Medical Practice Benchmarking
    1.
    发明申请
    Medical Practice Benchmarking 审中-公开
    医疗实践基准

    公开(公告)号:US20080065415A1

    公开(公告)日:2008-03-13

    申请号:US11851811

    申请日:2007-09-07

    CPC classification number: G06Q50/22 G06Q10/10

    Abstract: Medical practice information (e.g., insurance claim information) is received from a plurality of medical practices (e.g., 80% of the medical practices in Massachusetts). The medical practice information is combined together so that inter-practice statistics can be determined based on the aggregated practice information. The aggregated practice information is analyzed to remove all individual medical practice identifying information (e.g., the Winston Cardiologist Group address which associated with its patients). The inter-practice statistics includes, for example, payment time for a particular procedure for a particular medical specialty in a geographic region (e.g., cardiologists in Massachusetts urban areas receive insurance payments for an angioplasty in 14.5 days) and/or any other type of statistic associated with a medical practice (e.g., insurance claim hold time). The inter-practice statistics can be utilized to allow a medical practice to improve its insurance claim submissions based on successful submissions of other medical practices (e.g., emulating the submissions of successful medical practices).

    Abstract translation: 从多个医疗实践(例如,马萨诸塞州的80%的医疗实践)接收医疗实践信息(例如,保险索赔信息)。 将医疗实践信息组合在一起,以便可以根据汇总的实践信息确定实践间统计。 分析聚合的实践信息以消除所有个体医疗实践识别信息(例如,与其患者相关联的Winston心脏病学家组地址)。 实践间统计数据包括,例如,地理区域中特定医疗专业的特定程序的支付时间(例如,马萨诸塞州城市地区的心脏病专家在14.5天内获得血管成形术的保险费用)和/或任何其他类型 与医疗实践相关的统计数据(如保险索赔保留时间)。 可以利用实践间统计数据,以便医疗实践可以根据成功提交其他医疗实践(例如,模拟成功的医疗实践的提交)来改进其保险索赔提交。

    METHODS AND APPARATUS FOR EARLY REMITTANCE ISSUE DETECTION
    2.
    发明申请
    METHODS AND APPARATUS FOR EARLY REMITTANCE ISSUE DETECTION 审中-公开
    用于早期遗传问题检测的方法和装置

    公开(公告)号:US20100257074A1

    公开(公告)日:2010-10-07

    申请号:US12753244

    申请日:2010-04-02

    CPC classification number: G06Q30/04 G06Q10/067 G06Q40/12 G06Q50/22

    Abstract: Methods and apparatus for detection of remittance issues associated with multiple medical billing claims. Exemplary methods and apparatus involve comparing an expected open rate to an actual open rate for at least one payer to identify at least one bump as a timepoint during the predetermined time range when the actual open rate exceeds the expected open rate. Identified bumps are categorized as a particular category of remittance issue based, at least in part, on a pattern of remittance during the predetermined time range. A user interface displays the pattern of remittance to a user to enable the user to determine an appropriate action to correct an underlying cause of the detected remittance issues.

    Abstract translation: 用于检测与多个医疗记账索赔有关的汇款问题的方法和装置。 示例性方法和装置包括将实际开放率相对于至少一个付款人进行比较,以在实际开启率超过预期开放率时在预定时间范围内将至少一个凸起识别为时间点。 识别的颠簸被分类为至少部分地基于在预定时间范围内的汇款模式的特定类别的汇款问题。 用户界面向用户显示汇款模式,以使用户能够确定适当的行动来纠正检测到的汇款问题的根本原因。

    PAYER ESTIMATION AND IDENTIFICATION METHODS AND APPARATUS
    3.
    发明申请
    PAYER ESTIMATION AND IDENTIFICATION METHODS AND APPARATUS 审中-公开
    PAYER估计和识别方法和设备

    公开(公告)号:US20100293004A1

    公开(公告)日:2010-11-18

    申请号:US12780375

    申请日:2010-05-14

    CPC classification number: G06Q50/22 G06Q30/04

    Abstract: Methods and apparatus for generating a list of likely payers for a medical practice based on historical data stored on a practice management system and practice-specific information. Information about the claim volumes for payers during a predetermined time range in a geographical region are used to estimate a subset of likely payer that a medical practice may like to enroll with. User-selectable billing frequency indicators for each of the payers identified in the subset facilitate claim billing management and enrollment strategies for billing personnel at the medical practice resulting in fewer disruptions in claim processing and cash flow as the medical practice is implemented on the practice management system.

    Abstract translation: 用于根据存储在实践管理系统上的历史数据和实践特定信息来生成用于医疗实践的可能支付者列表的方法和装置。 关于在地理区域的预定时间范围内的付款人的索赔量的信息用于估计医学实践可能喜欢注册的可能付款人的子集。 该子集中识别的每个付款人的用户可选择的计费频率指示器便于医疗实践中的计费人员的索赔计费管理和注册策略,从而在实践管理系统上实施医疗实践时导致索赔处理和现金流量的中断更少 。

Patent Agency Ranking