Apparatuses and Methods to Recognize and Optimize Medical Invoice Billing Codes

A method of generating a patient health record using at least one processor, the method comprising the steps of:

• receiving at least one note describing a patient encounter of a health care provider;
• recognizing from the at least one note at least one key data;
• comparing the at least one key data to a database of generally accepted data;
• identifying at least one generally accepted data for each of the at least one key data;
• replacing the at least one key data with each of the at least one generally accepted data;
• generating a modified note using the at least one generally accepted data for each of the key data;
• and
• transmitting the modified note to the health care provider, wherein the note provides for the health care provider to select the most appropriate terminology of the at least one generally accepted data.

The method of generating an electronic health record based on a patient encounter with a health care provider, comprising the steps performed on at least one processor of:

• generating an initial electronic health record based on at least one note of a health care provider created during a patient encounter;
• transmitting the initial electronic health record to an invoice coding engine;
• receiving from the invoice coding engine a modified electronic health record, the modified electronic health record having at least one key data replaced by at least one generally accepted data by the invoice coding engine;
• confirming the at least one generally accepted data in the modified electronic health record is appropriate;
• and
• saving a final electronic health record for transmission to a biller wherein the biller provides an electronic file to a payer such that the health care provider is paid for the patient encounter.

A system to generate an electronic health record optimizing the electronic health record with generally accepted data, the system comprising:

• a workstation, the workstation comprising an interface to receive notes from a health care provider for a patient encounter;
• an invoice coding engine, the invoice coding engine comprising a recognize module and a comparator module;
• a memory comprising generally accepted data corresponding to insurance invoice codes;
• and
• a network coupling the workstation, the invoice coding engine, and the memory,
• wherein the health care provider generates an initial electronic health record at the workstation using the interface to input the notes, the workstation transmits the initial electronic health record to the invoice coding engine where the recognizer recognizes key data in the initial electronic health record, the invoice coding engine accesses the memory and the comparator compares the key data to the generally accepted data, the invoice coding engine replaces the key data in the initial electronic health record with the generally accepted data to generate a modified electronic health record, the modified electronic health record is transmitted to the workstation wherein the health care provider confirms the generally accepted data and generates a final electronic health record for transmission to a biller.