• 제목/요약/키워드: Claim Management

검색결과 340건 처리시간 0.023초

현행 응급의료비 미수금대불제도에 대한 법리적 고찰 (Legalistic Study Of The Subrogation Payment System In Emergency Medicine)

  • 송기민;김윤신;이영호
    • 의료법학
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    • 제9권2호
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    • pp.139-179
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    • 2008
  • This study was carried out to investigate the present conditions and discuss the issues of the Subrogation payment system in emergency medicine. Hitherto preceding study is focusing on controversial of management or efficient control of Subrogation payment system in emergency medicine. The object of this study is legalistic study of the Subrogation payment system in emergency medicine. The Current legalistic issues of subrogation payment system in emergency medicine are the following aspects; Firstly, there are a claimant conformity to the standard limit. Secondly, the review system is not propriety of the promptitude. Thirdly, there is a lack of propriety claim for compensation of a support responsible person. Fourthly, there are objectivity and fairness of administrative appeal system Fifthly, the point where one starts counting of extinctive prescription. Sixthly, the administrative punishment is an illogical system. Lastly, equity and fairness of the Review Agency, as an insurance company and an review Agency are sameness In conclusion, we ought to improvement an unnecessary obstructions of promptitude in the Subrogation payment system in emergency medicine, and ensure a right of emergency medicine without delay.

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객체 지향 질의 처리에서 의미적 재작성 규칙에 관한 연구 (Semantic Rewrite Rules at Object Oriented Query processing)

  • 이홍로;곽훈성;류근호
    • 한국정보처리학회논문지
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    • 제2권4호
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    • pp.443-452
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    • 1995
  • 객체 지향 데이타베이스 시스템은 복잡한 데이타 관리 기능에 대한 응용을 제공하 는 효과적인 해결책으로써 제안되어왔다. 질의 처리와 같은 문제점에 대한 연구와 이 러한 요구를 입증하는 것은 형식적인 객체지향 질의 모델이 없어서 진척되지 못하고 있다. 본 논문은 집단화 상속성에 기반한 질의 모델을 정의하며, 질의의 대수 표현에 서 재작성 규칙을 보존하는 동등성에 적용할 수 있는 의미적 재작성 규칙을 개발한다. 이질의 모델을 의미적으로 분석하여 논리적으로 최적화하고, 질의의 대수식들은 등가 보존 재작성 규칙에 의하여 최적화될 수 있다.

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XPERNATO-TOX: an Integrated Toxicogenomics Knowledgebase

  • Woo Jung-Hoon;Kim Hyeoun-Eui;Kong Gu;Kim Ju-Han
    • Genomics & Informatics
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    • 제4권1호
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    • pp.40-44
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    • 2006
  • Toxicogenomics combines transcriptome, proteome and metabolome profiling with conventional toxicology to investigate the interaction between biological molecules and toxicant or environmental stress in disease caution. Toxicogenomics faces the problems of comparison and integration across different sources of data. Cause of unusual characteristics of toxicogenomic data, researcher should be assisted by data analysis and annotation for getting meaningful information. There are already existing repositories which claim to stand for toxicogenomics database. However, those just contain limited abilities for toxicogenomic research. For supporting toxicologist who comes up against toxicogenomic data flood, now we propose novel toxicogenomics knowledgebase system, XPERANTO-TOX. XPERANTO-TOX is an integrated system for toxicogenomic data management and analysis. It is composed of three distinct but closely connected parts. Firstly, Data Storage System is for reposit many kinds of '-omics' data and conventional toxicology data. Secondly, Data Analysis System consists of analytical modules for integrated toxicogenomics data. At last, Data Annotation System is for giving extensive insight of data to researcher.

Secure and Energy-Efficient Join-Leave Operations in ZigBee Network

  • Kim, Bong-Whan;Park, Chang-Seop
    • KSII Transactions on Internet and Information Systems (TIIS)
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    • 제7권11호
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    • pp.2874-2892
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    • 2013
  • Since security plays an important role in several ZigBee applications, such as Smart Energy and medical sensor applications, ZigBee Specification includes various security mechanisms to protect ZigBee frames and infrastructure. Among them, the Join and Leave operations of ZigBee are investigated in this paper. The current Join-Leave operation is protected by the network key (a kind of group key). We claim it is not adequate to employ the network key for such purpose, and propose a new Join-Leave operation protected by the application link key (a kind of pairwise key), which is based on a more efficient key management scheme than that of ZigBee. Hence, the original Join operation consists of a total of 12 command frames, while the new Join operation consists of only 6 command frames. In particular, the security of the proposed Join-Leave operation is equivalent to or better than that of the original Join-Leave operation. The new Join-Leave operation is extensively analyzed in terms of security and efficiency, and compared with the original Join-Leave operation of ZigBee.

The Moderating Effect of Media Synchronicity in the Communication Media Use and Knowledge Creation

  • Ryoo, Sung-Yul;Koo, Chul-Mo
    • Asia pacific journal of information systems
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    • 제20권2호
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    • pp.103-124
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    • 2010
  • Social communications using information and communication technologies (ICT) for social interactions have been making a significant impact on task performance in organizations. However, most of the existing studies on ICT (e.g., telephone and email) have only focused on technical improvement of communication efficiencies (e.g., information exchange and storage). In this paper, we claim that ICT may be another alternative source of knowledge creation that enables employees to work, find solutions, and achieve their goals faster and better. We investigate the impact of ICT in terms of both tasks and social aspects with knowledge creation as task performance. Also, we investigate the moderating effect of media synchronicity on these relationships. This study contributes to the understanding of contemporary communications media usage and its performance in organizations. We collected and analyzed survey data of 248 company employees, using PLS. The results indicate that task urgency and social influence directly affect ICT usage, and even knowledge creation. Also the media synchronicity moderates the relationship between the characteristics of a given task and ICT usage and the relationship between ICT usage and knowledge creation. Theoretical and practical implications of these findings are also discussed in the paper.

On Effective Slack Reclamation in Task Scheduling for Energy Reduction

  • Lee, Young-Choon;Zomaya, Albert Y.
    • Journal of Information Processing Systems
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    • 제5권4호
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    • pp.175-186
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    • 2009
  • Power consumed by modern computer systems, particularly servers in data centers has almost reached an unacceptable level. However, their energy consumption is often not justifiable when their utilization is considered; that is, they tend to consume more energy than needed for their computing related jobs. Task scheduling in distributed computing systems (DCSs) can play a crucial role in increasing utilization; this will lead to the reduction in energy consumption. In this paper, we address the problem of scheduling precedence-constrained parallel applications in DCSs, and present two energy- conscious scheduling algorithms. Our scheduling algorithms adopt dynamic voltage and frequency scaling (DVFS) to minimize energy consumption. DVFS, as an efficient power management technology, has been increasingly integrated into many recent commodity processors. DVFS enables these processors to operate with different voltage supply levels at the expense of sacrificing clock frequencies. In the context of scheduling, this multiple voltage facility implies that there is a trade-off between the quality of schedules and energy consumption. Our algorithms effectively balance these two performance goals using a novel objective function and its variant, which take into account both goals; this claim is verified by the results obtained from our extensive comparative evaluation study.

Natural language processing techniques for bioinformatics

  • Tsujii, Jun-ichi
    • 한국생물정보학회:학술대회논문집
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    • 한국생물정보시스템생물학회 2003년도 제2차 연례학술대회 발표논문집
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    • pp.3-3
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    • 2003
  • With biomedical literature expanding so rapidly, there is an urgent need to discover and organize knowledge extracted from texts. Although factual databases contain crucial information the overwhelming amount of new knowledge remains in textual form (e.g. MEDLINE). In addition, new terms are constantly coined as the relationships linking new genes, drugs, proteins etc. As the size of biomedical literature is expanding, more systems are applying a variety of methods to automate the process of knowledge acquisition and management. In my talk, I focus on the project, GENIA, of our group at the University of Tokyo, the objective of which is to construct an information extraction system of protein - protein interaction from abstracts of MEDLINE. The talk includes (1) Techniques we use fDr named entity recognition (1-a) SOHMM (Self-organized HMM) (1-b) Maximum Entropy Model (1-c) Lexicon-based Recognizer (2) Treatment of term variants and acronym finders (3) Event extraction using a full parser (4) Linguistic resources for text mining (GENIA corpus) (4-a) Semantic Tags (4-b) Structural Annotations (4-c) Co-reference tags (4-d) GENIA ontology I will also talk about possible extension of our work that links the findings of molecular biology with clinical findings, and claim that textual based or conceptual based biology would be a viable alternative to system biology that tends to emphasize the role of simulation models in bioinformatics.

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노인소비자에 관한 문헌고찰과 미래연구의 방향 (A Literature Review and Future Research Direction on the Elderly Consumer)

  • 홍은표
    • 한국생활과학회지
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    • 제6권2호
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    • pp.73-82
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    • 1997
  • This study intends to recognize the old as an independent consumer, and to examine the behavioral characteristics of the old through literature review. This study also tries to suggest the direction of study on the elderly consumers' behavior. It has been generally accepted that the elderly consumers are highly constricted in purchase behavior or in information process capacity by the decline of biological competence. But according to the literature review, this general viewpoint does not reflect the reality. The literatures say that the old consumers do not so much differ from the non-old consumers in behavioral characteristics. They rather seem to be more active consumers. Nevertheless, what they claim could be a fallacy due to the overspecialization of sample. And another direction of future research is to change the age boundary of the old. The existing studies were largely based on the distinction between the old and the non-old by the age of 60 or 65. It is possible that behavioral difference is diffused by the common purchasing patterns of cohort around the age of 60 or 65. Accordingly it would be a good attempt to widen the range of age group more than 10 years.

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Case Study on Driver's Liability in Cargo Transit

  • Kwak, Young-Arm
    • 산경연구논집
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    • 제8권6호
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    • pp.25-31
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    • 2017
  • Purpose - This study examines car accidents that occurred in South Korea territory, and analyzes criminal liability of the offender and certain issues of driver's insurance, but a civil liability to the injured is excluded as civil liability belongs to auto insurance. Research design, data, and methodology - With carrying out this research, case study of driver's liability and literature review were adopted throughout. For this, car accidents that occurred in South Korean territory were examined and then criminal liability of the offender and certain issues of driver's insurance were analyzed. Results - From this case study on driver's liability it was found that the offender cannot receive insurance money from the insurer irrespective of the valid drive insurance, if there is no 'bill of agreement of criminal consensus'. This study suggests some ideas, offers suggestions of convenience and assistance of qualified claim staff to overcome a hurdle of drive insurance. Conclusions - As long as the accident is not a fraud and scam by the parties concerned, advance payment of agreement of criminal consensus is required to the insured, the policy holder within the limit of liability of driver insurance, on condition that the drive insurance is valid.

상급종합병원 근처의 한 지역약국 처방전 분석에 의한 노인 환자의 다약제복용과 약제비용 및 잠재적으로 부적절한 약물사용 관련 위험인자 (Risk Factors of Potentially Inappropriate Medications and Cost by Polypharmacy among Elderly Patients of a Community Pharmacy near a Top Tier General Hospital)

  • 김아람;김홍아;이정연
    • 한국임상약학회지
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    • 제25권3호
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    • pp.159-165
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    • 2015
  • Objective: Polypharmacy is one of the main causes of inappropriate medication use, adverse drug-related events and cost. It aimed to investigate the status of polypharmacy and potentially inappropriate medication (PIM), the factors affecting polypharmacy and cost in elderly outpatients. Method: A pharmacy claim data were retrospectively analyzed with elderly patients prescriptions at a pharmacy located near a top tier general hospital. The numbers of medications per person, prevalence of polypharmacy and PIM according to the 2012 Beers criteria and Korea PIM list, medication cost and the factors affecting polypharmacy were investigated. Results: Forty-six percentages of the elderly outpatients received polypharmacy and over 21% of them had medications listed in Beers or Korean PIM. In multiregressional analysis, we found that age, gender and insurance types were affective factors of polypharmacy. (p < 0.001, 0.047, 0.009, respectively). The cost of polypharmacy with PIM in elderly outpatients was increased with age. Various approaches of interventions would be further required.