Application of Medical Service Price Intelligent Supervision in the Management of Psychiatric Hospitals——A Case Study of a Hospital in Nantong City

China Health Insurance ›› 2025, Vol. 0 ›› Issue (11) : 106-113.

China Health Insurance ›› 2025, Vol. 0 ›› Issue (11) : 106-113. DOI: 10.19546/j.issn.1674-3830.2025.11.012
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Application of Medical Service Price Intelligent Supervision in the Management of Psychiatric Hospitals——A Case Study of a Hospital in Nantong City

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Abstract

Objective: This article explores the price supervision and management mechanism of psychiatric hospitals, focusing on the development and application of intelligent price supervision systems, and uses information technology to solve traditional price management problems, in order to promote high-quality development of hospitals. Method: We develop a price intelligent supervision system and build an audit rule database that meets the requirements of clinical diagnosis and treatment, medication standards, and real-time updates of medical insurance policies. Relying on the HIS, we use an integrated platform to extract billing data, and conduct real-time online review of each medical expense. A full process management approach of "prior reminder, in-process supervision, and post audit" was adopted to cover supervision and statistical methods were used to analyze practical effectiveness. Result: Information technology has optimized the price management process, solved the problems of traditional price supervision and management, and provided scientific and efficient regulatory solutions. Conclusion: This model enables real-time online review of medical expenses, early detection and correction of suspected violations, and prevention of irregular medical behaviors, implement pricing policies to ensure compliance, improve work efficiency, reduce operating costs, and lay the foundation for the high-quality development of psychiatric hospitals.

Key words

psychiatric hospital / price management / intelligent supervision / informatization

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Application of Medical Service Price Intelligent Supervision in the Management of Psychiatric Hospitals——A Case Study of a Hospital in Nantong City[J]. China Health Insurance. 2025, 0(11): 106-113 https://doi.org/10.19546/j.issn.1674-3830.2025.11.012

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