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
Communication apparatus, communication method, and communication system
Method and apparatus for detection of the remote origin fraction of radon present in a measuring site
Power supply system for a data storage system and a method of controlling a power supply
Method and computed tomography device and data storage medium for performing a dynamic CT examination on a patient
System and method for seamlessly increasing download throughput
Method and apparatus for content-aware resizing of data chunks for replication
Method for the synthesis of an array of metal nanowire capable of supporting localized plasmon resonances and photonic device comprising said array
  Randomly Featured Patents
Cassette loading device for stably loading a cassette
Fuel cell adapter system for combustion tools
Ignition timing controlling device for an engine
Volatile alkaline earth metal complex and its use
Operation method of nuclear power plant
Angular position sensor for rotating components such as steering columns
Profile track for fastening moldings to walls and floors
A/C service tool controller
Method for multicast of documents
Apparatus for supporting and stabilizing cargo