电子病历系统下住院费用审核探析

Exploration and Analysis on Audit of Hospitalization Expenses in the System of Electronic Medical Record

目的分析在电子病历系统下住院费用审核现状,探索一条高质、高效的审核路径。方法对2350本出院病历需调整的费用进行分析。结果调整的内容涉及住院费用与回执不对等、时间差异等6个方面。结论医院在计费准确的保障措施上做得还不够到位,造成住院费用审核难度大。实施先进的管理模式,强化审核力量等是提高审核质量的有效措施。

Objective： To analyze the present situation of hospitalization expense audit and explore an effective path for audit. Method：The author analyzes 2,350 discharge books of medical records whose expenses need adjustment. Re- suit：The adjusting contents fail to match receipts of hospitalization expenses and there is time difference, and some other mismatches. Conclusion：The hospital didn＇t do enough for the guaranteeing measures of accurate billing, which causes the great difficulty in auditing hospitalization expenses and then the author suggests that the effective measures for improving audit quality are to practice advanced management mode and reinforce audit.