发明授权
- 专利标题: Healthcare financial data and clinical information processing system
- 专利标题(中): 医疗财务数据和临床信息处理系统
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申请号: US10253223申请日: 2002-09-24
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公开(公告)号: US07797172B2公开(公告)日: 2010-09-14
- 发明人: David Fitzgerald , Brian Lucas , Greg Long , David Hiebert Klassen, Sr. , John Hunter
- 申请人: David Fitzgerald , Brian Lucas , Greg Long , David Hiebert Klassen, Sr. , John Hunter
- 申请人地址: US PA Malvern
- 专利权人: Siemens Medical Solutions USA, Inc.
- 当前专利权人: Siemens Medical Solutions USA, Inc.
- 当前专利权人地址: US PA Malvern
- 主分类号: G06Q40/00
- IPC分类号: G06Q40/00
摘要:
A patient claim data processing system responds to and initiates clinical events and attains early accurate claim data during a patient healthcare encounter cycle to support prompt claim data validation and editing both for individual claim elements and for a completed claim to improve claim accuracy prior to claim submission to a payer. The system submits accurate claims to payers and receives remittance advice from payers and applies rules to the advice. A system processes financial data related to provision of healthcare to a patient in response to clinical events. The system includes an interface processor for receiving a message identifying an event and a related change in healthcare data concerning a patient and also includes a source of rules for determining characteristics associated with reimbursement for provision of an individual service to a patient. A rules processor initiates application of a rule derived from the rules source to process financial data concerning provision of the individual service to the patient in response to receiving the message identifying the event. A result processor initiates an action in response to a result derived by the application of the rule to process the financial data. The rules processor also validates the financial data complies with the rule.
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