 2 shows a specific configuration of the input means 3 in FIG. 1, including an instruction key 10 for instructing when payment for medical treatment is to be paid at one's own expense, and a no-out-of-pocket key where all expenses are paid by insurance or public funds. 11, a group of insurance type selection keys 12 in the case of insurance payment, input of insurance points for each medical treatment, selection input of various processing functions including calculation method of self-pay amount, setting of irregular fixed amount table described later, etc. It consists of a group of numeric keys 13 for performing the following, a group of medical treatment instruction keys 14 for instructing each medical treatment, and a group of function keys 15 for instructing payment etc. from each patient. FIG. 3 is a diagram showing the block configuration of a counter accounting machine in which the present invention is implemented, and the input means 3 for inputting and instructing each patient's medical treatment contents, type of insurance, calculation method of self-pay amount, etc. is a key input control means. It is connected to a central processing unit (hereinafter referred to as CPU) 21 via 20 . This CPU 21 includes a ROM 23 that stores a program for controlling registration for each patient via a memory control means 22, and a ROM 23 that stores a program for controlling registration for each patient via a memory control means 22.
RAM 2 which stores in advance the self-pay rate in the case of a fixed rate calculation method for each insurance necessary for each patient's registration according to the program, and the irregular fixed amount table in the case of an irregular fixed amount method applied only to the social insurance person.
4, and a tallying memory 2 that stores and tallies each registered content.
5 and display means 27 for displaying each registration progress etc. are connected via display control means 26. Further, a printing means 29 is connected to the CPU 21 via a printing control means 28. In addition, each medical department (
-) are provided with areas a to c for storing registered contents of each medical practice and areas d to j for storing registered data for each type of inpatient/outpatient and insurance. Further, the RAM 24 is provided with a setting area for a self-pay rate, an irregular fixed amount table, and PLU code information. The copayment rate storage area of the RAM 24 shown in FIG.
Specifically, it is structured as shown in Table 1.

[Table] Furthermore, in the irregular fixed amount table storage area of the RAM 24, specifically, the self-pay amount for each stage of medical expenses is stored as shown in Table 2. Note that this irregular fixed amount table storage area is configured so that up to five levels of medical expenses and copayments can be set in preparation for future changes.

[Table] FIG. 4 is a diagram showing the operational flow of the counter accounting machine embodying the present invention, and the operation of the counter accounting machine of the present invention will be explained below in accordance with this flowchart. When operating this device, the person in charge at the counter first presses the corresponding person-in-charge instruction key 8 and instructs the CPU 21 via the key input control means 20 which person in charge is performing the registration operation. (N ₁ step) Next, based on each patient's medical record, the person in charge at the counter first inputs the subject in which the patient was treated from the subject input means 2 to the CPU 21 via the key input control means 20.
Enter. (N ₂ steps) The CPU 21 that received this subject instruction follows this instruction and stores the registration data that will be input from now on into the ROM.
23 is stored in a predetermined storage area (~) of the tally memory 25. Next, the person in charge confirms whether the patient is an inpatient, and if so, the person in charge
Press the /Hospitalization key in 3 (N ₃ steps),
It instructs the CPU 21 that this registration is for inpatients. Next, the person in charge of the counter specifies the type of insurance used by the patient, but at this time, if the copayment rate and irregular fixed amount table for that insurance have been set in advance in the RAM 24, the person in charge of the counter specifies the type of insurance that the patient uses. Press the instruction key 12 (Person, Family, National Health Insurance ~), and under the control of the CPU 21, the above RAM 24
The corresponding burden rate stored in is read out and displayed on the display means 27, and its contents are confirmed. On the other hand, if this burden rate is not set in advance, the person in charge inputs the corresponding burden rate into the CPU 21 using the numerical keys 13 and the insurance type key 12. (Steps N ₄ and N ₅ ) Note that the burden rate for each insurance preset in the RAM 24 can be changed by pressing the insurance instruction key 12 at any time unless the device is in the registration mode and the medical details of each patient are being registered. By pressing the button, the setting contents are displayed on the display means 27 and can be confirmed. The person in charge at the counter sets up the device as described above and registers the specific treatment details, but the person in charge has already entered the information.
It is determined whether or not it has been set in advance in the PLU area of the RAM 24. (N ₆ steps) Again,
If the drug is not set in the PLU area,
The person in charge inputs the insurance points or amount corresponding to the medicine etc. using the numerical input means 13. (Step _N7 ) At this time, if the patient has been given multiple medicines or if the same medicine has been given multiple times, use the key and +/= key to register the details. (N ₈ , ~N ₁₀ steps) All the data registered using the above keys and the +/= keys are not stored in the buffer for transfer to the total memory 25, but only the calculation results are transferred. It is stored in the buffer for use. still,
This transfer buffer is provided in the internal RAM of the CPU 21. Next, the person in charge presses one of the medical practice keys 14 to indicate which medical practice the data registered as described above is based on.
The registered contents are added and stored in a predetermined area of the tally memory 25. (Step _N11 ) The above series of registered contents are displayed on the display means 27 via the display control means 26 and printed on the receipt by the printing means 29 via the print control means 28. On the other hand, if the content you are trying to register is
If it is preset in the area (see above)
(in step N ₆ ), the person in charge indicates the code corresponding to the drug using numeric key 13 (in step
N ₁₂ ), then indicate whether the drug is a prescription;
(Step N ₁₃ ) If you need to manually input the number of doses per day, number of administrations, etc., press the manual input instruction key and the self-confidence key (step N ₁₄ ) and enter the above information in N ₁₅ and N ₁₆ . When the input is completed, the person in charge presses the PLU key 16 to store the registered data in each area based on the PLU code information specified above. (Step _N17 ) Registration for one subject is completed as described above, but if the patient is receiving treatment in another subject, the person in charge presses another subject key again. Repeat the above series of operations. In this manner, when a series of registration operations is completed, the person in charge presses the subtotal key to calculate the total of the registered contents up to that point. When this subtotal key is pressed, the CPU 21 calculates the corresponding copayment rate of the copayment rate stored in a predetermined area of the RAM 24 or the copayment rate of the irregular fixed amount table based on the content of the insurance type key 12 that was pressed first. A calculation is performed between the total value of the read and registered data to calculate the burden amount for the patient, which is displayed on the display means 27 and printed on the receipt by the printing means 29. Next, the person in charge processes the payment for the treatment with the patient in steps _N19 and _N20 . To set the flat rate calculation method or irregular fixed amount method for calculating the copayment amount, first enter the specified job number using the numeric keys 13, then press the ・key,
/If you operate the hospitalization key and then set the 5th digit of the 6-digit number to "1", the irregular fixed amount method will be set to "0".
Then, the fixed rate calculation method is set respectively. The other digits of this six-digit number are used to set various processing functions, such as whether to print a slip or not, or whether to select a receipt or not. Setting of the irregular fixed amount table in the irregular fixed amount method is possible only when the irregular fixed amount method is set as the above-mentioned self-pay calculation method. First, enter the specified job number, press the ・key,
/Operate the hospitalization key, then enter the upper limit amount for the first stage of medical expenses, operate the /hospitalization key, then enter the copayment amount for the first stage, and operate the subtotal key. This series of operations is performed for the second stage, third stage, etc. of medical expenses. FIG. 5 shows the flow of the calculation process for the self-pay amount. In the case of the flat rate calculation method, the self-pay rate is calculated by multiplying the insurance subtotal amount by the burden rate. In the case of the irregular fixed amount method, the self-pay amount is determined by determining which stage of the irregular fixed amount table (Table 2) the insurance subtotal falls under. If the amount is larger than the irregular fixed amount table, calculate the copayment amount using the fixed rate method. Note that the self-pay amount is calculated at the time of department registration immediately after the subject or insurance type is changed, or at the time of final registration. FIG. 6 shows the relationship between key operations, print data on a printed receipt, and calculation contents in the process of calculating the self-pay amount. In subject 1, the insurance subtotal amount is 10,000 yen, which is larger than the amount in the irregular fixed amount table, so the copayment amount will be 1,000 yen at a fixed rate of 10%. In subject 2, the insurance subtotal amount is 2,100 yen, which falls under the 1,501 yen to 2,500 yen level of the irregular fixed amount table, so the self-pay amount will be 200 yen. <Effects of the Invention> As explained above, according to the present invention, hospitals and
At medical institutions such as clinics, it is possible to calculate total medical expenses and co-payments for each patient based on a wide variety of data such as medical departments, inpatient/outpatient types, insurance types, etc. with simple key operations. You can obtain the information just by doing so, which can simplify and improve the efficiency of counter operations. Moreover, when calculating the co-payment amount from the total amount of medical expenses, you can easily select the calculation method according to the total amount of medical expenses from among the two calculation methods, fixed rate and irregular fixed amount, by key operation. There is also.

[Brief explanation of drawings]

FIG. 1 is a perspective view showing the external appearance of a counter accounting machine according to an embodiment of the present invention, FIG. 2 is a plan view showing the configuration of the key input means of the counter accounting machine according to an embodiment of the present invention, and FIG. 3 is an embodiment of the present invention. FIG. 4 is a flowchart showing the operation of the counter accounting machine according to the embodiment of the present invention, and FIG. 5 is a diagram showing the calculation process of self-pay in the counter accounting machine according to the embodiment of the present invention. FIG. 6 is a flowchart showing the relationship between key operations, data printing, and calculation contents of the counter accounting machine according to the embodiment of the present invention. 3...Key input means, 12...Insurance type key,
21...CPU, 23...ROM, 24...RAM,
25...Tally memory, 27...Display means, 29...
...Printing means.

Claims (1)

[Claims] 1. A first input means for inputting data such as medical department, type of inpatient/outpatient treatment, type of insurance, etc.; a second input means for inputting patient medical data; and a second input means for inputting the patient's medical data; A storage means for storing information, a calculation means for calculating medical expenses based on the medical care data stored in the storage means in response to calculation instructions, and calculating an out-of-pocket amount based on the medical expenses; A fixed rate calculation table that stores the copayment rate according to the type of outpatient treatment, an irregular fixed amount table that divides medical expenses into multiple stages and stores the copayment amount for each category, and the above fixed rate calculation table or the above irregular fixed amount table. selection means for selecting one of them, and the calculation means is configured to calculate the self-pay amount by referring to the table selected by the selection means based on the calculation result of medical expenses. Counter accounting machine.