Research on Management of disease class and Expenditure Control of Inpatient Participating in Medical Insurance
Hao Lu
Abstract
Hao Lu
Abstract
The article presented the method and software of monitoring the diagnosis and treatment process of inpatient participating in medical insurance.For the patients who paid fee according to medicine items,we could get the information from web case record and doctor's order.When we found the items that didn't accord with regulations of medical insurance,we could communicate with doctors in time.For the patients who paid fee according to single class of disease,we could calculate in-hospital days and expenditure,and provide information of comparison with standard expenditure for managers and doctor's treatment.
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The article presented the method and software of monitoring the diagnosis and treatment process of inpatient participating in medical insurance.For the patients who paid fee according to medicine items,we could get the information from web case record and doctor's order.When we found the items that didn't accord with regulations of medical insurance,we could communicate with doctors in time.For the patients who paid fee according to single class of disease,we could calculate in-hospital days and expenditure,and provide information of comparison with standard expenditure for managers and doctor's treatment.
Key concepts: Actuarial science, Class (philosophy), Medical insurance, Control (management), Order (exchange), Medical record, Medicine, Family medicine