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
Method and apparatus for managing communication services for user endpoint devices
Reducing voltage stress in a flyback converter design
Register files for a digital signal processor operating in an interleaved multi-threaded environment
Devices and methods for the production of coaxial microfibers and nanofibers
Methods and apparatuses for anti-shading correction with extended color correlated temperature dependency
Video recording and playing apparatus and its control method
Biomedical electro-stimulator
  Randomly Featured Patents
Laser module
Fluorinated condensation copolyimides
Variable superheat target strategy for controlling an electrically operated refrigerant expansion valve
Tunnel magnetoresistance device with tunnel barrier layer containing residual carbon
Low pressure rupture disk and assembly
Writing instrument
Signaling system with low-power automatic gain control
Coupling structure for coupling two pipes
Methods and apparatus for massaging the spinal area and adjacent muscles