Analyzing surgical videos to identify a billing coding mismatch
AssigneeTheator Inc.
InventorsTamir Wolf, Dotan Asselman
Life of this patent
Estimating the term…
Abstract
Disclosed herein are apparatus, system, method, and computer-readable medium aspects for using surgical video analysis for improving compliance with medical guidelines and improving processing of medical bills, medical malpractice claims, and insurance claims. Aspects disclosed herein utilize intracorporeal video footage, image analysis, and notifications to optimize correspondences among medical procedure information, medical guidelines, and medical transaction information.
Claims22
A non-transitory computer readable medium containing instructions that, when executed by at least one processor, cause the at least one processor to execute operations to identify a billing coding mismatch, the operations comprising:
- receiving a medical reimbursement code associated with a surgical procedure;
- receiving surgical video of the surgical procedure;
- performing image analysis on the surgical video to determine whether a match exists between the medical reimbursement code and the surgical video, the image analysis further comprising:
- analyzing the surgical video to detect an adverse event in the surgical procedure,
- calculating a result value by executing a convolution of at least part of the surgical video, and
- determining whether the match exists based on the detected adverse event and the result value;
- and
- when the match is determined not to exist, outputting an indicator of a lack of support in the surgical video for the medical reimbursement code.
A method for performing intracorporeal video analysis operations for identifying a billing coding mismatch, comprising:
- receiving a medical reimbursement code associated with a surgical procedure;
- receiving surgical video of the surgical procedure;
- performing image analysis on the surgical video to determine whether a match exists between the medical reimbursement code and the surgical video, the image analysis further comprising:
- analyzing the surgical video to detect an adverse event in the surgical procedure,
- calculating a result value by executing a convolution of at least part of the surgical video, and
- determining whether the match exists based on the detected adverse event and the result value;
- and
- when the match is determined not to exist, outputting an indicator of a lack of support in the surgical video for the medical reimbursement code.
A system for identifying a billing coding mismatch, the system comprising a processor configured to perform steps comprising:
- receiving a medical reimbursement code associated with a surgical procedure;
- receiving surgical video of the surgical procedure;
- performing image analysis on the surgical video to determine whether a match exists between the medical reimbursement code and the surgical video, the image analysis further comprising:
- analyzing the surgical video to detect an adverse event in the surgical procedure,
- calculating a result value by executing a convolution of at least part of the surgical video, and
- determining whether the match exists based on the detected adverse event and the result value;
- and
- when the match is determined not to exist, outputting an indicator of a lack of support in the surgical video for the medical reimbursement code.
A non-transitory computer readable medium containing instructions that, when executed by at least one processor, cause the at least one processor to execute operations to identify a billing coding mismatch and an alleged reimbursable event, the operations comprising:
- receiving a medical reimbursement code associated with a surgical procedure;
- receiving surgical video of the surgical procedure;
- performing image analysis on the surgical video to determine whether a match exists between the medical reimbursement code and the surgical video, the image analysis further comprising:
- calculating a result value by executing a convolution of at least part of the surgical video;
- when the match is determined not to exist, outputting an indicator of a lack of support in the surgical video for the medical reimbursement code, the match determined not to exist based on the result value;
- accessing a medical record of a patient;
- and
- determining whether the alleged reimbursable event associated with the reimbursement code took place in the surgical procedure based on the medical record of the patient.
A non-transitory computer readable medium containing instructions that, when executed by at least one processor, cause the at least one processor to execute operations to identify a billing coding mismatch using a surgical video and an audio recording captured during a surgical procedure, the operations comprising:
- receiving a medical reimbursement code associated with the surgical procedure;
- receiving the surgical video of the surgical procedure;
- performing image analysis on the surgical video to determine whether a match exists between the medical reimbursement code and the surgical video, the image analysis further comprising:
- calculating a result value by executing a convolution of at least part of the surgical video;
- accessing an audio recording capturing during the surgical procedure;
- and
- when the match is determined not to exist, outputting an indicator of a lack of support in the surgical video for the medical reimbursement code, the matched determined not to exist based on the result value and the audio recording.
Dependencies are inferred from the claim text.