• Title/Summary/Keyword: Claim Process System

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Developing methodology of 3D Cadaster Feature Model using Cadastre Process Analysis (지적 업무 분석을 기반으로 한 3차원 지적 항목 모델 개발 방법)

  • You, Hee Min;Jeong, Dong Hoon;Lee, Ji Yeong
    • Spatial Information Research
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    • v.21 no.3
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    • pp.55-69
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    • 2013
  • In the modern society, as the city grows and constructive technology gradually develops, land usage has been sophisticated and three-dimensionalized. Consequently, issues such as property ownership and legal claim over ground and underground space have been triggered, which disclose the problems of using two-dimensional cadastral management system. Numerous researches on building three-dimensional cadastral are ongoing such as defining the right relationship of land space and providing the registration and management scheme so as to solve the imminent matter. It is the chief aim of this study to increase efficiency by analyzing the vocational practices through adding on necessary sections and properties for current registration to original research work. If three-dimensional cadastral management system is once constructed, highly qualified services for citizens will be available by providing accurate land related information swiftly, which can result in inevitable improvement of efficiency at work. Hence, this thesis will suggest the internationally suitable feature model development method in terms of standardization by probing into the factual profession to derive each attributes and properties that are related to three-dimensional cadastral and affix them to the classified item requisites of initial research studies.

Natural language processing techniques for bioinformatics

  • Tsujii, Jun-ichi
    • Proceedings of the Korean Society for Bioinformatics Conference
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    • 2003.10a
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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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An Analysis of the Operation of the WTO Dispute Settlement System for the first four and a half years (WTO 분쟁해결제도(紛爭解決制度)의 운영사례분석(運營事例分析))

  • Park, No-Hyoung
    • THE INTERNATIONAL COMMERCE & LAW REVIEW
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    • v.13
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    • pp.699-733
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    • 2000
  • This article analyzes the state-of-play of WTO dispute settlement for first four and a half years. Remarkable points found on this analysis are as follows: First, the Quad consisting of the United States, the European Community (EC), Canada and Japan has participated in the WTO dispute settlement mechanism more frequently than any other WTO member. Second, among developing country members some leading countries such as Korea, Brazil and India have relied actively upon the mechanism to claim and defend their rights and obligations under the WTO rules. Third, bilateral dispute settlements generally have been preferred to multilateral dispute settlements by the panel or Appellate Body. Fourth, observation of the Appellate Body proceedings well shows WTO members' strategy to use every process available to them. Fifth, the provisions of GATT 1994 have been most frequently invoked by the members. GATS and TRIPS Agreement disputes are mainly involved in developed countries, in particular the U.S. and the EC. Sixth, very high winning ratio in the panel and Appellate Body process indicates that complaining parties review the possibility to get favorable rulings even before referring to the Dispute Settlement Body (DSB) and prepare for the case very thoroughly. Seventh, roughly speaking, disputes were settled within two or three years. Therefore, seeking bilateral dispute settlement can be more advantageous to a complaining party than referring to a panel or an arbitrator because of low costs and short time period in dispute settlement. Finally, the DSB approved retaliatory actions for winning complaining parties against the defending parties who had rejected implementation of its rulings and recommendations. In conclusion, it can be said that the WTO dispute settlement mechanism has been operated very successfully for the first four and a half years. It is hoped that continued study on state-of-play of WTO dispute settlement mechanism will be contributory to improved national interest of Korea.

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Calculation of the Costs and Optimal profits per Inpatient-day of the Geriatric Hospitals (노인병원의 재원환자 1인당 일평균 원가 및 적정이윤 계산)

  • Hwang, In-Kyoung;Kim, Jai-Sun;Choi, Whang-Gyu
    • Korea Journal of Hospital Management
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    • v.8 no.4
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    • pp.149-181
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    • 2003
  • It has been asserted that per diem payment system should be introduced, in place of the current fee-for-service system, for payment of the inpatient services of the geriatric hospitals, Based on the assentation, this study aims at calculating costs and profits per inpatient-day of the geriatric hospitals, and thereby at contributing to the managerial improvement from the both sides of the Government and the hospitals. Relevant data of the three months, May to August, 2002 were collected from the five geriatric hospitals, and per inpatient-day costs and profits were calculated for the three disease groups. Major results and conclusions are as follow : Firstly, total costs per insured inpatient-day of the geriatric hospitals are 65, 389 won for dementia (including optimal profit of 3,858 won), 69,730 won for stroke (including optimal profit of 4,117 won), and 70,085 won for other diseases (including optimal profit of 4,134 won). Secondly, the amount of the non-insured costs per inpatient-day occupies 34.5% of the total costs for dementia, 30.3% for stroke, and 30.1% for other diseases. Thirdly, the total amount of the per inpatient-day costs calculated including the optimal profits is, on the average, higher by 12% than the present price level calculated for the current fee-far-service system. This implies that the present price level should rise by 12% when the current fee-far-service payment system be maintained, and Finally, introduction of a sliding-scale payment system should be considered for the inpatient medical management fees for the length of stay over six months or more that are being cut in the claim examination process by the insurance corporation.

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Optimization for Component Noise Validation Test by Evaluation of Noise Control Factors for Suspension (현가장치 소음 발생인자 평가를 통한 부품소음 검증시험 최적화)

  • Son, Myungkoon;Lee, Taeyong;Lee, Sangbok;Lee, Seul
    • Transactions of the Korean Society of Automotive Engineers
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    • v.25 no.3
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    • pp.344-349
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    • 2017
  • Suspension noise from under a passenger car is one of the important factors that impact the perceptual quality for drivers. However, it is difficult to validate this by component level testing in the early stage of development, because suspension noise caused by interaction of the related parts has been found at saleable vehicles late during development or at the manufacturing stage, when many customers have already filed for claims. This study proposed a validation testing under research by the DFSS process that enables reproduction of vehicle level noise by component level testing using a shock absorber with the related parts, such as urethane bumper and top mount. This study also developed a compromised test matrix while analyzing the noise factors through experimental design and analysis of variance to determine what factors can affect noise. Based on this study, we expect that the vehicle level and customer claim can be validated during initial development timing by a more reliable component noise validation test.

An Exploratory Study of Healthcare Utilization Process among Patients with Multimorbidity (복합만성질환자의 의료이용 과정에 관한 근거이론적 탐색)

  • Yu, Soo-Young;You, Myoung Soon
    • Journal of muscle and joint health
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    • v.28 no.2
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    • pp.161-173
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    • 2021
  • Purpose: This study examined: 1) what it meant for patients to have multimorbidity 2) how they manage their illness using health care facilities, and 3) what contextual backgrounds exist regarding the health care system. Methods: This qualitative research obtained individual in-depth interviews from 22 patients. Participants were selected by purposive sampling among those who saw physicians more often than the national average from the 2013 medical-claim data. The transcribed data were analyzed using Ground theory. Results: Multimorbidity patients suffered from "chain-like serial symptoms" and "pain without a breakthrough". They expressed themselves as "indeed patients among patients", "my body is a general hospital", and "an incompletely normal person". There was a demand to resolve the anxiety arising from the situation in which the body keeps getting sicker without showing any signs of recovery. In a state of reduced social support and a lack of trust in the doctor, their desire to be healed led them to receive a temporary relief through dependence on medical institutions. Conclusion: This research recognized the desire of multimorbidity patients to seek temporary relief through dependence on medical institutions. A more patient-centered directed care plan, specific to the needs of the patients with multimorbidity is required.

Model Multiplicity (UML) Versus Model Singularity in System Requirements and Design

  • Al-Fedaghi, Sabah
    • International Journal of Computer Science & Network Security
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    • v.21 no.4
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    • pp.103-114
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    • 2021
  • A conceptual model can be used to manage complexity in both the design and implementation phases of the system development life cycle. Such a model requires a firm grasp of the abstract principles on which a system is based, as well as an understanding of the high-level nature of the representation of entities and processes. In this context, models can have distinct architectural characteristics. This paper discusses model multiplicity (e.g., unified modeling language [UML]), model singularity (e.g., object-process methodology [OPM], thinging machine [TM]), and a heterogeneous model that involves multiplicity and singularity. The basic idea of model multiplicity is that it is not possible to present all views in a single representation, so a number of models are used, with each model representing a different view. The model singularity approach uses only a single unified model that assimilates its subsystems into one system. This paper is concerned with current approaches, especially in software engineering texts, where multimodal UML is introduced as the general-purpose modeling language (i.e., UML is modeling). In such a situation, we suggest raising the issue of multiplicity versus singularity in modeling. This would foster a basic appreciation of the UML advantages and difficulties that may be faced during modeling, especially in the educational setting. Furthermore, we advocate the claim that a multiplicity of views does not necessitate a multiplicity of models. The model singularity approach can represent multiple views (static, behavior) without resorting to a collection of multiple models with various notations. We present an example of such a model where the static representation is developed first. Then, the dynamic view and behavioral representations are built by incorporating a decomposition strategy interleaved with the notion of time.

The Problems in the Medical Dispute Mediation Process According to the "Act on Remedies for Injuries from Medical Malpractice and Mediation of Medical Disputes" and the Alternative Propsal (의료분쟁조정제도 운영에 따른 문제점 및 개선 방안)

  • Hwang, SeungYun
    • The Korean Society of Law and Medicine
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    • v.14 no.1
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    • pp.85-116
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    • 2013
  • Korea Medical Dispute Mediation and Arbitration Agency, "K-MEDI" in abbr. herein-after, is established on Apr. 9, 2012 according to the law cited in the title above for the purpose of settling medical disputes in a prompt, fair and efficient manner. Two special professional organizations are established in K-MEDI, one of them is Medical Dispute Mediation and Arbitration Committee(hereinafter referred to as the "Mediation Committee") and the other Medical Malpractice Appraisal Board(hereinaf-ter referred to as the "Appraisal Board"), the mission of the latter is to investigate the facts concerning the disputed medical conduct and to research as to and apprai-se whether the medical conduct was negligent and whether a causal relationship exists. Each panel organized in the Mediation Committee or the Appraisal Board shall be comprised of five mediators or appraisers, including necessarily a judge or a prose-cutor respectively and any disputed case regardless of the scale, the importance or the complicacy shall be handled by a panel. As the system is not thought efficient or economic, the number of the members comprising a panel or total members com-prising the Mediation Committee or the Appraisal Board shoud be adjusted, and the process shoud be versified, including the "Rapid Process," for instance. A petition for the mediation of a medical dispute shall be rejected if the respondent fails to notify K-MEDI of his/her intention to accede to the mediation within 14days from the day on which the petition for the mediation was served(Art. 27 Cl. 7). As the option of an arbitrary decision whether the mediation proceedings shall be commenced or not given to the respondent by the clause is thought unfair, making the process unstable, and moreover, diminishing the purpose of the system established by the law cited above for solving the medical disputes, the clause shoud be amended not to allow the respondent the option of such an arbitrary deci-sion. K-MEDI shall conduct the "Program for Compensation of Medical Accidents"(Art 46) according to which unavoidable injuries caused by the medical accidents in the cour-se of childbirth and the "Advances for Damages"(Art. 47) that are the compensating moneys paid to victims in medical malpractice cases who fail to receive money at all or partly from the operator or the professional of a public health or medical institution although he/she has a final and conclusive right to be paid by them. Some operators or professionals of such institutions claim that both the programs violate their fundamental rights assured by the constitution, and that it be a justifica-tion of refusal to accede to the mediation. As any of the programs needs not to be conducted by K-MEDI, it may be a proper solution to change the conductor of the programs to avoid the unproductive controversy.

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Automatic Virtual Platform Generation for Fast SoC Verification (고속 SoC 검증을 위한 자동 가상 플랫폼 생성)

  • Jung, Jun-Mo
    • Journal of the Korea Academia-Industrial cooperation Society
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    • v.9 no.5
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    • pp.1139-1144
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    • 2008
  • In this paper, we propose an automatic generation method of transaction level(TL) model from algorithmic model to verify system specification fast and effectively using virtual platform. The TL virtual platform including structural properties such as timing, synchronization and real-time is one of the effective verification frameworks. However, whenever change system specification or HW/SW mapping, we must rebuild virtual platform and additional design/verification time is required. And the manual description is very time-consuming and error-prone process. To solve these problems, we build TL library which consists of basic components of virtual platform such as CPU, memory, timer. We developed a set of design/verification tools in order to generate a virtual platform automatically. Our tools generate a virtual platform which consists of embedded real-time operating system (RTOS) and hardware components from an algorithmic modeling. And for communication between HW and SW, memory map and device drivers are generated. The effectiveness of our proposed framework has been successfully verified with a Joint Photographic Expert Group (JPEG) and H.264 algorithm. We claim that our approach enables us to generate an application specific virtual platform $100x{\tims}1000x$ faster than manual designs. Also, we can refine an initial platform incrementally to find a better HW/SW mapping. Furthermore, application software can be concurrently designed and optimized as well as RTOS by the generated virtual platform

A study on the present status and improving management of the non-eligible people in Korean long-term care insurance system (노인장기요양보험 등급외 판정자의 관리현황과 개선방안)

  • Kwon, Jin-Hee;Han, Eun-Jeong;Lee, Jung-Suk;Park, Chong-Yon
    • Health Policy and Management
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    • v.20 no.2
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    • pp.104-127
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    • 2010
  • To vitalize the link program of Korean long-term care insurance system to community-based services for non-eligible people, we analysed the claim data from the Korean National Health Insurance Corporation (NHIC), and conducted a questionnaire survey to charging employees of elderly service department at local governments. The subjects were all 81,377 people, 57,454 of them were arranged to community-based services. The link program was more necessary among the missed subjects rather than the arranged people due to the need for physical or psychological assistance. By the result of the survey to the local government employees, 59.5% of subjects responded their proportion of link service was over 10% and under 20%, and 54.3% of them responded their job boundary are not clear. Major type of linking was notification the subject list to local government, 91.4%; proportion of periodical notification on the status of their service link were 57.1%, only 7.1% were followed to manage after the link. Difficult factors at the link process were pointed out the overload by other side work, deficiency of resources, rigidity of priority of link, and so on. Considering these results, to vitalize the community-based services to the non-eligible people, it may be essential the active participation of the subjects, construction of parts working in coordination among the institutions including NHIC, local governments, and service providers; development of various services for maintenance or promotion of the non-eligible peoples' health and functional status; and active participation of institutions from the third sector, and so on.