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
Turbulence sensor and blade condition sensor system
Processor micro-architecture for compute, save or restore multiple registers, devices, systems, methods and processes of manufacture
5-lipoxygenase-activating protein (FLAP) inhibitors
Vehicle tail lamp
Memory cell and memory cell array using the same
Method of manufacturing nitride semiconductor and nitride semiconductor element
Dynamic load profiling in a power network
  Randomly Featured Patents
Use of a phosphorus containing ligand and a cyclic organic ligand in a transition metal compound
Sealed, flexible flat panel display
Tire for motorcycle
Electronic device having FETs on a low dielectric constant GaAs base member and passive elements on a high dielectric constant base member
Engine and method for operating an engine
Adjustable beverage holder
Container coupler
Method and device for operating a drive unit, a computer program product and a computer program
Spark plug
Orthogonal acceleration time-of-flight mass spectrometer