Method of improving medical diagnoses reporting as diagnosis-related groups

Abstract

The present invention relates generally to healthcare, and more specifically to a process for more completely and more accurately reporting a patient diagnosis under the Diagnosis-Related Group (“DRG”) system promulgated by the United States Centers for Medicare and Medicaid Services (“CMS”). In particular, the invention relates to a method for reviewing hospital discharge charts; identifying diagnosis codes which may be inaccurate or inadequately documented; gathering a set of clinical guidelines related to the medical conditions represented by such inaccurately or inadequately documented diagnosis codes; and presenting the identified codes with the gathered clinical guidelines to a treating healthcare provider for the provider's review and possible alteration.

Dependencies are inferred from the claim text.