Resources Contact Us Home
Computer-implemented method for grouping medical claims based upon changes in patient condition

Image Number 16 for United States Patent #8121869.

A computer-implemented method for profiling medical claims to assist health care managers in determining the cost-efficiency and service quality of health care providers. The method allows an objective means for measuring and quantifying health care services. An episode treatment group (ETG) is a patient classification unit, which defines groups that are clinically homogenous (similar cause of illness and treatment) and statistically stable. The ETG grouper methodology uses service or segment-level claim data as input data and assigns each service to the appropriate episode. The program identifies concurrent and recurrent episodes, flags records, creates new groupings, shifts groupings for changed conditions, selects the most recent claims, resets windows, makes a determination if the provider is an independent lab and continues to collect information until an absence of treatment is detected.

  Recently Added Patents
Discovering and interacting with service providers
Method for adjusting the maximum output power of a valve power amplifier stage for an audio amplifier, and corresponding valve power amplifier stage
Method for processing forward error correction, FEC, data, device and system thereof
Printing system and method thereof
Methods and apparatus for selecting and/or using a communications band for peer to peer signaling
Remote control
Controller and machining apparatus with position encoder compensation
  Randomly Featured Patents
Environmentally protected tubing and method of making it
High frequency induction heater built in an injection mold
GnTIII expression in plants
Device for the elimination of the effect of background radiation on the image representation in an ir-camera
Process for producing a non-warped longitudinal multi-component frame element
Scanning probe microscope fine-movement mechanism and scanning probe microscope using same
Stainless steel surface treatment
Electronic copying machine
Inhibitors of metazoan parasite proteases
Resistive exercise device