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US 11,605,457 B2Granted
Medical claims auto coding system and method
AssigneeMP Cloud Technologies, Inc.
InventorJohn Dadey
Life of this patent
Estimating the term…
Abstract
A system and method for automatic coding of medical claims, so as to minimize or eliminate possible human error and oversight that is common with prior art solutions.
Claims12
A method comprising
- generating, by a computer processor of an auto coding system, an electronic claim for an emergency medical services event, the electronic claim including a plurality of data fields that describe at least one or more service providers, a dispatch reason, a treatment rendered, a destination type, and a level of emergency related to the emergency medical services event;
- accessing, by the computer processor of the auto coding system via a communications network, a national emergency medical services information system (NEMSIS) database;
- retrieving, from the NEMSIS database by the computer processor, a set of billing codes corresponding to at least one of the plurality of data fields, each billing code of the set of billing codes having a billing rate related to one of the at least one or more service providers, the dispatch reason, the treatment rendered, the destination type, or the level of emergency;
- generating, by the computer processor, a graphical user interface of the electronic claim and including the set of billing codes, the graphical user interface for display in a graphical display;
- and
- providing, by the computer processor, a user input window in the graphical user interface for receiving user input to adjust any of the set of billing codes or the plurality of data fields.
3 more elements
A non-transitory computer program product storing instructions that, when executed by at least one programmable processor of an auto coding system, cause the at least one programmable processor to perform operations comprising:
- generate an electronic claim for an emergency medical services event, the electronic claim including a plurality of data fields that describe at least one or more service providers, a dispatch reason, a treatment rendered, a destination type, and a level of emergency related to the emergency medical services event;
- access, via a communications network, a national emergency medical services information system (NEMSIS) database;
- retrieve a set of billing codes corresponding to at least one of the plurality of data fields, each billing code of the set of billing codes having a billing rate related to one of the at least one or more service providers, the dispatch reason, the treatment rendered, the destination type, or the level of emergency;
- generate a graphical user interface of the electronic claim and including the set of billing codes, the graphical user interface for display in a graphical display;
- and
- provide a user input window in the graphical user interface for receiving user input to adjust any of the set of billing codes or the plurality of data fields.
3 more elements
A system comprising:
- at least one programmable processor;
- and
- a machine-readable medium storing instructions that, when executed by the at least one processor, cause the at least one programmable processor to perform operations comprising:
- generate an electronic claim for an emergency medical services event, the electronic claim including a plurality of data fields that describe at least one or more service providers, a dispatch reason, a treatment rendered, a destination type, and a level of emergency related to the emergency medical services event;
- access, via a communications network, a national emergency medical services information system (NEMSIS) database;
- retrieve a set of billing codes corresponding to at least one of the plurality of data fields, each billing code of the set of billing codes having a billing rate related to one of the at least one or more service providers, the dispatch reason, the treatment rendered, the destination type, or the level of emergency;
- generate a graphical user interface of the electronic claim and including the set of billing codes, the graphical user interface for display in a graphical display;
- and
- provide a user input window in the graphical user interface for receiving user input to adjust any of the set of billing codes or the plurality of data fields.
6 more elements
Dependencies are inferred from the claim text.