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
Drum tensioning method and apparatus for load hoist wire rope
Firearm cartridge magazine system
Determining pitch dynamics of an audio signal
Ink jet recording method and recorded matter
Tuberculosis vaccine
System for eliminating unauthorized electronic mail
Method and system for securely protecting a semiconductor chip without compromising test and debug capabilities
  Randomly Featured Patents
Method and device for charging several electrochemical cells
Global access bus architecture
Determination of band saw feeding speed
Tape loading device in a recording and/or reproducing apparatus
Compounds for enzyme inhibition
Remotely controlled device for rotating the steering-wheel of a motor vehicle and then taking it back to the starting position
Control of surface recombination loss in solar cells
Task distribution
Pump impeller
Dental syringe tip