Inpatient bed fee charging method and device

Abstract

The invention provides a hospitalized patient bed fee charging method and device, and the method comprises the steps: obtaining bed fee configuration information and time information corresponding to a charging triggering operation in response to the charging triggering operation of a target hospitalized patient; acquiring patient information and bed information of the target inpatient; based on the bed fee configuration information, the time information, the patient information and the bed information, bed fee information of the target hospitalized patient is generated; and calling an HIS charging interface to charge the bed fee of the target hospitalized patient based on the bed fee information. According to the invention, the HIS charging interface can be called according to the bed fee configuration information and the time information corresponding to the charging triggering operation and the patient information and the bed information, so that automatic charging of the bed fees of hospitalized patients in different hospitals is realized, and the efficiency and the accuracy of charging of the bed fees of the hospitalized patients are improved; and the bed fee charging requirements of different hospitals can be met.

Description

Technical Field

[0001] The present invention relates to the technical field of data processing, and in particular to a method and device for charging bed fees for inpatients. Background Art

[0002] The standard of hospital inpatient bed fee is generally set by the hospital according to the local price level and medical service costs. The standard of hospital inpatient bed fee in different places may be different. Generally speaking, hospital inpatient bed fee is charged on a daily basis, that is, it is calculated according to the daily hospitalization cost. The standard of bed fee generally includes different types of beds such as ordinary wards, ordinary wards with extra beds, single wards, etc., and the cost of different types of beds will also be different. In addition, some high-end hospitals also provide luxury wards and special wards. The bed fees of these wards will be higher. When paying the hospital inpatient bed fee, the patient needs to pay according to the bed fee standard stipulated by the hospital.

[0003] At present, the existing bed fee charging method does not support automatic refund and supplement, and often cannot achieve automatic bed fee charging around the clock and throughout the entire consultation cycle. There are problems such as manual operation prone to errors and low efficiency. At the same time, the existing bed fee charging method mainly focuses on meeting the bed fee charging needs of specific hospitals, and cannot meet the bed fee charging needs of different hospitals, which has certain limitations. Summary of the invention

[0004] In view of this, the purpose of the present invention is to provide a method and device for billing bed fees for inpatients to alleviate the above-mentioned problems existing in the existing bed fee charging method.

[0005] In the first aspect, an embodiment of the present invention provides a method for billing bed fees for inpatients, comprising: in response to a billing trigger operation of a target inpatient, obtaining bed fee configuration information and time information corresponding to the billing trigger operation; wherein the bed fee configuration information includes a bed fee billing rule corresponding to the billing trigger operation; obtaining patient information and bed information of the target inpatient; wherein the patient information is used to uniquely characterize the target inpatient; based on the bed fee configuration information and the time information as well as the patient information and the bed information, generating the bed fee information of the target inpatient; wherein the bed fee information is bound to the time information, the patient information and the bed information; and calling the HIS billing interface to perform bed fee billing for the target inpatient based on the bed fee information.

[0006] In the second aspect, an embodiment of the present invention also provides an inpatient bed fee billing device, comprising: a first acquisition module, used to respond to a billing trigger operation of a target inpatient, and obtain bed fee configuration information and time information corresponding to the billing trigger operation; wherein the bed fee configuration information includes the bed fee billing rules corresponding to the billing trigger operation; a second acquisition module, used to obtain the patient information and bed information of the target inpatient; wherein the patient information is used to uniquely characterize the target inpatient; a generation module, used to generate the bed fee information of the target inpatient based on the bed fee configuration information and the time information as well as the patient information and the bed information; wherein the bed fee information is bound to the time information, the patient information and the bed information; a billing module, used to call the HIS billing interface to perform bed fee billing for the target inpatient based on the bed fee information.

[0007] The embodiment of the present invention provides a method and device for billing bed fees for inpatients. In response to a billing trigger operation of a target inpatient, the device obtains bed fee configuration information and time information corresponding to the billing trigger operation; obtains patient information and bed information of the target inpatient; generates bed fee information of the target inpatient based on the bed fee configuration information and time information as well as patient information and bed information; and calls the HIS billing interface to bill the bed fee of the target inpatient based on the bed fee information. By adopting the above technology, the bed fee configuration information and time information corresponding to the billing trigger operation as well as patient information and bed information can be used to call the HIS billing interface to realize automatic billing of bed fees for inpatients in different hospitals, thereby improving the efficiency and accuracy of bed fee billing for inpatients, and meeting the bed fee charging requirements of different hospitals.

[0008] Other features and advantages of the present invention will be described in the following description, and partly become apparent from the description, or understood by practicing the present invention. The purpose and other advantages of the present invention are realized and obtained by the structures particularly pointed out in the description, claims and drawings.

[0009] In order to make the above-mentioned objects, features and advantages of the present invention more obvious and easy to understand, preferred embodiments are given below and described in detail with reference to the accompanying drawings. BRIEF DESCRIPTION OF THE DRAWINGS

[0010] In order to more clearly illustrate the specific implementation methods of the present invention or the technical solutions in the prior art, the drawings required for use in the specific implementation methods or the description of the prior art will be briefly introduced below. Obviously, the drawings described below are some implementation methods of the present invention. For ordinary technicians in this field, other drawings can be obtained based on these drawings without paying creative work.

[0011] Figure 1 A schematic diagram of a flow chart of a method for charging bed fees for inpatients in an embodiment of the present invention;

[0012] Figure 2 This is an example diagram of the classification of bed fee billing services in an embodiment of the present invention;

[0013] Figure 3 This is an example diagram of the contents of the bed fee billing trigger point in an embodiment of the present invention;

[0014] Figure 4 It is an example diagram of the relationship between the bed fee charging operation table, the bed fee daily execution business list table, the bed fee daily charging service table, and the bed fee daily charging tracking table in an embodiment of the present invention;

[0015] Figure 5 This is an example diagram of the structure of a bed fee collection operation table in an embodiment of the present invention;

[0016] Figure 6 This is an example diagram of the structure of the bed fee daily execution business list table in an embodiment of the present invention;

[0017] Figure 7 This is an example diagram of the structure of a bed fee daily charging service table in an embodiment of the present invention;

[0018] Figure 8 This is an example diagram of the structure of a bed fee daily charge tracking table in an embodiment of the present invention;

[0019] Fig. 9 This is an example diagram of the bed fee billing process in an embodiment of the present invention;

[0020] Fig.10 This is an example diagram of the setting interface of bed billing service parameters for air conditioning fees in an embodiment of the present invention;

[0021] Fig.11 This is an example diagram of a setting interface for bed billing service parameters for heating fees in an embodiment of the present invention;

[0022] Fig.12 This is an example diagram of a bed fee billing rule configuration interface in an embodiment of the present invention;

[0023] Fig.13 The present invention is a schematic diagram of the structure of a device for billing bed fees for inpatients in an embodiment of the present invention. DETAILED DESCRIPTION

[0024] In order to make the purpose, technical solution and advantages of the embodiments of the present invention clearer, the technical solution of the present invention will be clearly and completely described in combination with the embodiments below. Obviously, the described embodiments are part of the embodiments of the present invention, not all of the embodiments. Based on the embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field without creative work are within the scope of protection of the present invention.

[0025] At present, the existing bed fee charging method has the problems of manual operation prone to errors and low efficiency. At the same time, the existing bed fee charging method cannot meet the bed fee charging needs of different hospitals.

[0026] Based on this, the present invention provides a method and device for billing inpatient bed fees, which can alleviate the above-mentioned problems existing in the existing bed fee charging method.

[0027] To facilitate understanding of this embodiment, firstly, a method for charging bed fees for inpatients disclosed in an embodiment of the present invention is described in detail, see Figure 1 As shown, the inpatient bed fee billing method may include the following steps:

[0028] Step S102, in response to the billing triggering operation of the target inpatient, obtaining bed fee configuration information and time information corresponding to the billing triggering operation.

[0029] The bed fee configuration information may include bed fee billing rules corresponding to the billing trigger operation, and the time information may include the start time, end time, duration, and the like of the billing trigger operation.

[0030] The billing triggering operations may be admission and area entry operations, area transfer operations, bed change operations, area exit operations, area exit recall operations, bed reservation operations, bed reservation cancellation operations, etc., and there is no limitation on this.

[0031] Step S104, obtaining the patient information and bed information of the target inpatient.

[0032] Among them, the patient information can be used to uniquely identify the target inpatient, for example, the patient information can include the patient's ID number, medical number, medical ID, etc. The bed information can be used to uniquely identify the bed occupied by the target inpatient, for example, the bed information can include the number and type of the bed, etc.

[0033] Step S106: Generate bed fee information of the target inpatient based on the bed fee configuration information and time information as well as the patient information and bed information.

[0034] The bed fee information is bound with time information, patient information and bed information, and the bed fee information can represent each billing service item included in the bed fee of the target inpatient and the billing amount of each billing service item.

[0035] Step S108, calling the HIS (Hospital Information System) billing interface to perform bed fee billing for the target inpatient based on the bed fee information.

[0036] An embodiment of the present invention provides a method for billing bed fees for inpatients. In response to a billing trigger operation of a target inpatient, the method obtains bed fee configuration information and time information corresponding to the billing trigger operation; obtains patient information and bed information of the target inpatient; generates bed fee information of the target inpatient based on the bed fee configuration information and time information as well as patient information and bed information; and calls the HIS billing interface to bill the bed fee of the target inpatient based on the bed fee information. By adopting the above technology, the bed fee configuration information and time information corresponding to the billing trigger operation as well as patient information and bed information can be used to call the HIS billing interface to realize automatic billing of bed fees for inpatients in different hospitals, thereby improving the efficiency and accuracy of inpatient bed fee billing and meeting the bed fee charging requirements of different hospitals.

[0037] As a possible implementation method, the charged service items in the daily bed fee service table may include a first type of charged service items representing diagnosis fees and / or a second type of charged service items representing non-diagnostic fees; the billing method of diagnosis fees may be divided into a first billing method representing that diagnosis fees are charged both when the patient enters and when the patient leaves the area, and a second billing method representing that diagnosis fees are charged when the patient enters the area but not when the patient leaves the area; the types of non-diagnostic fees may be divided into a first type of non-diagnostic fees representing mother-child rooming-in and a second type of non-diagnostic fees representing non-mother-child rooming-in, and the billing method for the first type of non-diagnostic fees may be to charge the bed fees for beds that share the mother-child room and not charge the bed fees for beds that do not share the mother-child room.

[0038] Beds are charged by binding to the billing service, see Figure 2 As shown, the billing services of bed fees are mainly divided into two categories, one is the diagnosis fee, and the other is the non-diagnosis fee. The billing mode of diagnosis fee is mainly divided into: count-in but not count-out (that is, the diagnosis fee is charged when the patient enters the area and not charged when the patient leaves the area) and count-in and count-out (that is, the diagnosis fee is charged when the patient enters and leaves the area). Non-diagnosis fee mainly includes two types: mother-infant rooming-in and ordinary. The billing mode of mother-infant rooming-in type is to only charge the bed fee of mother-infant rooming-in beds but not the bed fee of non-mother-infant rooming-in beds. The billing mode of ordinary type is to only charge the bed fee of non-mother-infant rooming-in beds but not the bed fee of mother-infant rooming-in beds).

[0039] As a possible implementation, the bed fee configuration information may include first billing method information representing a real-time billing method, and the bed fee information may include a bed fee charging operation table, a bed fee daily execution business list table, and a bed fee daily charging service table for the target inpatient; based on this, the above step S106 (i.e., generating the bed fee information of the target inpatient based on the bed fee configuration information and time information as well as the patient information and the bed information) may include: generating a bed fee charging operation table for the target inpatient based on the bed fee billing rules and time information as well as the patient information and the bed information; generating a bed fee daily execution business list table and a bed fee daily charging service table for the target inpatient based on the bed fee billing rules and the bed fee charging operation table for the target inpatient.

[0040] As a possible implementation, the bed fee configuration information may include second billing method information characterizing a timed billing method, and the bed fee information may include a bed fee daily execution business list table and a bed fee daily charging service table for the target inpatient; based on this, the above step S106 (i.e., generating the bed fee information of the target inpatient based on the bed fee configuration information and time information as well as the patient information and the bed information) may include: generating the bed fee daily execution business list table and the bed fee daily charging service table for the target inpatient based on the bed fee billing rules and time information as well as the patient information and the bed information.

[0041] As a possible implementation, if the billing trigger operation is an admission operation, the bed fee billing rules may include at least one of the following: the time when the bed fee is first charged after the patient registers for admission, the number of days the bed fee is charged on the day the patient is admitted to the hospital, and the number of days the bed fee is charged on the day the patient is admitted to the hospital in the afternoon.

[0042] As a possible implementation, if the billing triggering operation is a zone transfer operation or a bed change operation, the bed fee billing rules may include at least one of the following: the number of days the bed fee is charged for the original occupied bed on the day the patient transfers the zone or changes the bed, and the number of days the bed fee is charged for the newly occupied bed on the day the patient transfers the zone or changes the bed.

[0043] As a possible implementation, if the billing trigger operation is an exit operation, the bed fee billing rules may include at least one of the following: the number of days the bed fee is charged if the patient is admitted and discharged on the same day and the patient leaves the area in the morning, the number of days the bed fee is charged if the patient is admitted and discharged on the same day and the patient leaves the area in the afternoon, and the number of days the bed fee is charged if the patient is within a preset age range and leaves the area on the day.

[0044] As a possible implementation, if the billing trigger operation is an out-of-area recall operation, the bed fee billing rules may include at least one of the following: the time for canceling bed fee collection on the day the patient leaves the area, and the number of days for canceling bed fee collection on the day the patient leaves the area.

[0045] As a possible implementation, if the billing trigger operation is a bed booking operation, the bed fee billing rules may include at least one of the following: the time when the bed fee is collected on the day the patient adds a bed, and the number of days when the bed fee is collected on the day the patient adds a bed.

[0046] As a possible implementation, if the billing triggering operation is to cancel the bed booking operation, the bed fee billing rules may include at least one of the following: the time when the bed booking fee is stopped on the day the patient adds a bed, and the number of days when the bed booking fee is stopped on the day the patient adds a bed.

[0047] As a possible implementation, after the above step S108 (i.e. calling the HIS billing interface to perform bed fee billing for the target inpatient based on the bed fee information), the following may also be included:

[0048] Step A1, generating at least one bed fee daily charge tracking table for the target inpatient based on the bed fee billing result; wherein each bed fee daily charge tracking table represents the billing status of the corresponding charged service item in the bed fee daily charge service table, and the billing status is divided into unbilled, billing failed and billing successful.

[0049] Step A2, obtain the target bed fee daily charging tracking table with a billing status of not billed or failed, which corresponds to the target data in the bed fee daily execution business list table and the bed fee daily charging service table, and call the HIS billing interface to re-billate the bed fee of the target inpatient based on the target data.

[0050] For ease of understanding, the implementation of the above-mentioned inpatient bed fee billing method is described as follows by taking a specific application as an example.

[0051] See also Figure 3 As shown, the types of billing trigger points (i.e., nodes that trigger billing) that can be defined include entry and exit operation nodes (i.e., business nodes), supplementary accounting nodes, rolling fee nodes, and failure compensation interfaces; entry and exit operations can include entry into an area, cancellation of entry into an area, transfer into an area, bed change, exit from an area, recall of exit from an area (i.e., cancellation of discharge), bed reservation, and cancellation of bed reservation, etc.; the supplementary accounting node supports manual operation to charge for a certain billing service; the rolling fee node has two modes, one of which is to make up for the current day's bed fee after midnight the next day, and the other is to make up for the current day's bed fee on the same day; the failure compensation interface is used to compensate for failed billing data.

[0052] When entering, canceling, transferring, changing beds, leaving, recalling, booking and canceling beds, etc., the bed fee calculation operation is triggered. When calculating bed fees at each business node, each business node obtains its bed fee configuration information, and builds billing data according to the bed fee configuration information of different business nodes to realize bed fee billing at different business nodes. At night, the daily bed fee is calculated by rolling fees (using a scheduled task to calculate bed fees for all patients in the area at a certain time of the day), and supplementary billing is performed through the supplementary accounting node and failure compensation interface.

[0053] In order to realize bed fee billing, a bed fee billing model is designed. The bed fee billing model mainly includes: bed fee charging operation table, charging day list table (i.e. bed fee day execution business list table), charging day service table (i.e. bed fee day charging service table) and bed fee day charging tracking table.

[0054] See also Figure 4 As shown, the relationship between the bed fee charging operation table, the charging day list table, the charging day service table and the bed fee day charging tracking table is: first construct the bed fee charging operation table, then construct the charging day list table, then construct the charging day service table, and finally construct the bed fee day charging tracking table. Since the charging day list table can involve one or more charging service items, the charging day list table and the charging day service table can be a one-to-many relationship, and each charging day service table represents the charging situation of a corresponding charging service item.

[0055] See also Figures 5 to 8 As shown, there is a correlation between the bed fee collection operation table, the charging day list table, the charging day service table and the bed fee daily charging tracking table. Figure 6 The foreign key of the charging day list table shown (i.e. the third field "inpatient bed charging operation identifier") is Figure 5 The primary key of the bed fee charging operation table shown (i.e. the first field "Inpatient bed fee charging operation identifier"), Figure 7 The foreign key of the charging day service table shown (i.e. the third field "Bed Day Execution List Identifier") is Figure 6 The primary key of the billing day list table shown (i.e. the second field "bed day execution business list identifier"), Figure 8 The foreign key of the daily bed fee tracking table shown (i.e. the third field "Daily Bed Fee Service Identifier") is Figure 7 The primary key of the charging day service table shown (i.e. the second field "Daily Bed Charging Service ID"), the bed fee charging operation table, the charging day list table, the charging day service table and the bed fee daily charging tracking table all have the field "Visit ID" for uniquely characterizing the patient.

[0056] For nodes that perform inbound and outbound transfer operations (i.e., business nodes), all types of inbound and outbound transfer operations will trigger the construction of a bed fee charging operation table based on the current bed, so that real-time charging or scheduled charging (i.e., rolling charging) can be performed according to the bed fee configuration information corresponding to the inbound and outbound transfer operation. When billing (real-time billing / scheduled billing), the bed fee configuration information of the current node is queried, and a charging day list table and a charging day service table are constructed and generated. The HIS billing interface is called to use the charging day list table and the charging day service table for billing, and then the billing result data is written into the bed fee charging day tracking table.

[0057] After designing the bed fee billing model, configure the bed fee parameters of each billing trigger point: support the billing amount of each billing trigger point (specifically, the billing amount, billing days, etc.) configuration, for example, for the configuration of the number of days for charging bed fees for patients entering the area, it can be configured that only 0.5 days of bed fees are charged for patients entering the area in the afternoon and no bed fees are charged for patients leaving the area in the morning; for another example, for the configuration of the billing amount of new and old beds in the bed change operation, it can be configured that when changing beds, the new and old beds are charged 0.5 days of bed fees each. When changing beds, if the old bed has been charged for 1 day of bed fees, the old bed fee will be refunded for 0.5 days, and the new bed fee will be charged for 0.5 days. If the old bed has not been charged, the new and old bed fees will be charged for 0.5 days each. In the actual application process, different hospitals can dynamically configure the billing amount of each billing trigger point according to actual needs.

[0058] See also Fig. 9 As shown in the figure, bed fee billing is mainly carried out according to the following process:

[0059] Step S1, the patient has been admitted to the waiting area.

[0060] Step S2: Patient enters the area.

[0061] Step S3, obtain the bed fee configuration parameters for the patient entering the area (including the number of days for charging the bed fee, whether the admission is charged in real time, and other bed fee charging rules), and determine whether the patient's admission is charged in real time; if the patient's admission is charged in real time, the patient's admission bed fee is charged in real time; if the patient's admission is not charged in real time, the patient's admission bed fee is charged in a scheduled manner (i.e., rolling fee).

[0062] Step S4, if the patient's admission to the zone is cancelled, the process returns to step S1 where the patient has been admitted to the waiting zone, and the bed fee for the patient since entering the zone is refunded.

[0063] Step S5: If the patient leaves the area, the bed fee configuration parameters for the patient leaving the area (including the number of days for charging the bed fee, the time of leaving the area, etc.) are obtained, and the bed fee for the patient leaving the area is charged in real-time.

[0064] Step S6: If the patient who has left the area is recalled, the time when the patient left the area and the time when the patient was recalled are obtained to determine whether the patient cancels discharge on the day when he leaves the area; if the patient cancels discharge on the day when he leaves the area, the bed fee on the day when the patient leaves the area is refunded.

[0065] Step S7: if the patient is transferred to another area or changes beds, obtain the bed fee configuration parameters for the patient's transfer or bed change (including the number of days for charging the bed fee for transfer or bed change, whether the transfer or bed change is charged in real time, etc.), and determine whether the patient's transfer or bed change is charged in real time; if the patient's transfer or bed change is charged in real time, the bed fee for the patient's transfer or bed change is charged in real time; if the patient's transfer or bed change is not charged in real time, the bed fee for the patient's transfer or bed change is charged in a rolling manner.

[0066] Step S8: If a patient in the area reserves a bed, the bed fee configuration parameters of the patient's bed are obtained (including the bed fee collection time, bed fee collection days and other bed fee charging rules), and the bed fee for the patient's bed is collected.

[0067] Step S9: If the patient cancels the bed reservation, the bed fee configuration parameters for the patient's cancellation are obtained (including the time of bed cancellation, the number of days for charging the bed fee, etc.), and the bed fee for the patient's cancellation is charged.

[0068] Step S10: If the entry is cancelled and the patient re-enters the area, the above steps S1 to S9 are executed again.

[0069] Step S11: if the patient who has left the area is back in the area, the above steps S4 to S10 are executed again.

[0070] Based on the above Fig. 9 The bed fee billing process shown in the figure describes the main implementation methods of the above-mentioned inpatient bed fee billing method as follows:

[0071] First of all, the bed fee collection business will begin after the entry into the area is completed. According to the maintained bed fee charging parameters, the bed fee will be collected individually at each stage of the medical treatment process.

[0072] Secondly, when the patients in the district roll over the fees at night (such as a few minutes before 24:00 on the same day, and a few minutes after 0:00 on the next day), the fees collected during the day will be checked according to the set bed fee charging parameters, and the excess will be refunded and the shortfall will be supplemented (that is, the excess fees collected during the day will be refunded to the patients, and the patients will need to pay the shortfall during the day). The specific implementation process is as follows:

[0073] Bind bed fee service: Create a bed fee service (also known as bed billing service) and bind the fee items. When creating a bed fee service, you need to set the bed fee service name (also known as bed billing service name), ward type, bed fee service type (also known as bed billing service type, such as examination fee, non-examination fee), bed fee type (such as mother-child rooming type, ordinary type), examination fee billing mode (such as both included and included, included but not included), and other parameters.

[0074] In actual application, bed billing service sometimes needs to set a validity period, that is, the bed billing service fee (such as air conditioning fee in summer, heating fee in winter, etc.) is charged within the set validity period. Fig.10 and Fig.11 As shown, when creating bed billing services for air conditioning and heating fees, you need to set the activation range, which includes the activation start date, activation end date, and year usage type. The activation start date, activation end date, and the interval between the two form the validity period of the created bed billing service. Fig.10 The validity period of the air conditioning fee is from May 1 to September 30 each year, that is, the air conditioning fee is collected from May 1 to September 30 each year. Fig.11 The validity period of the heating fee is from October 1 to December 31 each year, that is, the heating fee is collected from October 1 to December 31 each year. In addition, beds can be bound to different bed billing services that need to set different validity periods, or different bed billing services that need to set the same validity period, so that the corresponding bed billing service fees can be collected according to the set validity period; for example, a bed can be bound to an air conditioning fee with a validity period from May 1 to September 30 each year and a heating fee with a validity period from October 1 to December 31 each year, so that the air conditioning fee can be collected from May 1 to September 30 each year and the heating fee can be collected from October 1 to December 31 each year.

[0075] Configure bed fees according to demand: Since different hospitals have different requirements for bed fees, each hospital needs to configure bed fee charging rules before going online. Different hospitals have different bed fee billing requirements. Some hospitals require billing when the business action is completed (for example, bed fees are calculated immediately after entering the area, changing beds, etc.), and some hospitals require unified billing for a certain period of time. Therefore, it is necessary to configure whether real-time billing is used to control whether the billing method is real-time billing or non-real-time billing (i.e. timed billing, also known as rolling billing).

[0076] For the situation of patients entering the area: create a bed fee charging operation table for the current bed upon entering the area, obtain the configuration parameters for the bed fee upon entering the area, determine whether the time of first collecting the bed fee is the time of entering the area or the time of admission according to the configuration parameters for the bed fee upon entering the area, determine the bed fee collection coefficient on the day of admission according to the configuration parameters for the bed fee upon entering the area (such as the number of days for collecting bed fees on the day of patient admission, the number of days for collecting bed fees on the day of patient admission in the afternoon, etc.), and determine whether to make real-time billing actions according to the configuration parameters for whether to charge in real time; if the configuration parameters require real-time billing upon entering the area, then build a charging day list table and a charging day service table, call the HIS billing interface to use the charging day list table and the charging day service table for billing, and insert the billing result data returned by the HIS into the bed fee daily charging tracking table; if the configuration parameters require non-real-time billing upon entering the area, then use the night rolling method for billing, that is, perform daily night rolling processing according to the bed fee charging operation table for the current bed to realize daily charging. If the entry bed fee configuration parameters are not configured for real-time charging, the bed fee can be charged by night rolling fee by default.

[0077] Regarding the situation where patients change beds / change areas: the bed fee business will be processed after the bed / change area operation is completed. According to the bed fee configuration parameters of the area / bed change, refunds and billing will be performed for the new and old bed charges.

[0078] For the situation where the patient leaves the area: the out-of-area bed fee business processing is carried out immediately after the out-of-area business action is completed, which is compatible with different billing modes for medical examination fees, billing quota parameters for out-of-area fees, and charging rules for mother-child bed fees in the same room. The logic for charging medical examination fees depends on the configuration of the medical examination fee billing mode. When the medical examination fee billing mode is configured to count in but not out, medical examination fees are charged for entering the area but not for leaving the area. When the medical examination fee billing mode is configured to count in and out, medical examination fees are charged for both entering and leaving the area. When configuring the out-of-area fee billing quota, for the situation where the patient enters and leaves the area on the same day, different bed fee billing quotas are set for leaving the area at different time periods (please refer to the detailed information). Fig.12 Content shown). Logic for processing bed fees for mother-infant rooming: When the bed fee billing service type is mother-infant rooming, only the bed fee for mother-infant rooming is charged, and the bed fee for ordinary types is not charged.

[0079] For the case of patient recall: when the patient is recalled, a bed fee collection operation table for the current bed is generated. If the recall operation type is to cancel discharge and the discharge date is the day of the recall, the bed fee for that day will be refunded. The common application scenarios of recall are recall and cancellation of discharge. After the recall, no actual medical action will be taken. Only the fees before the recall will be processed. It is often used in the case of missed fees after the patient leaves the area and needs to make up for the fees. Canceling discharge is equivalent to canceling the out-of-area action to make the patient return to the in-area state, thereby restoring the bed fee operation status before the out-of-area to the execution state.

[0080] Regarding the situation of patients booking beds: stop the old ordinary bed fee charging operation, add the new bed fee charging operation, and the ordinary bed fee charging operation and the bed fee charging operation do not affect each other in time period. Common business scenarios for booking beds are: the beds in the patient's ward are full, and a bed is booked in another room for accompanying care; or when a mother gives birth, the mother and the child have different physical signs and need to be in different wards, so a bed needs to be booked.

[0081] In the case of patients cancelling their reserved beds: stop charging the bed fee for reserved beds, and add the bed fee charging operation for the current non-reserved beds, and collect the bed fee for the normal in-area status.

[0082] For the case of rolling fees: bed fees are collected at a fixed time every day through a scheduled task. Based on the rolling fee mode, the rolling fee operation is to charge the current day or the previous day as the accounting period. The bed fee charging operation that needs to be rolled is queried according to the accounting date (that is, check the bed fee charging operation table in execution), and the bed fees calculated within the accounting date of each bed fee charging operation are checked, and the excess is refunded and the shortage is supplemented. A new fee (billing / refund) charging day list table and charging day service table are constructed to call the HIS billing interface for billing and maintain the billing results in the bed fee daily charging tracking table. There are two main functions of night rolling fees: the first function is to charge at a fixed time at night for non-real-time billing scenarios, and the second function is to check the bed fee of each patient in order to refund the excess and supplement the shortage.

[0083] For situations where supplementary accounting is required: if there are temporary bed fee items or part of the fees are missed, the fees can be supplemented by supplementary accounting (supplementary accounting is manually performed by nurses on the front end). When patients have temporary expenses that need to be included in the bed fee or part of the bed fee is missed, they can be charged through supplementary accounting, that is: when the nurse checks the bill on the front end page and finds that the fee is missed or a certain bed fee needs to be temporarily charged, the billing can be completed through manual supplementary accounting. Supplementary accounting is a separate billing process, which will not affect the update of the bed fee charging operation table, the charging day list table, the charging day service table and the bed fee day charging tracking table, but will only increase the fees charged by HIS.

[0084] Regarding the case of failed compensation billing: If billing fails or is not billed due to problems with HIS services, network environment, etc., the fees can be recorded back through the failed compensation billing operation. Specifically, the failed compensation interface can be called to query the bed fee daily charge tracking table according to the date and charge status to find the data of billing failure within the specified date, and the data (including the data required to build a new bed fee daily charge tracking table and the data required to call the failed compensation interface) can be assembled through the program, and then the HIS billing interface can be called to use the assembled data to re-billating, thereby realizing failed compensation billing.

[0085] In actual application, in order to facilitate relevant personnel to configure bed fee parameters, a bed fee billing rule configuration interface can be provided. Fig.12 As shown, the bed fee billing rule configuration interface mainly includes: controls for enabling / disabling the bed automatic fee rolling process, controls for configuring the bed automatic fee rolling mode, controls for selecting the accountant type, controls for specifying a fixed accountant, controls for selecting the accounting execution department, controls for configuring the package bed billing mode, controls for setting autonomous preferential rules for charging bed fees for special patients, controls for configuring bed fee compensation for all patients, controls for configuring admission and area bed fee parameters, controls for configuring bed change / transfer area bed fee parameters, and controls for configuring exit area bed fee parameters. Fig.12 The parameters for admission and zone bed fees mainly include: the time when the bed fee is first charged after the patient registers for admission, the number of days the bed fee is charged on the day the patient is admitted to the hospital, the number of days the bed fee is charged on the day the patient is admitted to the hospital in the afternoon, and whether the bed fee for the day is calculated in real time according to the rules when registering for admission. Fig.12 The bed fee parameters for bed change / change of area mainly include: the number of days the bed fee of the original occupied bed is charged on the day the patient is transferred or changed, the number of days the bed fee of the newly occupied bed is charged on the day the patient is transferred or changed, whether the bed fee of the day is calculated in real time according to the rules when transferring or changing beds, and the method of collecting bed fees after the bed is transferred. Fig.12 The out-of-area bed fee parameters mainly include: the days when the patient is admitted and discharged on the same day and the patient leaves the area in the morning, the days when the patient is admitted and discharged on the same day and the patient leaves the area in the afternoon, the days when the patient aged 0-12 years old (excluding 12 years old) leaves the area on the day the bed fee is charged, the days when the patient aged 12-18 years old (excluding 18 years old) leaves the area on the day the bed fee is charged, and the days when the patient aged 18-24 years old (excluding 24 years old) leaves the area on the day the bed fee is charged. Relevant personnel can configure the bed fee parameters on the bed fee billing rule configuration interface according to the actual needs of the hospital. After the configuration is completed, the bed fee configuration parameters of each business point can be obtained, and the bed fee configuration parameters of each business point can be used for automatic bed fee billing later.

[0086] To sum up, the above-mentioned inpatient bed fee billing method is adopted, and the parameterized bed fee processing mechanism is utilized to solve the problem that the existing bed fee charging method cannot meet the bed fee needs of different hospitals, realize the automatic dynamic billing of bed fees, and ensure the accuracy and timeliness of bed fee billing.

[0087] The beneficial effects of the above-mentioned inpatient bed fee billing method are mainly reflected in the following aspects:

[0088] (1) Improve work efficiency: The automated bed fee collection process through parameterized configuration can reduce manual operation time and improve work efficiency.

[0089] (2) Reduce the error rate: Using automated bed fee collection methods instead of manual bed fee collection methods to achieve on-demand automated billing can reduce manual operation errors, improve the accuracy of charges, and improve the real-time nature of bed fee collection.

[0090] (3) Reducing the burden on nurses: Bed fees are automatically collected through the program, which greatly reduces the manual payment / refund operations required by the nurse station, reduces the workload of nurses, and allows nurses to focus more on ward care.

[0091] (4) Promote the construction of medical information technology: Automating the bed fee collection process will help promote the construction of medical information technology and improve the level of medical services.

[0092] Therefore, the automated bed fee collection process using parameterized configuration can effectively solve the problems of poor accuracy, low efficiency and inability to meet the bed fee charging needs of different hospitals in the existing bed fee charging method. It improves the efficiency and accuracy of bed fee billing and can meet the bed fee charging needs of different hospitals.

[0093] Based on the above-mentioned inpatient bed fee billing method, the embodiment of the present invention also provides an inpatient bed fee billing device, see Fig.13 As shown, the inpatient bed fee billing device may include the following modules:

[0094] The first acquisition module 1302 is used to respond to the billing trigger operation of the target inpatient and acquire the bed fee configuration information and time information corresponding to the billing trigger operation; wherein the bed fee configuration information includes the bed fee billing rules corresponding to the billing trigger operation.

[0095] The second acquisition module 1304 is used to acquire the patient information and bed information of the target inpatient; wherein the patient information is used to uniquely identify the target inpatient.

[0096] The generating module 1306 is used to generate the bed fee information of the target inpatient based on the bed fee configuration information and the time information as well as the patient information and the bed information; wherein the bed fee information is bound with the time information, the patient information and the bed information.

[0097] The billing module 1308 is used to call the HIS billing interface to perform bed fee billing for the target inpatient based on the bed fee information.

[0098] By adopting the above-mentioned inpatient bed fee billing device, the bed fee configuration information and time information corresponding to the billing trigger operation as well as the patient information and bed information can be used to call the HIS billing interface to realize automatic billing of bed fees for inpatients in different hospitals, thereby improving the efficiency and accuracy of inpatient bed fee billing and being able to meet the bed fee charging needs of different hospitals.

[0099] The above-mentioned bed fee configuration information may include first billing method information representing a real-time billing method, and the above-mentioned bed fee information may include a bed fee charging operation table, a bed fee daily execution business list table and a bed fee daily charging service table for the target inpatient; based on this, the above-mentioned generation module 1306 may also be used to: generate a bed fee charging operation table for the target inpatient based on the bed fee billing rules and the time information as well as the patient information and the bed information; generate a bed fee daily execution business list table and a bed fee daily charging service table for the target inpatient based on the bed fee billing rules and the bed fee charging operation table for the target inpatient.

[0100] The above-mentioned bed fee configuration information may include second billing method information representing a timed billing method, and the above-mentioned bed fee information may include a bed fee daily execution business list table and a bed fee daily charging service table for the target inpatient; based on this, the above-mentioned generation module 1306 can also be used to: generate a bed fee daily execution business list table and a bed fee daily charging service table for the target inpatient based on the bed fee billing rules and the time information as well as the patient information and the bed information.

[0101] The above-mentioned billing module 1308 can also be used for: after calling the HIS billing interface to perform bed fee billing for the target inpatient based on the bed fee information, generating at least one bed fee daily charge tracking table for the target inpatient based on the bed fee billing result; wherein each bed fee daily charge tracking table represents the billing status of the corresponding charge service item in the bed fee daily charge service table, and the billing status is divided into unbilled, billing failed and billing successful; obtaining the target bed fee daily charge tracking table with a billing status of unbilled or billing failed, which corresponds to the target data in the bed fee daily execution business list table and the bed fee daily charge service table, respectively, and calling the HIS billing interface to re-billate the bed fee of the target inpatient based on the target data.

[0102] The inpatient bed fee billing device provided in the embodiment of the present invention has the same implementation principle and technical effects as those in the aforementioned inpatient bed fee billing method embodiment. For the sake of brief description, for matters not mentioned in the inpatient bed fee billing device embodiment, reference may be made to the corresponding contents in the aforementioned inpatient bed fee billing method embodiment.

[0103] Unless otherwise specifically stated, the relative steps, numerical expressions and values ​​of the components and steps set forth in these embodiments do not limit the scope of the present invention.

[0104] If the functions are implemented in the form of software functional units and sold or used as independent products, they can be stored in a non-volatile computer-readable storage medium that is executable by a processor. Based on this understanding, the technical solution of the present invention, or the part that contributes to the prior art, or the part of the technical solution, can be embodied in the form of a software product. The computer software product is stored in a storage medium, including several instructions for enabling a computer device (which can be a personal computer, a server, or a network device, etc.) to perform all or part of the steps of the methods described in each embodiment of the present invention. The aforementioned storage medium includes: various media that can store program codes, such as a USB flash drive, a mobile hard disk, a read-only memory (ROM), a random access memory (RAM), a magnetic disk or an optical disk.

[0105] In the description of the present invention, it should be noted that the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc., indicating the orientation or positional relationship, are based on the orientation or positional relationship shown in the drawings, and are only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore cannot be understood as limiting the present invention. In addition, the terms "first", "second", and "third" are used for descriptive purposes only, and cannot be understood as indicating or implying relative importance.

[0106] Finally, it should be noted that the above-described embodiments are only specific implementations of the present invention, which are used to illustrate the technical solutions of the present invention, rather than to limit them. The protection scope of the present invention is not limited thereto. Although the present invention is described in detail with reference to the above-described embodiments, ordinary technicians in the field should understand that any technician familiar with the technical field can still modify the technical solutions recorded in the above-described embodiments within the technical scope disclosed by the present invention, or can easily think of changes, or make equivalent replacements for some of the technical features therein; and these modifications, changes or replacements do not make the essence of the corresponding technical solutions deviate from the spirit and scope of the technical solutions of the embodiments of the present invention, and should be included in the protection scope of the present invention. Therefore, the protection scope of the present invention shall be subject to the protection scope of the claims.

Claims

1. A method for charging inpatient bed fees, characterized in that: include: In response to a billing trigger operation of a target inpatient, obtaining bed fee configuration information and time information corresponding to the billing trigger operation; wherein the bed fee configuration information includes a bed fee billing rule corresponding to the billing trigger operation; Acquire the patient information and bed information of the target inpatient; wherein the patient information is used to uniquely characterize the target inpatient; Generate the bed fee information of the target inpatient based on the bed fee configuration information and the time information as well as the patient information and the bed information; wherein the bed fee information is bound to the time information, the patient information and the bed information; The HIS billing interface is called to perform bed fee billing for the target inpatient based on the bed fee information.

2. The inpatient bed fee billing method according to claim 1, characterized in that: The bed fee configuration information includes first billing method information representing a real-time billing method, and the bed fee information includes a bed fee charging operation table, a bed fee daily execution business list table, and a bed fee daily charging service table for the target inpatient; Generating bed fee information of the target inpatient based on the bed fee configuration information and the time information as well as the patient information and the bed information, including: Generate a bed fee charging operation table for the target inpatient based on the bed fee charging rule and the time information as well as the patient information and the bed information; Based on the bed fee billing rules and the bed fee charging operation table of the target inpatient, a bed fee daily execution business list table and a bed fee daily charging service table for the target inpatient are generated.

3. The inpatient bed fee billing method according to claim 1, characterized in that: The bed fee configuration information includes second billing method information representing a timed billing method, and the bed fee information includes a bed fee daily execution business list table and a bed fee daily charging service table for the target inpatient; Generating bed fee information of the target inpatient based on the bed fee configuration information and the time information as well as the patient information and the bed information, including: Based on the bed fee billing rules and the time information as well as the patient information and the bed information, a bed fee daily execution business list table and a bed fee daily charging service table for the target inpatient are generated.

4. The method for charging inpatient bed fees according to claim 1, characterized in that: If the billing trigger operation is an admission operation, the bed fee billing rules include at least one of the following: the time when the bed fee is first charged after the patient registers for admission, the number of days the bed fee is charged on the day the patient is admitted to the hospital, and the number of days the bed fee is charged on the day the patient is admitted to the hospital in the afternoon.

5. The inpatient bed fee billing method according to claim 1, characterized in that: If the billing triggering operation is a zone transfer operation or a bed change operation, the bed fee billing rules include at least one of the following: the number of days the bed fee is charged for the original bed on the day the patient transfers or changes beds, and the number of days the bed fee is charged for the new bed on the day the patient transfers or changes beds.

6. The method for charging inpatient bed fees according to claim 1, characterized in that: If the billing trigger operation is an exit operation, the bed fee billing rule includes at least one of the following: the number of days for which the bed fee is charged if the patient is admitted and discharged on the same day and leaves the area in the morning, the number of days for which the bed fee is charged if the patient is admitted and discharged on the same day and leaves the area in the afternoon, and the number of days for which the bed fee is charged if the patient is within a preset age range and leaves the area on the day of leaving the area; If the billing trigger operation is an out-of-area recall operation, the bed fee billing rules include at least one of the following: the time of cancelling the bed fee collection on the day the patient leaves the area, and the number of days of cancelling the bed fee collection on the day the patient leaves the area.

7. The inpatient bed fee billing method according to claim 1, characterized in that: If the charging trigger operation is a bed booking operation, the bed fee charging rule includes at least one of the following: the time of charging the bed fee on the day when the patient adds a bed, and the number of days for charging the bed fee on the day when the patient adds a bed; If the billing triggering operation is to cancel the bed booking operation, the bed fee billing rules include at least one of the following: the time when the bed booking fee is stopped on the day when the patient adds a bed, and the number of days when the bed booking fee is stopped on the day when the patient adds a bed.

8. The inpatient bed fee billing method according to claim 2 or 3, characterized in that: After calling the HIS billing interface to perform bed fee billing for the target inpatient based on the bed fee information, the method further includes: generating at least one daily bed fee tracking table for the target inpatient based on the bed fee billing result; wherein each daily bed fee tracking table represents the billing status of the corresponding charged service item in the daily bed fee charging service table, and the billing status is divided into unbilled, failed billing and successful billing; Obtain the target bed fee daily charging tracking table with a billing status of not billed or failed, which corresponds to the target data in the bed fee daily execution business list table and the bed fee daily charging service table, and call the HIS billing interface to re-billate the bed fee of the target inpatient based on the target data.

9. The inpatient bed fee billing method according to claim 1, characterized in that: The charged service items in the daily bed fee service table include first-category charged service items representing diagnosis and examination fees and / or second-category charged service items representing non-diagnostic and examination fees; the billing methods for diagnosis and examination fees are divided into a first billing method representing that diagnosis and examination fees are charged both when patients enter and leave the area, and a second billing method representing that diagnosis and examination fees are charged when patients enter the area and not charged when patients leave the area; the types of non-diagnostic and examination fees are divided into first-category non-diagnostic and examination fees representing mother-child rooming-in and second-category non-diagnostic and examination fees representing non-mother-child rooming-in, and the billing method for the first-category non-diagnostic and examination fees is to charge the bed fees for beds that share the mother-child room and not charge the bed fees for beds that do not share the mother-child room.

10. A device for charging bed fees for inpatients, characterized in that: include: A first acquisition module is used to respond to a billing trigger operation of a target inpatient and acquire bed fee configuration information and time information corresponding to the billing trigger operation; wherein the bed fee configuration information includes a bed fee billing rule corresponding to the billing trigger operation; A second acquisition module is used to acquire the patient information and bed information of the target inpatient; Wherein, the patient information is used to uniquely characterize the target inpatient; A generating module, configured to generate the bed fee information of the target inpatient based on the bed fee configuration information and the time information as well as the patient information and the bed information; wherein the bed fee information is bound to the time information, the patient information and the bed information; The billing module is used to call the HIS billing interface to perform bed fee billing for the target inpatient based on the bed fee information.

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