基于医院信息系统的住院费用检查系统的设计与应用

摘要

Objective: To prevent the error of overcharging fees, missing fees and mistaken identity fees, check the inpatient expense rationality with using the self-developed software system. Methods:With extracting data from HIS and other systems, check and audit the inpatient expense, such as billing classification, red account records, logic checks, integrity checks, etc, according to pre-established rules. Results:Using the auditing software can greatly improve the work efficiency and the accuracy of inpatient expense, reduce the incidence of billing dispute issue. Conclusion:This system has valuable reference and be worth generalizing because it can bring the social benefit to hospital.%目的：利用自主开发的软件，检查住院患者的费用合理性情况，防止费用的多收、漏收及记账的“张冠李戴”现象。方法：从医院信息系统(HIS)和其他系统中提取相关的费用数据和诊疗信息，按预先制定好的规则进行费用的各种检查与稽核，如账单分类、冲账记录、逻辑性检查、完整性检查以及结果汇总等。结果：通过软件进行自动稽核，提高了工作效率和患者住院费用收取的准确性，减少了计费纠纷的发生率。结论：患者住院费用检查系统的应用给医院带来了良好的社会效益，具有一定的借鉴意义和推广价值。