JP2018173761A - Reception processing program, reception processing method, and reception processing device - Google Patents

Abstract

PROBLEM TO BE SOLVED: To control acceptance processing of unpaid patients according to the number of scheduled visits from the next time onward. A reception processing device 101 acquires a reception request including patient identification information. When the reception processing device 101 acquires the reception request including the patient identification information, the reception processing device 101 refers to the storage unit 110 and determines whether or not the patient has not paid the reception request corresponding to the identification information included in the reception request. When the reception processing device 101 determines that there is a non-payment, the reception processing device 101 refers to the electronic medical record information 120 of the patient corresponding to the identification information included in the reception request, and determines the number of patients scheduled to visit the hospital from the next time onward corresponding to the identification information. Identify. The reception processing device 101 controls whether or not to execute the reception processing according to the acquired reception request according to the specified number of scheduled visits from the next time onward. [Selection diagram] Fig. 1

Description

  The present invention relates to a reception processing program, a reception processing method, and a reception processing device.

  In recent years, it has become clear that there is a considerable amount of accrued medical expenses at medical institutions. Since the increase in receivables will affect the management of medical institutions, it is important to collect the receivables by appropriately prompting unpaid patients.

  As prior art, when the reception process is executed at the hospital server, the initial examination or re-examination reception process is executed, and when the consultation data is acquired from the hospital server, the registration process of the consultation data is executed, Some of them perform a medical fee payment process when a settlement instruction is acquired. In addition, there is a technology in which the re-accepting device communicates with the host computer, and if the patient has unpaid money, he / she refuses re-acceptance and clears the receivable at the depositing device or displays guidance to go to the counter. . In addition, according to the stored contents of the master file that stores the medical procedure and the required number of visits until the wound is healed according to the wound and the disease, and the master file that stores the patient's wound name and visit information, the total number of visits and the remaining number of visits There is a technology to calculate the number of visits.

JP 2014-157416 A JP 2002-24375 A Japanese Patent Laid-Open No. 11-213069

  However, in the prior art, it is difficult to efficiently prompt patients who have not paid medical expenses or the like. For example, if a reminder for all non-payment patients is performed at the hospital at the time of visit, the labor and time required for the reminder work increases, which may result in congestion at the hospital.

  In one aspect, an object of the present invention is to control unacknowledged patient acceptance processing according to the number of scheduled visits from the next time.

  In one embodiment, when an acceptance request including patient identification information is obtained, a storage unit that stores patient non-payment information is referred to, whether or not the patient corresponding to the identification information is unpaid and If determined, refer to the electronic medical record information of the patient corresponding to the identification information, identify the scheduled number of visits of the patient corresponding to the identification information from the next time onward, A reception processing program is provided for controlling whether or not a reception process corresponding to the reception request is executed.

  According to one aspect of the present invention, it is possible to control unacknowledged patient acceptance processing in accordance with the scheduled number of visits after the next time.

FIG. 1 is an explanatory diagram of an example of the reception processing method according to the embodiment. FIG. 2 is an explanatory diagram illustrating a system configuration example of the information processing system 200. FIG. 3 is a block diagram illustrating a hardware configuration example of the reception processing apparatus 101. FIG. 4 is a block diagram showing an example of the hardware configuration of the automatic repeater accepting machine Ti. FIG. 5 is an explanatory diagram showing an example of the contents stored in the accounts receivable management DB 220. FIG. 6 is an explanatory diagram showing an example of the contents stored in the standard visit count DB 230. FIG. 7 is an explanatory diagram showing an example of the contents stored in the planned payment date DB 240. FIG. 8 is an explanatory diagram showing an example of the contents stored in the electronic medical record DB 260. FIG. 9 is a block diagram illustrating a functional configuration example of the reception processing apparatus 101. FIG. 10 is an explanatory diagram showing a screen example of the payment acceptance confirmation screen SC. FIG. 11 is an explanatory diagram showing an example of a re-arrival reception by the automatic re-arrival reception machine Ti. FIG. 12 is a flowchart (part 1) illustrating an example of the dunning level determination processing procedure of the reception processing apparatus 101. FIG. 13 is a flowchart (part 2) illustrating an example of the dunning level determination processing procedure of the reception processing apparatus 101. FIG. 14 is a flowchart (part 1) illustrating an example of a reception process procedure of the reception processing apparatus 101. FIG. 15 is a flowchart (part 2) illustrating an example of a reception processing procedure of the reception processing apparatus 101.

  Hereinafter, embodiments of a reception processing program, a reception processing method, and a reception processing device according to the present invention will be described in detail with reference to the drawings.

(Embodiment)
FIG. 1 is an explanatory diagram of an example of the reception processing method according to the embodiment. In FIG. 1, a reception processing apparatus 101 is a computer that controls whether or not to perform a reception process in response to a reception request including patient identification information. Here, the patient is a person who undergoes medical treatment or examination at a medical institution. The medical institution is, for example, a hospital or a clinic.

  The acceptance request is a request for acceptance of medical treatment or examination. The accepting process is a process for accepting a request for medical care or examination, for example, a process for making a reservation for medical care or examination on the day. The acceptance request can be made, for example, from the automatic repeater accepting machine 102 of the medical institution by patient operation.

  The automatic revising reception machine 102 is a computer for automating re-reception reception (reception processing at the second and subsequent visits), and is installed for the purpose of reducing the burden on the staff of the window or reducing congestion. According to the automatic revising reception machine 102, the patient can make a reception request without going to the window. However, the acceptance request may be accepted from, for example, a patient's smartphone or mobile phone.

  Here, in a medical institution, a reminder operation for a patient who has not paid medical expenses or the like is often performed by a member of the medical department. On the other hand, the staff of the Medical Affairs Division is often busy with other tasks, and the current situation is that sufficient measures are not taken. For example, if a reminder for all non-payment patients is performed at the hospital at the time of visit, the labor and time required for the reminder work increases, which may result in congestion at the hospital. In addition, the medical expenses for each patient are often small, and it is not desirable to provide a large number of full-time staff or to prompt all unpaid patients.

  Therefore, in the present embodiment, a reception processing method for improving the efficiency of the reminding operation for unpaid patients by controlling the execution of the unpaid patient reception processing in accordance with the scheduled number of visits after the next time will be described. Hereinafter, a processing example of the reception processing apparatus 101 will be described.

  (1) The reception processing apparatus 101 acquires a reception request including patient identification information. Specifically, for example, the reception processing apparatus 101 acquires the reception request 103 by receiving the reception request 103 from the automatic repeat reception machine 102. The acceptance request 103 includes patient identification information.

  (2) When receiving the reception request including the patient identification information, the reception processing apparatus 101 refers to the storage unit 110 to determine whether or not the patient corresponding to the identification information included in the reception request is unpaid. Here, the memory | storage part 110 memorize | stores a patient's unpaid information. The unpaid information is information that can specify whether the patient is unpaid. In the example of FIG. 1, it is assumed that it is determined that the patient corresponding to the identification information included in the acceptance request 103 (that is, the request source of the acceptance request 103) has not been paid.

  (3) If it is determined that there is no payment, the reception processing apparatus 101 refers to the patient's electronic medical record information 120 corresponding to the identification information included in the reception request, and the next and subsequent visits of the patient corresponding to the identification information Specify the planned number. Here, the electronic medical record information 120 is information obtained by electronically recording a medical record. In the medical record, for example, a patient's disease name, medical condition, treatment, progress, and the like are recorded. The electronic medical record information 120 may be included in the reception processing apparatus 101 or may be obtained from an electronic medical record system of a medical institution.

  In addition, the number of visits scheduled for the next and subsequent visits is the number of future visits to medical institutions. For example, the standard number of visits to complete cure varies depending on the type of illness. For this reason, the reception processing apparatus 101 may determine the number of scheduled visits after the next time according to the disease name included in the electronic medical record information 120.

  More specifically, for example, the reception processing apparatus 101 specifies a standard number of visits corresponding to the patient's disease name included in the electronic medical record information 120. Next, the reception processing apparatus 101 refers to the electronic medical record information 120 and specifies the number of times (including the current visit) that the patient has visited so far for medical treatment or examination of the disease with the disease name. Then, the reception processing apparatus 101 specifies the scheduled number of visits after the next time by subtracting the number of visits so far from the standard number of visits. However, the scheduled number of visits of the patient after the next time may be registered in the electronic medical record information 120 by a medical worker such as a doctor or a nurse.

  (4) The reception processing apparatus 101 controls whether or not to execute the reception process according to the acquired reception request, according to the specified number of visits scheduled for the next and subsequent times. Specifically, for example, the reception processing apparatus 101 does not execute the reception process according to the reception request 103 when the scheduled number of visits after the next time is zero.

  At this time, the reception processing apparatus 101 may output information regarding non-payment. The information regarding non-payment is, for example, information indicating that the patient is unpaid. The information regarding non-payment may include, for example, patient identification information and an unpaid amount. Specifically, for example, the reception processing apparatus 101 may display information regarding non-payment on the automatic repeater reception machine 102.

  As a result, a patient who has no scheduled visit to the next time and is urgently urged to collect unpaid money can be guided to the window without being automatically accepted by the automatic re-accepting machine 102. Then, at the time of acceptance at the window, it is possible to remind the patient about the accrued money, and it is possible to avoid a situation in which the accrued money cannot be collected due to the opportunity of the reminder.

  Further, for example, the reception processing device 101 executes reception processing according to the reception request 103 when the scheduled number of visits after the next time is 1 or more. At this time, the reception processing apparatus 101 may output information regarding non-payment. As a result, for patients who are scheduled to visit the next and subsequent times, it is possible to send them directly to the clinical department or examination department by performing automatic reception at the automatic re-entry reception machine 102, assuming that there is no urgent need for receivables. .

  Therefore, according to the reception processing device 101, not all non-paid patients can be guided to the window, but only non-paid patients whose urgent need is urgent can be guided to the window, thereby reducing the burden on the staff of the window. can do. In addition, it is possible to perform a careful reminding action for non-payment patients who are not scheduled to come to the hospital in the future, and it is possible to reduce omissions in the collection of accounts receivable.

(System configuration example of the information processing system 200)
Next, the case where the reception processing apparatus 101 shown in FIG. 1 is applied to the information processing system 200 introduced into the medical institution M will be described as an example.

  FIG. 2 is an explanatory diagram illustrating a system configuration example of the information processing system 200. In FIG. 2, the information processing system 200 includes a non-accrual reminder system 201, an electronic medical record system 202, automatic re-accepting machines T1 to Tn (n: a natural number of 2 or more), and client devices C1 to Cm (m: 2 or more). Natural number). In the information processing system 200, the non-accrual reminding system 201, the electronic medical record system 202, the automatic re-accepting machines T 1 to Tn, and the client devices C 1 to Cm are connected via a wired or wireless network 210. The network 210 is, for example, a local area network (LAN), a wide area network (WAN), or the Internet.

  In the following description, any of the automatic revising reception machines T1 to Tn may be referred to as “automatic recurring reception machine Ti” (i = 1, 2,..., N). The automatic repeat reception machine 102 shown in FIG. 1 corresponds to, for example, the automatic repeat reception machine Ti. In addition, any client device among the client devices C1 to Cm may be referred to as “client device Cj” (j = 1, 2,..., M).

  The acceptance processing apparatus 101 is one of computers that realizes a non-accrual reminding system 201 that manages information related to receivables. The reception processing device 101 is a server, for example. The reception processing apparatus 101 includes a non-accrual management DB (Database) 220, a standard visit count DB 230, a scheduled payment date DB 240, and a slip DB 250. The contents stored in the non-accrual management DB 220, the standard visit count DB 230, and the scheduled payment date DB 240 will be described later with reference to FIGS. The storage unit 110 illustrated in FIG. 1 corresponds to, for example, the non-accrual management DB 220.

  The slip DB 250 stores slip information. The slip information is information on a slip issued at the medical institution M. The slip information is, for example, information indicating medical expenses corresponding to the patient's medical treatment contents, examination contents, prescription drugs, etc. in association with the slip ID. The slip ID is identification information for uniquely identifying the slip information.

  The electronic medical record system 202 is a computer system that has an electronic medical record DB 260 and electronically records and stores medical records recorded by medical personnel such as doctors and nurses. The contents stored in the electronic medical record DB 260 will be described later with reference to FIG.

  The automatic revising reception machine Ti is a computer that makes a reception request. The automatic re-arrival machine Ti is installed near the entrance of the medical institution M, for example. When a patient who has come to the medical institution M inserts an examination ticket cd into the automatic re-arrival reception machine Ti, a patient ID recorded on the examination ticket cd is read by a reading unit 405 shown in FIG. The automatic re-accepting machine Ti transmits a reception request including the read patient ID to the reception processing apparatus 101.

  The client device Cj is a computer used by the staff of the medical institution M. The client device Cj is, for example, a PC (Personal Computer) installed at the window of the medical institution M. Further, the client device Cj may be a smart phone, a mobile phone, a PHS (Personal Handyphone System), a tablet PC, or the like of a person in charge of collecting the uncollected money.

  In addition, although the case where the reception processing apparatus 101 is a computer of the non-accrual reminder system 201 has been described as an example here, the present invention is not limited thereto. For example, the reception processing apparatus 101 may be realized by a computer of the electronic medical record system 202.

(Hardware configuration example of reception processing apparatus 101)
FIG. 3 is a block diagram illustrating a hardware configuration example of the reception processing apparatus 101. In FIG. 3, the reception processing apparatus 101 includes a CPU (Central Processing Unit) 301, a memory 302, an I / F (Interface) 303, a disk drive 304, and a disk 305. Each component is connected by a bus 300.

  Here, the CPU 301 governs overall control of the reception processing apparatus 101. The memory 302 includes, for example, a ROM (Read Only Memory), a RAM (Random Access Memory), and a flash ROM. Specifically, for example, a flash ROM or ROM stores various programs, and a RAM is used as a work area for the CPU 301. The program stored in the memory 302 is loaded into the CPU 301 to cause the CPU 301 to execute the coded process.

  The I / F 303 is connected to the network 210 through a communication line, and is connected to other computers (for example, the electronic medical record system 202, the automatic re-accepting machines T1 to Tn, the client apparatuses C1 to Cm shown in FIG. 2) via the network 210. Connected. The I / F 303 serves as an interface between the network 210 and the inside of the apparatus, and controls input / output of data from other computers. For example, a modem or a LAN adapter may be employed as the I / F 303.

  The disk drive 304 controls reading / writing of data with respect to the disk 305 according to the control of the CPU 301. The disk 305 stores data written under the control of the disk drive 304. Examples of the disk 305 include a magnetic disk and an optical disk.

  The reception processing device 101 may include, for example, an SSD (Solid State Drive), an input device, a display, and the like in addition to the above-described components. Further, the client apparatuses C1 to Cm illustrated in FIG. 2 can also be realized by the same hardware configuration as that of the reception processing apparatus 101. However, the client devices C1 to Cm have an input device and a display.

(Hardware configuration example of automatic repeater Ti)
FIG. 4 is a block diagram showing an example of the hardware configuration of the automatic repeater accepting machine Ti. In FIG. 4, the automatic re-accepting machine Ti includes a CPU 401, a memory 402, an input device 403, an I / F 404, a reading unit 405, a display 406, and a printing unit 407. Each component is connected by a bus 400.

  Here, the CPU 401 governs overall control of the automatic repeater accepting machine Ti. The memory 402 includes, for example, a ROM, a RAM, a flash ROM, and the like. Specifically, for example, a flash ROM or ROM stores various programs, and the RAM is used as a work area of the CPU 401. The program stored in the memory 402 is loaded on the CPU 401 to cause the CPU 401 to execute the coded process.

  The input device 403 has keys for inputting characters, numbers, various instructions, etc., and inputs data. The input device 403 may be a keyboard or a mouse, or may be a touch panel type input pad or a numeric keypad.

  The I / F 404 is connected to the network 210 via a communication line, and is connected to another computer (for example, the reception processing apparatus 101) via the network 210. The I / F 404 controls an interface between the network and the inside of the apparatus, and controls data input / output from other computers.

  The reading unit 405 reads information recorded on the patient's examination ticket cd. The examination ticket cd is, for example, an IC (Integrated Circuit) card. The reading unit 405 is an IC card reader, for example.

  The display 406 displays data such as a document, an image, and function information as well as a cursor, an icon, or a tool box. As the display 406, for example, a liquid crystal display, a CRT (Cathode Ray Tube), or the like can be employed. A printing unit 407 prints image data and document data.

  The automatic re-arrival machine Ti may include, for example, an SSD, an HDD (Hard Disk Drive), a speaker, etc. in addition to the above-described components.

(Contents stored in the accounts receivable management DB 220)
Next, the contents stored in the non-accrual management DB 220 of the reception processing apparatus 101 will be described. The non-accrual management DB 220 is realized by a storage device such as the memory 302 and the disk 305 shown in FIG.

  FIG. 5 is an explanatory diagram showing an example of the contents stored in the accounts receivable management DB 220. In FIG. 5, the non-accrual management DB 220 includes fields of patient ID, name, non-payment slip ID, dunning prohibition flag, exclusion condition flag, attention flag, promise default flag, dunning level, and related patient ID. By setting information in each field, uncollected management information (for example, uncollected management information 500-1 to 500-3) is stored as a record.

  Here, the patient ID is identification information that uniquely identifies a patient of the medical institution M. The name is the name of the patient. The non-payment slip ID is a slip ID of a slip relating to a medical fee not paid by the patient. The dunning prohibition flag is a flag indicating whether or not dunning to the patient is prohibited. Here, the dunning prohibition flag “1” indicates that dunning to the patient is prohibited. The dunning prohibition flag “0” indicates that dunning to the patient is not prohibited. For example, “1” is set in a reminder prohibition flag of a patient who cannot pay medical expenses for economic reasons or a patient who is in conflict with a medical practice.

  The exclusion condition flag is a flag indicating whether or not the patient satisfies the exclusion condition. The exclusion condition is a condition for exclusion from the dunning target. Here, the exclusion condition flag “1” indicates that the exclusion condition is satisfied. The exclusion condition flag “0” indicates that the exclusion condition is not satisfied. For example, “1” is set in the exclusion condition flag of a patient who has a future scheduled date of payment, a patient who is scheduled to be admitted to the medical institution M, a patient who is undergoing insurance adjustment, or a patient who has been prompted on that day.

  The attention flag is a flag indicating whether or not the person is a person requiring attention. Here, the attention flag “1” indicates that the person needs attention. The attention flag “0” indicates that the person is not a person who needs attention. For example, “1” is set in the attention flag of a patient who is a non-payment addict or a Kramer. The promise non-performing flag is a flag indicating whether or not the promise of paying medical expenses by the scheduled payment date has been fulfilled. The promise failure flag “1” indicates that the promise has not been fulfilled. The promise non-fulfillment flag “0” indicates that there is no current promise, the promise date is before, the promise has been fulfilled, or the like.

  The dunning level indicates the degree to which dunning should be performed for accounts receivable. Here, any of “0, 1, 2, 3” is set as the dunning level. The degree to which the dunning level “0” should be dunned is the lowest, and the dunning level “3” has the highest degree to be dunned. The related patient ID indicates a patient ID of another patient related to the patient with the patient ID. Examples of other related patients include a family member and a living person.

  When unpaid medical expenses are paid, the corresponding non-accrual management information is deleted from the non-accrual management DB 220.

(Contents stored in the standard visit count DB 230)
Next, the contents stored in the standard visit count DB 230 of the reception processing apparatus 101 will be described. The standard visit frequency DB 230 is realized by a storage device such as the memory 302 and the disk 305 shown in FIG.

  FIG. 6 is an explanatory diagram showing an example of the contents stored in the standard visit count DB 230. In FIG. 6, the standard visit frequency DB 230 has fields of disease name code and standard visit frequency, and by setting information in each field, standard visit frequency information (for example, standard visit frequency information 600-1 to 600-5). ) As a record.

  Here, the disease name code is a code corresponding to the disease name. The standard number of visits indicates the standard number of visits until the patient with the disease name corresponding to the disease name code is completely cured. The standard number of visits is set based on the average number of visits, for example. Note that the disease name code of the representative disease name may be set as the disease name code.

  The representative disease name is a collection of a plurality of disease names that have the same standard number of visits and are medically similar, or a plurality of disease names with similar symptoms. For example, “fracture” is a representative disease name that aggregates “fractures of the phalanges”, “fractures of the radius”, “fractures of the nasal bone”, and the like. When the disease name code of the representative disease name is set, the disease name code may be the same even for different disease names.

(Stored contents of the payment date DB 240)
Next, the contents stored in the scheduled payment date DB 240 of the reception processing apparatus 101 will be described. The scheduled payment date DB 240 is realized by, for example, a storage device such as the memory 302 and the disk 305 shown in FIG.

  FIG. 7 is an explanatory diagram showing an example of the contents stored in the planned payment date DB 240. In FIG. 7, the scheduled payment date DB 240 includes fields for patient ID and scheduled payment date. By setting information in each field, scheduled payment date information (for example, scheduled payment date information 700-1 and 700-2). ) As a record.

  Here, the patient ID is identification information that uniquely identifies a patient of the medical institution M. The scheduled payment date is a date designated as a due date for the patient to pay the unpaid medical expenses. When unpaid medical expenses are paid, the corresponding payment date information is deleted from the payment date DB 240.

(Contents stored in the electronic medical record DB 260)
Next, the contents stored in the electronic medical record DB 260 of the electronic medical record system 202 will be described. The electronic medical record DB 260 is realized by a storage device of the electronic medical record system 202, for example.

  FIG. 8 is an explanatory diagram showing an example of the contents stored in the electronic medical record DB 260. In FIG. 8, the electronic medical record DB 260 has fields of patient ID, name, disease name, disease name code, number of visits, and current position. By setting information in each field, electronic medical record information (for example, electronic medical record information 800) -1,800-2) is stored as a record.

  Here, the patient ID is identification information that uniquely identifies a patient of the medical institution M. The name is the name of the patient. The disease name is the patient's disease name. The disease name code is a disease name code corresponding to the patient's disease name. The number of visits indicates the number of times the patient has visited for medical examination or examination of the disease with the corresponding disease name.

  The current position indicates the current position of the patient in the medical institution M. For example, when the acceptance process is executed by the automatic repeater accepting machine Ti, an examination room or examination room for performing medical examination or examination for the day is set in the current position field. On the other hand, when the acceptance process is not executed by the automatic repeater acceptance machine Ti, a window is set in the current position field. When there is no patient in the medical institution M or when the current position cannot be specified, “-(Null)” is set in the current position field.

  The electronic medical record DB 260 may store information such as the patient's age, sex, address, and contact information in association with the patient ID. The electronic medical record information 120 illustrated in FIG. 1 corresponds to, for example, the electronic medical record information 800-1 and 800-2.

(Functional configuration example of the reception processing apparatus 101)
FIG. 9 is a block diagram illustrating a functional configuration example of the reception processing apparatus 101. In FIG. 9, the reception processing apparatus 101 includes an acquisition unit 901, a determination unit 902, a specification unit 903, an execution control unit 904, and an output unit 905. The acquisition unit 901 to the output unit 905 are functions as control units. Specifically, for example, by causing the CPU 301 to execute a program stored in a storage device such as the memory 302 and the disk 305 illustrated in FIG. Alternatively, the function is realized by the I / F 303. The processing result of each functional unit is stored in a storage device such as the memory 302 and the disk 305, for example.

  The acquisition unit 901 acquires a reception request including patient identification information. Specifically, for example, the acquisition unit 901 acquires the reception request including the patient ID by receiving the reception request including the patient ID from the automatic re-arrival reception machine Ti.

  The determination unit 902 refers to the non-accrual management DB 220 (see FIG. 5) to determine whether or not the patient corresponding to the identification information included in the acquired reception request is unpaid. Specifically, for example, the determination unit 902 searches for the account receivable management information corresponding to the patient ID included in the acceptance request from the account receivable management DB 220. Here, when the non-accrual management information is searched, the determination unit 902 determines that the patient has not been paid. On the other hand, when the non-accrual management information is not searched, the determination unit 902 determines that there is no non-payment to the patient.

  As an example, taking the patient with the patient ID “P1” as an example, the non-accrual management information 500-1 is retrieved from the non-accrual management DB 220, and it is determined that there is no unpaid. Taking the patient with the patient ID “P2” as an example, the non-accrual management information 500-2 is retrieved from the non-accrual management DB 220, and it is determined that there is no unpaid.

  When it is determined that there is no payment, the specifying unit 903 refers to the patient's electronic medical record information corresponding to the identification information included in the acceptance request, and specifies the number of patients scheduled to visit the next time corresponding to the identification information. To do. Specifically, for example, when it is determined that there is no payment, the specifying unit 903 inquires of the electronic medical record system 202 (see FIG. 2) about electronic medical record information corresponding to the patient ID included in the reception request.

  When the electronic medical record system 202 receives an inquiry specifying a patient ID, the electronic medical record system 202 extracts electronic medical record information corresponding to the specified patient ID from the electronic medical record DB 260 (see FIG. 8). Then, the electronic medical chart system 202 transmits the extracted electronic medical chart information to the reception processing apparatus 101.

  Next, the specifying unit 903 specifies the patient's disease name code and the number of visits with reference to the electronic medical record information obtained from the electronic medical record system 202. This number of visits is the number of visits up to the previous visit. Further, the identifying unit 903 refers to the standard visit count DB 230 (see FIG. 6), and identifies the standard visit count corresponding to the identified disease name code. And the specific | specification part 903 specifies the patient's scheduled visit number after the next time using following formula (1). The reason for adding “1” to the number of visits is to consider this visit.

    Scheduled number of visits after next time = standard number of visits-(number of visits + 1) ... (1)

  As an example, taking the patient with the patient ID “P1” as an example, the disease name code “dc4” and the number of visits “3” are specified from the electronic medical record information 800-1. Also, the standard visit count “10” corresponding to the disease name code “dc4” is specified from the standard visit count DB 230. Then, the scheduled number of visits “6 (= 10− (3 + 1))” from the next time onward is specified from the above formula (1).

  Taking the patient with the patient ID “P2” as an example, the disease name code “dc5” and the number of visits “4” are specified from the electronic medical record information 800-2. Also, the standard visit count “5” corresponding to the disease name code “dc5” is specified from the standard visit count DB 230. Then, the scheduled number of visits “0 (= 5- (4 + 1))” from the next time is specified from the above formula (1).

  When the patient has a plurality of illnesses, the specifying unit 903 may specify the maximum number of scheduled visits among the next and subsequent visit numbers of the plurality of illnesses.

  The execution control unit 904 controls whether or not to execute the reception process according to the reception request in accordance with the specified scheduled number of visits after the next time. Here, the acceptance process is a process of making a reservation for medical treatment or examination. For example, if the medical treatment of the teacher A of internal medicine was reserved at the previous visit, the medical treatment reservation “Internal medicine examination room: teacher A from 10:00” on the day is registered in the electronic medical record system 202 by the reception process.

  Specifically, for example, when the scheduled number of visits after the next time is zero, the execution control unit 904 does not execute the reception process according to the reception request. On the other hand, when the scheduled number of visits after the next time is 1 or more, the execution control unit 904 may execute an acceptance process according to the acceptance request.

  In addition, the execution control unit 904 does not execute the acceptance process according to the acceptance request when the scheduled number of visits after the next time is less than the threshold value α, and accepts when the scheduled number of visits after the next time is the threshold value α or more. You may decide to perform the acceptance process according to a request. The threshold value α can be arbitrarily set. For example, a value of about 1 to 3 is set.

  Moreover, when not performing the reception process according to the reception request, the execution control unit 904 may control the automatic return reception machine Ti and output a message that prompts the user to move to the window. For example, “Please come to the window.” Is a message. Specifically, for example, the execution control unit 904 may display a message prompting the user to move to the window on the display 406 (see FIG. 4) or print out the message from the printing unit 407 (see FIG. 4).

  As an example, taking the patient with the patient ID “P1” as an example, the scheduled number of visits after the next time is “6”. In this case, the execution control unit 904 executes an acceptance process corresponding to the acceptance request because the scheduled number of visits after the next time is 1 or more. Taking the patient with the patient ID “P2” as an example, the scheduled number of visits after the next time is “0”. In this case, the execution control unit 904 outputs, for example, a message that prompts the user to move to the window without executing the reception process according to the reception request. Thereby, the patient P2 whose visit number after the next time is “0” can be guided to the window.

  The output unit 905 outputs unpaid information when it is determined that there is no payment. Here, unpaid information is information regarding unpaid, for example, information indicating that the patient is unpaid. The unpaid information may include, for example, a patient ID and an unpaid amount (unpaid amount). The unpaid amount (accrued amount) can be specified from, for example, the unpaid slip ID of the uncollected management information.

  More specifically, for example, the reception processing apparatus 101 acquires slip information corresponding to the unpaid slip ID of the patient's non-payment management information from the slip DB 250 (see FIG. 2). Then, the reception processing apparatus 101 identifies the medical cost represented by the acquired slip information as an unpaid amount (accrued amount) of the patient. However, when a plurality of pieces of slip information are acquired, the reception processing apparatus 101 specifies the amount of accumulated medical expenses represented by each piece of acquired slip information as the accrued amount of the patient.

  The output format of the output unit 905 includes, for example, display on the display 406 of the automatic repeater reception machine Ti, print output to the printing unit 407 of the automatic repeater reception machine Ti, transmission to the client device Cj by the I / F 303, and the like. .

  Specifically, for example, when the acceptance process according to the acceptance request is not executed, the output unit 905 controls the automatic repeater acceptance machine Ti to display a message regarding non-payment on the display 406 or from the printing unit 407. It may be printed out. The message about unpaid is, for example, “There is unpaid medical expenses. Please make an early payment. ”Is notified of the unpaid presence.

  Further, for example, when the reception process according to the reception request is not executed, the output unit 905 may transmit the non-payment information of the patient corresponding to the patient ID included in the reception request to a specific terminal device. The specific terminal device may be, for example, the client devices C1 to Cm illustrated in FIG. 2 or may be any one of the client devices C1 to Cm.

  Specifically, for example, the output unit 905 transmits unpaid information including the patient ID included in the acceptance request to the client device Cj installed at the window or the client device Cj of the person in charge of collection who collects the uncollected money. It may be. Thereby, it is possible to notify the staff of the window and the person in charge of collecting the unpaid money that a patient who has not been paid and whose scheduled visit number is “0” after the next visit has come.

  Further, for example, when the acceptance process according to the acceptance request is executed, the output unit 905 controls the automatic repeater accepting machine Ti, and prints a message regarding non-payment on the acceptance slip by the printing unit 407 and outputs it. You may decide to do it. The acceptance form is a paper medium issued from the automatic re-entry acceptance machine Ti in response to the acceptance process being executed. On the reception slip, for example, a reception number, a scheduled medical treatment or scheduled start time of examination, a place, and the like are printed.

  The execution control unit 904 may output non-payment information and accept the selection as to whether or not to accept payment for non-payment when the scheduled number of visits after the next time is 1 or more. The selection as to whether or not to accept the payment is made on an operation screen displayed on the display 406 of the automatic repeater accepting machine Ti, for example, a payment acceptance confirmation screen SC1 shown in FIG.

  Then, the execution control unit 904 may execute a reception process according to the reception request when a selection for approving payment is received. On the other hand, if the execution control unit 904 receives a selection that does not accept payment, the execution control unit 904 may not execute the reception process according to the reception request.

  Moreover, when the execution control unit 904 receives a selection for approving payment, the execution control unit 904 may further receive an input of a scheduled date of payment. Then, the execution control unit 904 may execute a reception process corresponding to the reception request when receiving an input of the scheduled payment date. On the other hand, the execution control unit 904 may not execute the reception process corresponding to the reception request when the input of the scheduled payment date is not received.

  The input payment date is stored in the payment date DB 240 shown in FIG. 7 in association with the patient ID included in the acceptance request, for example. When a part or all of the medical expenses are not paid by the scheduled payment date, “1” is set in the promise non-execution flag of the corresponding non-accrual management information shown in FIG. Is done.

  Further, the determination unit 902 may determine the reminder level of a patient who has not been paid. The dunning level is an index indicating the degree to which dunning should be performed for accounts receivable. Specifically, for example, the determination unit 902 may refer to the non-accrual management DB 220 and determine that the urgency level of the patient whose urgency is prohibited among patients who have not been paid is “0”. .

  Further, for example, the determination unit 902 refers to the non-accrual management DB 220 and determines that the dunning level of a patient who satisfies the condition (exclusion condition) to be excluded from the dunning target among patients who have not been paid is “1”. May be. Further, for example, the determination unit 902 may refer to the non-accrual management DB 220 and determine that the reminder level of a patient who is a person requiring attention is “3” among patients who have not received payment.

  Further, for example, the determination unit 902 refers to the non-accrual management DB 220 and determines that the reminder level of patients who have not fulfilled the promise of paying medical expenses by the scheduled date of payment among patients who have not been paid is “2”. You may decide to do it. At this time, the determination unit 902 may determine that the dunning level is “3” when the amount receivable (amount of receivable) is equal to or greater than the threshold value X.

  The threshold value X can be arbitrarily set. For example, the threshold value X is set to about tens of thousands to hundreds of thousands of yen. The accrued amount can be specified from, for example, the unpaid slip ID of the unpaid management information. More specifically, for example, the determination unit 902 acquires, from the slip DB 250 (see FIG. 2), slip information corresponding to the unpaid slip ID of the patient's non-payment management information. Then, the determination unit 902 specifies the sum of the medical expenses represented by the acquired slip information as the accrued amount of the patient.

  As an example, taking the unpaid management information 500-3 of the patient ID “P3” as an example, the determination unit 902 receives slip information s3 and s15 corresponding to the unpaid slip ID of the unpaid management information 500-3 from the slip DB 250. To get. Then, the determination unit 902 identifies the sum of the medical expenses represented by the acquired slip information s3 and s15 as the unpaid amount (accrued amount) of the patient.

  Further, for example, the determination unit 902 may determine that the reminder level of the patient whose predetermined period has elapsed since the slip with the non-paid slip ID is issued is “3”. The issue date of the slip is specified from the slip information. The predetermined period can be arbitrarily set. For example, the predetermined period is set based on a period until medical billing becomes effective. For example, when the period of aging is “3 years”, the predetermined period is set to about “2 years and 10 months”.

  The determined patient's reminding level is stored in the non-accrual management DB 220 in association with the patient's patient ID.

  Further, the execution control unit 904 may control whether or not to execute a reception process corresponding to the reception request based on the patient's reminder level. The dunning level can be specified, for example, from the account receivable management information corresponding to the patient ID included in the acceptance request. Specifically, for example, when the dunning level is “0”, the execution control unit 904 may execute a reception process according to the reception request.

  Further, for example, when the dunning level is “3”, the execution control unit 904 may not execute the reception process according to the reception request. Further, for example, the execution control unit 904 may execute the reception process according to the reception request when the dunning level is “1” and the scheduled number of visits after the next time is 1 or more. .

  Further, for example, when the dunning level is “2” and the scheduled number of visits after the next time is 1 or more, the execution control unit 904 accepts selection of whether to accept or reject payment for non-payment. May be. Then, the execution control unit 904 may execute a reception process according to the reception request when a selection for approving payment is received. On the other hand, the execution control unit 904 may not execute the reception process according to the reception request when the selection for rejecting the payment is received.

(Screen example of payment acceptance confirmation screen SC)
Next, a screen example of the payment acceptance confirmation screen SC displayed on the display 406 of the automatic repeater acceptance machine Ti will be described.

  FIG. 10 is an explanatory diagram showing a screen example of the payment acceptance confirmation screen SC. In FIG. 10, a payment acceptance confirmation screen SC1 is an operation screen that includes non-payment information 1000 and accepts selection of whether or not to accept non-payment payment. According to the payment acceptance confirmation screen SC1, the user (patient) can refer to the non-payment information 1000 to confirm that there is unpaid medical expenses, which is the medical treatment, and how much is not paid. it can.

  When one of the buttons 1001 and 1002 is selected by a user operation using the input device 403 shown in FIG. 4 on the payment acceptance confirmation screen SC1, it is possible to select whether or not to accept payment for non-payment. For example, when the button 1001 is selected, a payment acceptance confirmation screen SC2 is displayed on the display 406. In this case, the execution control unit 904 of the reception processing apparatus 101 receives a selection for accepting payment for non-payment.

  The payment acceptance confirmation screen SC2 is an operation screen that accepts input of a scheduled payment date. When the buttons 1003 to 1005 are selected by a user operation on the payment acceptance confirmation screen SC2, the year / month / day as the scheduled payment date can be selected. When the button 1006 is selected, a calendar is displayed, and a payment date can be selected from the calendar.

  When the button 1007 is selected on the payment acceptance confirmation screen SC2 with the planned payment date selected, the execution control unit 904 of the reception processing apparatus 101 accepts the input of the selected planned payment date. However, when the scheduled payment date is a date beyond a certain period (for example, one month) from the current date, the execution control unit 904 may output an alert that prompts the user to input the scheduled payment date again.

  Further, when the button 1002 is selected on the payment acceptance confirmation screen SC1, the payment acceptance confirmation screen SC3 is displayed on the display 406. In this case, the execution control unit 904 of the acceptance processing apparatus 101 accepts a selection that does not accept payment for non-payment. According to the payment acceptance confirmation screen SC3, it is possible to guide a user (patient) who refuses to pay for non-payment to the window.

(Re-entry reception example with automatic re-entry reception machine Ti)
Next, with reference to FIG. 11, an example of re-entry reception at the automatic re-entry reception machine Ti will be described. However, the execution example of the reception process according to the reception request described here is an example.

  FIG. 11 is an explanatory diagram showing an example of a re-arrival reception by the automatic re-arrival reception machine Ti. In FIG. 11, automatic repeat reception machines T <b> 1 to T <b> 4 installed in the medical institution M are displayed, and the patients Pa, Pb, Pc, and Pd use the automatic repeat reception apparatuses T <b> 1 to T <b> 4.

  Patient Pa is a patient who has not been paid yet or has a dunning level “0”. In the case of the patient Pa, the acceptance process is executed in response to the acceptance request in the automatic repeater acceptance machine T1. For this reason, the patient Pa can go directly to the clinical department or the examination department without going to the window.

  The patient Pb is a patient with a dunning level “1”. In the case of the patient Pb, when the scheduled number of visits after the next time is 1 or more, the automatic revising reception machine T2 performs the reception process. On the other hand, when the scheduled number of visits after the next time is zero, the acceptance process is not executed in the automatic re-arrival acceptance machine T2. For this reason, the patient Pb is guided to the window only when the visit to the medical institution M is the last, and other than that, the patient Pb can go directly to the medical department or the examination department.

  The patient Pc is a patient with a dunning level “2”. In the case of the patient Pc, when the scheduled number of visits after the next time is 1 or more and the payment for non-payment is accepted (or the payment date is input), the acceptance process is executed in the automatic re-entry accepting machine T3. . On the other hand, when the scheduled number of visits after the next time is zero, or when payment for non-payment is refused, the acceptance process is not executed in the automatic re-arrival acceptance machine T3. For this reason, the patient Pc is guided to the window when the visit to the medical institution M is the last time or when payment for non-payment is refused, and otherwise, the patient Pc can go directly to the medical department or examination department.

  The patient Pd is a patient with a dunning level “3”. In the case of the patient Pd, the reception process is not executed in the automatic repeat reception machine T4. For this reason, the patient Pd cannot perform reception processing unless he / she goes to the window.

  Further, when the acceptance process is not executed in each of the automatic re-accepting machines T1 to T4, the non-payment information including the patient ID included in the acceptance request is the client apparatus Cj installed at the window or the client apparatus of the person in charge of collecting the uncollected Sent to Cj. For this reason, the staff of the window and the person in charge of collection can grasp that the patient who should be reminded has come to the hospital and can not miss the opportunity to collect the uncollected money. For example, the person in charge of collection can access the electronic medical record system 202 to confirm the current position of the patient corresponding to the patient ID included in the non-payment information and go to the patient for reminding. Further, the person in charge of collection refers to the related patient ID of the non-payment management information corresponding to the patient ID included in the non-payment information, and if the non-payment patient's family etc. is unpaid, the corresponding reminder is also performed. be able to.

(Various processing procedures of the reception processing apparatus 101)
Next, various processing procedures of the reception processing apparatus 101 will be described with reference to FIGS. First, the dunning level determination processing procedure of the reception processing apparatus 101 will be described with reference to FIGS. 12 and 13. The dunning level determination process is executed, for example, periodically (such as once a day) and / or when the accounts receivable management DB 220 is updated.

  12 and 13 are flowcharts illustrating an example of the dunning level determination processing procedure of the reception processing apparatus 101. In the flowchart of FIG. 12, first, the reception processing apparatus 101 determines whether there is unselected receivable management information that has not been selected from the receivable management DB 220 (step S1201).

  Here, when there is unselected receivable management information (step S1201: Yes), the reception processing apparatus 101 selects unselected receivable management information that has not been selected from the receivable management DB 220 (step S1202). Next, the reception processing apparatus 101 refers to the selected non-accrual management information and determines whether or not the dunning prohibition flag is “1” (step S1203).

  Here, when the dunning prohibition flag is “1” (step S1203: Yes), the reception processing apparatus 101 sets “0” as the dunning level of the selected non-accrual management information (step S1204), and the process proceeds to step S1201. Return. On the other hand, when the dunning prohibition flag is “0” (step S1203: No), the reception processing apparatus 101 refers to the selected receivable management information and determines whether or not the exclusion condition flag is “1”. (Step S1205).

  Here, when the exclusion condition flag is “1” (step S1205: Yes), the reception processing apparatus 101 sets “1” as the dunning level of the selected non-accrual management information (step S1206), and the process proceeds to step S1201. Return. On the other hand, when the exclusion condition flag is “0” (step S1205: No), the reception processing apparatus 101 refers to the selected non-accrual management information and determines whether or not the attention flag is “1” ( Step S1207).

  If the caution flag is “1” (step S1207: YES), the reception processing apparatus 101 sets “3” as the reminder level of the selected non-accrual management information (step S1208), and the process returns to step S1201. . On the other hand, when the attention flag is “0” (step S1207: No), the reception processing apparatus 101 proceeds to step S1301 illustrated in FIG.

  In the flowchart of FIG. 13, first, the reception processing apparatus 101 refers to the selected non-accrual management information and determines whether or not the promise default flag is “1” (step S1301). Here, when the promise non-performing flag is “0” (step S1301: No), the reception processing apparatus 101 refers to the selected receivable management information and determines whether or not the receivable amount is 100,000 yen or more. (Step S1302).

  Here, when the accrued amount is less than 100,000 yen (step S1302: No), the reception processing apparatus 101 sets “1” as the dunning level of the selected receivable management information (step S1303), and FIG. The process returns to the step S1201 shown. On the other hand, when the accrued amount is 100,000 yen or more (step S1302: Yes), the reception processing apparatus 101 sets “2” as the dunning level of the selected receivable management information (step S1304), as shown in FIG. Return to step S1201.

  In step S1301, if the promise non-performing flag is “1” (step S1301: Yes), the reception processing apparatus 101 refers to the selected receivable management information and determines whether the receivable amount is 100,000 yen or more. Is determined (step S1305).

  Here, when the amount receivable is less than 100,000 yen (step S1305: No), the reception processing apparatus 101 proceeds to step S1304. On the other hand, if the amount receivable is 100,000 yen or more (step S1305: YES), the reception processing apparatus 101 sets “3” as the dunning level of the selected receivable management information (step S1306), as shown in FIG. Return to step S1201.

  Also, in step S1201 shown in FIG. 12, if there is no uncollected management information (step S1201: No), the reception processing apparatus 101 ends the series of processes according to this flowchart. Thereby, the dunning level for every patient who has not paid can be determined.

  Next, the reception processing procedure of the reception processing device 101 will be described with reference to FIGS. 14 and 15.

  14 and 15 are flowcharts illustrating an example of a reception process procedure of the reception processing apparatus 101. In the flowchart of FIG. 14, first, the reception processing apparatus 101 determines whether or not an acceptance request including a patient ID has been acquired from the automatic re-arrival acceptance machine Ti (step S1401).

  Here, the reception processing apparatus 101 waits for acquisition of a reception request (step S1401: No). If the acceptance processing apparatus 101 obtains the acceptance request (step S1401: Yes), the receipt processing information is retrieved from the accounts receivable management DB 220 for the account receivable management information corresponding to the patient ID included in the acceptance request (step S1402).

  Next, the reception processing apparatus 101 determines whether or not unaccounted money management information has been searched (step S1403). Here, when the non-accrual management information is not searched (step S1403: No), the reception processing apparatus 101 executes a reception process according to the acquired reception request (step S1404), and a series of processes according to this flowchart. Exit.

  On the other hand, when the account receivable management information is retrieved (step S1403: Yes), the reception processing apparatus 101 refers to the retrieved account receivable management information to determine whether the dunning level is “0” ( Step S1405). Here, when the dunning level is “0” (step S1405: Yes), the reception processing apparatus 101 proceeds to step S1404.

  On the other hand, when the dunning level is not “0” (step S1405: No), the reception processing apparatus 101 refers to the retrieved non-accrual management information and determines whether the dunning level is “3” ( Step S1406). Here, if the dunning level is “3” (step S1406: Yes), the reception processing apparatus 101 controls the automatic re-entry reception machine Ti and displays a message prompting the user to move to the window on the display 406 (step S1407). ). Then, the reception processing apparatus 101 transmits patient non-payment information corresponding to the patient ID included in the acquired reception request to the client apparatus Cj (step S1408), and the series of processes according to this flowchart ends.

  In step S1406, when the dunning level is not “3” (step S1406: No), the reception processing apparatus 101 refers to the electronic medical record information corresponding to the patient ID included in the reception request, and the next and subsequent visits. The planned number is specified (step S1409). Then, the reception processing apparatus 101 determines whether or not the specified scheduled number of visits after the next time is equal to or less than zero (step S1410).

  Here, when the scheduled number of visits after the next time is less than or equal to zero (step S1410: Yes), the reception processing device 101 controls the automatic re-entry reception machine Ti to display a message prompting the user to move to the window on the display 406. (Step S1411). Then, the reception processing apparatus 101 transmits patient non-payment information corresponding to the patient ID included in the reception request to the client apparatus Cj (step S1412), and ends a series of processes according to this flowchart.

  In step S1410, when the scheduled number of visits after the next time is 1 or more (step S1410: No), the reception processing apparatus 101 proceeds to step S1501 shown in FIG.

  In the flowchart of FIG. 15, the reception processing apparatus 101 first determines whether or not the dunning level is “1” with reference to the retrieved account management information (step S1501). Here, when the dunning level is “1” (step S1501: Yes), the reception processing apparatus 101 executes a reception process according to the reception request (step S1502). Then, the reception processing apparatus 101 controls the automatic return reception machine Ti, outputs a reception slip on which unpaid information is printed by the printing unit 407 (step S1503), and ends a series of processing according to this flowchart.

  If the dunning level is “2” in step S1501 (step S1501: No), the reception processing device 101 controls the automatic re-accepting machine Ti and displays the payment acceptance confirmation screen SC on the display 406 (step 1501). S1504). Then, the reception processing apparatus 101 determines whether or not an input of a scheduled payment date has been received (step S1505).

  Here, when the input of the planned payment date is received (step S1505: Yes), the reception processing apparatus 101 registers the input planned payment date in the planned payment date DB 240 in association with the patient ID included in the reception request. (Step S1506). Next, the reception processing apparatus 101 executes a reception process according to the reception request (step S1507). Then, the reception processing apparatus 101 controls the automatic return reception machine Ti, outputs a reception slip on which unpaid information is printed by the printing unit 407 (step S1508), and ends a series of processing according to this flowchart.

  If it is determined in step S1505 that input of the scheduled date of payment has not been received (step S1505: No), the reception processing apparatus 101 sets “1” in the caution flag of the searched non-accrual management information (step S1509). Next, the reception processing apparatus 101 controls the automatic repeat reception machine Ti to display a message for prompting movement to the window on the display 406 (step S1510). Then, the reception processing device 101 transmits patient non-payment information corresponding to the patient ID included in the reception request to the client device Cj (step S1511), and ends a series of processing according to this flowchart.

  Thereby, the acceptance process of the non-payment patient by the automatic re-arrival acceptance machine Ti can be controlled in accordance with the scheduled number of visits and the reminder level after the next time.

  As described above, according to the reception processing apparatus 101 according to the embodiment, when a reception request including a patient ID is acquired from the automatic re-arrival reception machine Ti, the non-accrual management DB 220 is referred to correspond to the patient ID. Whether the patient has not been paid can be determined. Then, according to the reception processing device 101, when it is determined that there is no payment, the scheduled number of visits from the next time is specified by referring to the electronic medical record information of the patient corresponding to the patient ID, Accordingly, it is possible to control whether or not to execute a reception process corresponding to the reception request.

  As a result, it is possible to guide the patient to the counter so as not to perform automatic reception by the automatic re-receipt acceptance machine Ti for unpaid patients who have few plans to visit the medical institution M and are urgently requested. In addition, unpaid patients who still have an opportunity to be reminded can be automatically received by the automatic re-entry reception machine Ti and not guided to the window. That is, instead of guiding all unpaid patients to the window, only unpaid patients who are urgently requested are guided to the window, thereby reducing the burden on the staff of the window and the person in charge of collection. In addition, it is possible to perform a careful reminding action on unpaid patients who are less likely to come to the hospital in the future, and it is possible to reduce omissions in collecting unpaid money.

  Further, according to the reception processing device 101, when the scheduled number of visits after the next time is zero, the reception processing according to the reception request is not executed and unpaid information can be output. Thereby, it is possible not to perform automatic reception by the automatic re-receipt acceptance machine Ti for unpaid patients who have no future visit plans. Further, for example, by outputting unpaid information to the automatic re-accepting machine Ti, it is possible to notify the patient of unpaid existence.

  Further, according to the reception processing device 101, when the scheduled number of visits after the next time is 1 or more, the reception processing according to the reception request can be executed and unpaid information can be output. As a result, unpaid patients whose future visit schedule is even once can be automatically received by the automatic re-entry reception machine Ti and not guided to the window. Moreover, the fall of the patient's satisfaction by excessive dunning action can be suppressed. Further, for example, by outputting unpaid information to the automatic re-accepting machine Ti, it is possible to notify the patient of unpaid existence.

  Moreover, according to the reception processing apparatus 101, the scheduled number of visits from the next time onward can be specified according to the disease name included in the electronic medical record information of the patient corresponding to the patient ID included in the reception request. This makes it possible to estimate the scheduled number of visits from the next time onward from the patient's disease name, without the need for the doctor, nurse, or the like to register the scheduled number of visits from the next time on or later in the electronic medical record information.

  Further, according to the reception processing device 101, when the number of visits scheduled for the next and subsequent times is 1 or more, unpaid information can be output and a selection as to whether or not to accept payment for unpaid can be accepted. Then, according to the reception processing device 101, when a selection that does not accept payment is received, it is possible to perform a control that does not execute the reception process according to the reception request.

  Thereby, even if there is a future visit schedule, non-payment patients who do not accept payment for non-payment can be guided to the window without being automatically accepted by the automatic re-arrival machine Ti. And it becomes possible to perform a careful prompting action for the non-payment patient who has not accepted the payment for some reason, and it is possible to reduce the omission of collection of unpaid money.

  Further, according to the reception processing apparatus 101, when a selection for approving payment is received, it is possible to perform control to execute a reception process corresponding to the reception request. Thereby, about the non-payment patient who accepted the payment about non-payment, it can receive automatically by the automatic re-entry reception machine Ti, and it can avoid guiding to a window. Moreover, at the time of automatic reception, it is possible to recognize that there is an unpaid medical fee for a non-paid patient and that it is necessary to pay it.

  Further, according to the reception processing device 101, when a selection for approving payment is received, it is possible to further receive an input of a scheduled date of payment. Then, according to the reception processing device 101, when the input of the scheduled payment date is received, the reception processing according to the reception request is executed. When the input of the planned payment date is not received, the reception according to the reception request is performed. Control that does not execute the processing can be performed. As a result, even if the payment for non-payment is accepted, it is further necessary to pay unpaid medical expenses to the non-paid patient by performing an operation to input the scheduled payment date. Can be conscious.

  Further, according to the reception processing device 101, when the reception processing according to the reception request is not executed, the non-payment information of the patient corresponding to the patient ID included in the reception request can be transmitted to the client device Cj. As a result, it is possible to notify the staff at the window and the person in charge of collection that the patient to be urged has visited. In addition, the collection staff, not the counter staff, reminds, so that the labor and time required for the staff of the staff can be reduced. Further, since the person in charge of collection can confirm the current position of the patient from the electronic medical record information, the patient can visit the patient at an appropriate timing while in the hospital and perform a reminder. For this reason, it is possible to improve the efficiency of the reminder operation of the person in charge of collection, and the number of persons in charge of collection can be reduced.

  Further, according to the reception processing device 101, the dunning level can be determined based on the attributes of patients who have not been paid (for example, dunning prohibition flag, exclusion condition flag, caution flag, promise default flag, etc.). Then, according to the reception processing device 101, it is possible to control whether or not to execute the reception process according to the reception request based on the determined dunning level.

  Thereby, the non-payment patient who should be reminded can be finely distributed. For example, it is possible to prevent the patient from paying medical expenses for economic reasons. In addition, for a patient who has a future scheduled date of payment, a patient who is scheduled to be admitted to the medical institution M, or a patient who is in the middle of insurance adjustment, the dunning level can be lowered to lower the priority of the dunning. Moreover, about the patient who is an unpaid addict or a Kramer, the dunning level can be made high and the priority which performs dunning can be raised. In addition, for a patient who has not fulfilled the promise of paying medical expenses by the scheduled payment date, the dunning level can be increased to increase the priority for dunning.

  For these reasons, according to the information processing system 200 according to the embodiment, it is possible to improve the efficiency of the dunning work in the medical institution M and increase the collection rate of unpaid money.

  The reception processing method described in the present embodiment can be realized by executing a program prepared in advance on a computer such as a personal computer or a workstation. This reception processing program is recorded on a computer-readable recording medium such as a hard disk, a flexible disk, a CD-ROM, an MO (Magneto-Optical disk), a DVD (Digital Versatile Disk), a USB (Universal Serial Bus) memory, It is executed by being read from the recording medium by a computer. Further, the reception processing program may be distributed via a network such as the Internet.

  The following additional notes are disclosed with respect to the embodiment described above.

(Appendix 1) Upon obtaining an acceptance request including patient identification information, refer to the storage unit storing the patient non-payment information, determine whether the patient corresponding to the identification information is unpaid,
If it is determined that there is unpaid, refer to the electronic medical record information of the patient corresponding to the identification information, identify the scheduled number of visits of the patient corresponding to the identification information from the next time,
Control whether or not to execute the acceptance process according to the acceptance request according to the number of scheduled visits after the next time specified,
A reception processing program for causing a computer to execute processing.

(Supplementary Note 2) If the scheduled number of visits after the next time is zero, the acceptance process according to the acceptance request is not executed, and information on non-payment is output.
The reception processing program according to supplementary note 1, characterized by:

(Supplementary Note 3) If the scheduled number of visits after the next time is 1 or more, the acceptance process according to the acceptance request is executed, and information on non-payment is output.
The reception processing program according to supplementary note 1, characterized by:

(Appendix 4) The process of specifying the number of scheduled visits after the next time specifies the number of scheduled visits after the next time according to the disease name included in the electronic medical record information of the patient corresponding to the identification information.
The reception processing program according to supplementary note 1, characterized by:

(Supplementary Note 5) When the scheduled number of visits after the next time is 1 or more, the process to be controlled outputs information on non-payment, and accepts a selection as to whether or not to accept payment for non-payment.
When accepting the selection not accepting payment, the acceptance process according to the acceptance request is not executed.
The reception processing program according to supplementary note 1, characterized by:

(Additional remark 6) The process to control performs the reception process according to the said reception request, when the selection which approves payment is received.
The acceptance processing program according to appendix 5, characterized in that:

(Supplementary note 7) If the acceptance process according to the acceptance request is not executed, information on non-payment of the patient corresponding to the identification information is transmitted to a specific terminal device.
The reception processing program according to attachment 1, wherein the computer causes the computer to execute processing.

(Appendix 8) The acceptance request is acquired from an automatic repeater acceptance machine installed in a medical institution,
If the acceptance process according to the acceptance request is not executed, a message that prompts the user to move to the medical institution's window is output to the automatic repeater acceptance machine.
The reception processing program according to attachment 1, wherein the computer causes the computer to execute processing.

(Supplementary Note 9) Upon obtaining an acceptance request including patient identification information, refer to the storage unit storing the patient non-payment information, determine whether the patient corresponding to the identification information is unpaid,
If it is determined that there is unpaid, refer to the electronic medical record information of the patient corresponding to the identification information, identify the scheduled number of visits of the patient corresponding to the identification information from the next time,
Control whether or not to execute the acceptance process according to the acceptance request according to the number of scheduled visits after the next time specified,
A reception processing method, wherein a computer executes a process.

(Additional remark 10) When acquiring the acceptance request including the identification information of the patient, refer to the storage unit storing the non-payment information of the patient, determine whether the patient corresponding to the identification information is unpaid,
If it is determined that there is unpaid, refer to the electronic medical record information of the patient corresponding to the identification information, identify the scheduled number of visits of the patient corresponding to the identification information from the next time,
Control whether or not to execute the acceptance process according to the acceptance request according to the number of scheduled visits after the next time specified,
A reception processing apparatus having a control unit.

DESCRIPTION OF SYMBOLS 101 Reception processing apparatus 102 Automatic re-entry reception machine 110 Storage part 120 Electronic medical record information 200 Information processing system 201 Receivables reminder system 202 Electronic medical record system 210 Network 220 Receivable management DB
230 Standard Visit Count DB
240 Scheduled payment date DB
250 slip DB
260 Electronic Medical Record DB
300, 400 Bus 301, 401 CPU
302, 402 Memory 303, 404 I / F
304 disk drive 305 disk 403 input device 405 reading unit 406 display 407 printing unit 901 acquisition unit 902 determination unit 903 identification unit 904 execution control unit 905 output unit

Claims (6)

When obtaining the acceptance request including the patient identification information, refer to the storage unit storing the patient non-payment information, determine whether the patient corresponding to the identification information is unpaid,
If it is determined that there is unpaid, refer to the electronic medical record information of the patient corresponding to the identification information, identify the scheduled number of visits of the patient corresponding to the identification information from the next time,
Control whether or not to execute the acceptance process according to the acceptance request according to the number of scheduled visits after the next time specified,
A reception processing program for causing a computer to execute processing. If the scheduled number of visits after the next time is zero, the acceptance process according to the acceptance request is not executed, and information on non-payment is output.
The acceptance processing program according to claim 1, wherein: If the scheduled number of visits after the next time is 1 or more, execute an acceptance process according to the acceptance request, and output information on non-payment.
The acceptance processing program according to claim 1, wherein: The process of specifying the scheduled number of visits after the next specifies the scheduled number of visits after the next time according to the disease name included in the electronic medical record information of the patient corresponding to the identification information.
The acceptance processing program according to claim 1, wherein: When obtaining the acceptance request including the patient identification information, refer to the storage unit storing the patient non-payment information, determine whether the patient corresponding to the identification information is unpaid,
If it is determined that there is unpaid, refer to the electronic medical record information of the patient corresponding to the identification information, identify the scheduled number of visits of the patient corresponding to the identification information from the next time,
Control whether or not to execute the acceptance process according to the acceptance request according to the number of scheduled visits after the next time specified,
A reception processing method, wherein a computer executes a process. When obtaining the acceptance request including the patient identification information, refer to the storage unit storing the patient non-payment information, determine whether the patient corresponding to the identification information is unpaid,
If it is determined that there is unpaid, refer to the electronic medical record information of the patient corresponding to the identification information, identify the scheduled number of visits of the patient corresponding to the identification information from the next time,
Control whether or not to execute the acceptance process according to the acceptance request according to the number of scheduled visits after the next time specified,
A reception processing apparatus having a control unit.

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