JPH0370277B2 - - 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 amount to be paid based on the insurance points or amount calculated based on each patient's medical record and the type of insurance used by the patient. Currently, the cost is calculated and billed to each patient. 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 process was extremely troublesome due to necessity. <Purpose of the Invention> The present invention has been made to solve the above-mentioned conventional problems. To provide a counter accounting machine that can easily calculate medical expenses, whether it is based on insurance points or amounts. <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 selectively inputting either the insurance points or the medical expense amount according to the patient's medical treatment details; a storage means for storing the data input by each of the input means; and a calculation instruction. A calculation means that calculates medical expenses based on the data corresponding to the medical treatment content stored in the storage means and calculates the co-payment amount based on the medical expenses, and an amount that stores the amount per insurance point. and a conversion table, and the calculation means is configured to, when the insurance points are input by the second input means, convert the insurance points into an amount by referring to the amount conversion table to obtain the medical expenses. It is characterized by <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. Enter the subject (internal medicine, surgery, etc.) key 2, enter the details of each patient's medical treatment and the type of insurance used to pay for the medical treatment, and enter the insurance points or amount when calculating the patient's co-payment amount and the points. An input means 3 for inputting the selection of the method and amount method, a display means 4 for confirming the input contents etc. when registering each medical treatment content, and a display means 4 for displaying the registered contents for each patient's medical treatment on a receipt and in a journal. a printing means 5 for printing, 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 for inputting the person in charge of operating the device. 8 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, and a group of numeric keys 13 for inputting insurance points or amounts for each medical treatment, selecting and inputting various processing functions including the calculation method of self-pay amount, etc. ,
It is composed of a group of medical instruction keys 13 for instructing each medical treatment, a group of medical 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.
A RAM 24 that stores in advance the burden rate for each insurance necessary for each patient's registration according to the program.
and a totalizing memory 25 that stores and totals each registered content.
A display means 27 for displaying each registration progress etc. is connected via a 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. In addition, RAM24 has a self-pay rate and
A setting area for PLU code information is provided. The self-pay rate storage area of the RAM 24 shown in FIG. 3 has pre-stored self-pay rates for various types of insurance and outpatient hospitalization, and is specifically configured as shown in the table below.

[Table] FIG. 4 is a diagram showing the operation 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 according to 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 the medical record of each patient, 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. At this time, if the copayment rate for that insurance is previously set in the RAM 24, the person in charge of the counter specifies the type of insurance used by the patient. person, family, national insurance~), reads out the corresponding contribution rate stored in the RAM 24 under the control of the CPU 21, and displays it on the display means 27,
Check its contents. 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 treatment details of each patient are not 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 that they are about to enter.
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. ( _N11 step) In this _N11 step, the process shown in Figure 5 is executed, and in the case of the point method, the input data and the amount per insurance point are calculated to find the actual amount,
In the case of the monetary amount method, the input data is the actual monetary amount. Then, the obtained amount data is sent to the transfer buffer of the CPU 21. The above series of registered contents are displayed on the display means 27 via the display control means 26, and are printed on the receipt by the printing means 29 via the print control means 28 as shown in FIG. 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 reads out the corresponding burden rate of the self-pay rate stored in a predetermined area of the RAM 24 based on the contents of the insurance type key 12 that was pressed first, and totals the registered data. A calculation is performed between the calculated amount and the patient's burden amount, which is displayed on the display means 27 and printed on the receipt by the printing means 29 as shown in FIG. Next, the person in charge processes the payment for the treatment with the patient in steps _N19 and _N20 . In order to calculate the co-payment amount by inputting the insurance points or amount for each medical treatment, it is first necessary to set either the points method or the amount method. This setting procedure is to enter a predetermined job number using the numeric keys 13, operate the ・key, /hospitalization key, and then, for example, set the 6th digit of the 6-digit number to "1", and then set the monetary amount method. When set to "0", the scoring system 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. <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 requesting medical expenses, regardless of whether the input data is insurance points or amounts, the staff at the counter must input the data by key operation, for example, and then input the data. Medical expenses can be calculated by simply entering the information as is.

[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. 4 is a flowchart showing the operation of the counter accounting machine according to the embodiment of the present invention. FIG. 5 is a diagram showing the point system and amount system in the counter accounting machine according to the embodiment of the present invention. FIG. 6 is a flowchart showing the calculation process, and is a diagram showing a receipt issued by the teller 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., and for selectively inputting either insurance points or medical expense amount depending on the patient's treatment details. a second input means, a storage means for storing the data inputted by each of the input means, and calculating medical expenses based on the data corresponding to the medical treatment content stored in the storage means in response to a calculation instruction. , comprising a calculation means for calculating the co-payment amount based on the medical expenses, and an amount conversion table storing the amount per insurance point, and the calculation means receives the insurance points input by the second input means. The teller accounting machine is configured to refer to the amount conversion table and convert the insurance points into an amount to obtain medical expenses when the amount is converted.