HIS中医保收费项目对应及实现方法

The Correspondence of Charges Collectable of the Health Insurance in HIS and the Implementation Method

目的使医院HIS收费项目与医管中心的收费项目标准保持一致。方法利用PL/SQL developer对医管中心提供的收费项目excel文档通过关键字与医院HIS中的收费项目进行比较,并对HIS中的收费项目不一致的地方进行替换或插入。结果保证医院收费项目与医管中心的收费项目标准一致,医护人员可及时准确了解医保患者费用的医保标准信息,方便对患者费用进行把关,严格控制自费项目的使用,并确保提供给医保患者清单自付比例等相关信息的准确性。结论避免了繁重的手工操作,简单易行,保证HIS收费项目数据的准确性、一致性。

Objective Keeping a correspondence between the standards for hospital HIS charges collectable and those for the charging items in the health insurance management center. Methods Using PL/SQL developer to make a comparison between the excel document containing the charges collectable provided by the health insurance management center and the charging items in the hospital HIS through keyword and replacing the charges collectable that do not conform or inserting a new one. Results Ensuring a uniform standard for charges collectable in the hospital and for those in the health insurance management center so that medical staff could know exactly the health insurance standard for charges of the insured patients to strictly control the self-paying items and make sure the relevant information on the insured patient＇s list is accurate including the self-paid ratio. Conclusion Avoiding the burdensome manual operation. It is simple and easy to do to guarantee the accuracy and consistency of the data of HIS charges collectable.