Method for detecting behavior of issuing inspection item illegally as well as related equipment
A technology for checking items and behaviors, applied in the field of electronic information, can solve problems such as waste of medical insurance pooling funds
Pending Publication Date: 2019-04-12
PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD
View PDF11 Cites 3 Cited by
- Summary
- Abstract
- Description
- Claims
- Application Information
AI Technical Summary
Problems solved by technology
[0003] The main purpose of the present invention is to provide a method and related equipment for detecting illegal issuance of inspection items, aiming to solve the technical problem that current medical institutions cash out by issuing more inspection items, resulting in waste of medical insurance pooling funds
Method used
the structure of the environmentally friendly knitted fabric provided by the present invention; figure 2 Flow chart of the yarn wrapping machine for environmentally friendly knitted fabrics and storage devices; image 3 Is the parameter map of the yarn covering machine
View moreImage
Smart Image Click on the blue labels to locate them in the text.
Smart ImageViewing Examples
Examples
Experimental program
Comparison scheme
Effect test
Embodiment Construction
[0050] It should be understood that the specific embodiments described here are only used to explain the present invention, not to limit the present invention.
[0051] Please refer to figure 1 , figure 1 It is a schematic diagram of the hardware structure of the detection device 100 provided by the present invention. The detection device 100 can be at least one of a server, a computer, and a device dedicated to abnormal detection in medical institutions, including a communication module 10, a memory 20 and a processor 30. and other parts. Wherein, the processor 30 is respectively connected to the memory 20 and the communication module 10 , the memory 20 stores a computer program, and the computer program is executed by the processor 30 at the same time.
[0052]The communication module 10 can be connected with external devices through the network. The communication module 10 can receive requests from external communication devices, and can also broadcast and send events, i...
the structure of the environmentally friendly knitted fabric provided by the present invention; figure 2 Flow chart of the yarn wrapping machine for environmentally friendly knitted fabrics and storage devices; image 3 Is the parameter map of the yarn covering machine
Login to View More PUM
Login to View More Abstract
The invention discloses a method for detecting behavior of issuing inspection item illegally as well as related equipment. The method comprises the following steps: acquiring diagnosis and treatment data uploaded by a medical institution, and taking the diagnosis and treatment data as input of preset data identification model to perform prediction and identification to acquire a diagnosis and treatment data label; acquiring the inspection times of each user within preset time from the diagnosis and treatment data label; judging whether the inspection times of any one user within the preset time exceeds a times threshold value or not; and when the inspection times of the any one user within the preset time exceeds the times threshold value, determining that the behavior of issuing inspection item illegally exists in the medical institution. The preset data identification model based on a machine learning algorithm serves as a prediction model to acquire the diagnosis and treatment datalabel; and the inspection times of the user in the medical institution are acquired according to the diagnosis and treatment data label and compared with the set times threshold value, so that whetherthe behavior of issuing inspection item illegally exists in the medical institution is detected, waste of medical insurance consolidated fund is reduced and decision is intelligentialized.
Description
technical field [0001] The invention relates to the field of electronic information, in particular to a method and related equipment for detecting illegal issuance of inspection items. Background technique [0002] Medical insurance refers to social medical insurance. It is a social insurance system established by the state and society in accordance with certain laws and regulations to provide basic medical needs protection for workers within the scope of protection when they are sick. The basic medical insurance fund consists of pooling funds and individual accounts. After the user completes the treatment in the designated medical institution, the designated medical institution can apply to the local human resources and social institution for a pooling fund to pay for the medicine. Although the medical insurance system has brought convenience to everyone, there are still criminals who take advantage of the medical welfare policies provided by the state and society to cash ...
Claims
the structure of the environmentally friendly knitted fabric provided by the present invention; figure 2 Flow chart of the yarn wrapping machine for environmentally friendly knitted fabrics and storage devices; image 3 Is the parameter map of the yarn covering machine
Login to View More Application Information
Patent Timeline
Login to View More IPC IPC(8): G16H40/20
CPCG16H40/20
Inventor 陈明东黄越胥畅
Owner PING AN MEDICAL & HEALTHCARE MANAGEMENT CO LTD