A cost analysis system and method for medical insurance patients

Abstract

The invention discloses a cost analysis system and method of a patient with a medical insurance. The system comprises a computer system, an initialization module, a patient information entering module, a medical treatment cost generation module, a medical treatment cost judging module, and an above-quota early-warning module, wherein the initialization module is used for initializing various kinds of medical insurance disease varieties and department medical insurance quota information costs; the patient information entering module is used for recording the medical insurance, a disease variety, and treatment information of a patient; the medical treatment cost generation module is used for recording daily medical consumption information of the patient; the medical treatment cost judging module is used for judging whether the cost exceeds the medical insurance quota information cost or not; the early-warning module is used for sending out early-warning information when the quota is overfilled. According to the cost analysis system and method of the patient with the medical insurance, medical treatment costs including different drugs and different diagnosis and treatment projects aimed at different groups of patients can be distinguished, whether the costs are within a coverage area of the medical insurance or not is judged and calculation is conducted, reminding a doctor is conducted, and a reference is given to the doctor to make a prescription; meanwhile, the cost analysis system and method are high in accuracy, high in practicability, and strong in operability.

Description

technical field [0001] The invention relates to the field of medical technology management, in particular to a cost analysis system and method for medical insurance patients. Background technique [0002] Medical insurance refers to the passage of national legislation, in accordance with the principle of compulsory social insurance, basic medical insurance premiums should be paid in full and on time by employers and individual employees. Medical insurance collects medical insurance premiums in advance from people who are threatened by diseases in the form of contracts, and establishes medical insurance funds; when the insured suffers from illness and goes to a medical institution to see a doctor and incurs medical expenses, the medical insurance institution will give certain economic compensation. [0003] The basic medical insurance fund is composed of a pooling fund used by the society as a whole and an individual account fund used exclusively by individuals. Individual p...

AI Technical Summary

Problems solved by technology

Due to the imperfection of the current hospital medical expense management information system and the lack of statistics on medical expenses inside and outside the scope of medical insurance, doctors lack reference to medical expenses when prescribing prescriptions, which may cause medical insurance expenses to exceed the payment limit and cannot be reimbursed

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