Medical insurance monitoring handheld management system and device

Abstract

The invention discloses a medical insurance monitoring handheld management system and device. The system comprises a data support module, a biological characteristic acquisition module, a verificationand auditing module, an infusion service confirmation module, a patient follow-up confirmation module and a rehabilitation service confirmation module. According to the medical insurance monitoring handheld management system, the infusion service confirmation module and the rehabilitation service confirmation module are arranged, the insured person is monitored in real time, and the possibility of insurance fraud is thoroughly eradicated. By arranging the follow-up visit confirmation module and the rehabilitation service confirmation module, the service level of doctors or nurses can be evaluated objectively, objective standards are provided for performance assessment of personnel in hospitals, doctors and nurses are actively promoted to improve services, and the service level is improved. Data transmitted by the rehabilitation service confirmation module is gathered in a social security center, so that doctors, nurses and insured patients can look up previous medical records conveniently.

Description

technical field [0001] The invention belongs to the technical field of medical insurance monitoring, and in particular relates to a handheld management system and device for medical insurance monitoring. Background technique [0002] With the continuous increase of insured persons and the diversification of reimbursement ratios and reimbursement methods, there are many loopholes in the traditional method of auditing insured persons with data reports. For example, the doctors and nurses in the hospital colluded with the insured personnel, issued false medical insurance policies and hospitalization information, and fake infusion records, etc., which brought huge financial expenditures to the medical insurance center every year, and caused unfair allocation of medical resources. For the benefit of people with medical needs, how to crack down on insurance fraud by insured persons has become an urgent problem to be solved. [0003] The traditional technical means to prevent insu...

AI Technical Summary

Problems solved by technology

Strict management is implemented for the reimbursement of insured personnel, such as invoices and doctor's prescriptions, as well as the doctor's handwritten diagnosis report to be reimbursed; for the doctors and nurses in the hospital, camera monitoring and other means are used to prevent collusion between doctors and insured patients; however , in the actual management process, the strict reimbursement procedures have brought huge troubles to the insured who normally need to be reimbursed, and the use of cameras cannot prevent doctors and nurses from colluding in areas other than the cameras

[0004] For the process of doctors’ consultation and nurses’ nursing, there is no objective and real-time evaluation system to evaluate the service level of doctors and nurses, which leads to the lack of active service of doctors and nurses in the hospital and the tension between doctors and patients; internal evaluation and assessment of hospitals Standards are mostly peer evaluations and word-of-mouth from patients. However, these evaluation indicators have great limitations and contingencies, and cannot objectively evaluate the service level of doctors or nurses from mathematical statistics, and may even cause evaluation bias

[0005] For patients, there is currently no system that can count the past illness experience and recovery process. If patients want to inquire, they need to go to the various hospitals they have visited to obtain information or keep the information themselves, which is very inconvenient.

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