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
Magnetic memory element, driving method for same, and nonvolatile storage device
Masking method and apparatus
Apoptosis inductor extracted from potato, potato foodstuff containing the inductor, and processed product thereof
Method and device for reliable estimation of network traffic
Multi-touch recognition resistive touch screen for recognizing multi-touch coordinates through capacitor charging time
Evaluation compiler method
Bulk vending apparatus, system and method
  Randomly Featured Patents
Bioactive composite material for repair of hard and soft tissues
Ablative ultrasonic-cryogenic apparatus
3-Phenyl,3H 1,2,3 triazolo[4,5-b]pyridines
Rocking apparatus and method for slicing a workpiece utilizing a diamond impregnated wire
Interior rearview mirror system for a vehicle
Output load limiter
Method for the preparation of a pharmaceutical composition comprising 5-aminosalicylic acid for use in treatment of ulcerative colitis and Crohn's disease
Method and apparatus for providing periodic subscription television services
Toy dish drainer
Drive and support arrangement for a disc-shaped rotor