Automatic-coding medical insurance disease category score paying system and construction method therefor

Abstract

The invention belongs to the technical field of disease category score paying, and discloses an automatic-coding medical insurance disease category score paying system and a construction method therefor. The system comprises a clinical diagnosis term ICD-10 disease coding name library, a clinical operation term ICD-9-CM3 operation coding name library and a medical insurance disease category scorepaying library. The medical insurance disease category score paying library can perform the data communication with the clinical diagnosis term ICD-10 disease coding name library and the clinical operation term ICD-9-CM3 operation coding name library. After a doctor inputs a corresponding clinical diagnosis term and a clinical operation term in the system, the system can obtain a disease score, standard fee, 40% standard fee and 2.5-time standard fee according to an ICD-10 disease code outputted by the clinical diagnosis term ICD-10 disease coding name library and an ICD-9-CM3 operation code outputted by the clinical operation term ICD-9-CM3 operation coding name library, and the disease score, standard fee, 40% standard fee and 2.5-time standard fee can be used after all specialists checks the disease score, standard fee, 40% standard fee and 2.5-time standard fee.

Description

technical field [0001] The invention belongs to the technical field of payment by disease type, and in particular relates to an automatic coding medical insurance disease type payment system and a construction method thereof. Background technique [0002] The existing electronic medical records do not have standardized descriptions of the terms of clinical diseases and operations. For example, if it is also cancer, doctors can write "cancer", "malignant tumor", "tumor", etc., and later coders need to manually judge and compile international The ICD code of the disease or operation, and then through the code corresponding to the medical insurance disease score payment database, can estimate the score of the disease and get the medical insurance payment. [0003] In terms of controlling medical insurance expenses, when the actual medical insurance expenses are known, the patient has already been discharged from the hospital, and doctors can only estimate the medical insurance ...

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