Systems and methods for extraction of clinical knowledge with reimbursement potential
AssigneeApixio, Inc.
InventorsVishnuvyas Sethumadhavan, Mary Ellen Campana, Robert Derward Rogers, Shahram Shawn Dastmalchi
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Abstract
A computerized Medical Information Navigation Engine (“MINE”) extracts clinical knowledge, by identifying coded elements with reimbursement potential contributing to payoff based on clinical history, and subtracting coded elements documented in an encounter from the coded elements, based on business logic. The MINE sorts the remaining coded elements in accordance with one optimization criteria to payoff based on clinical history.
Claims1
In a Medical Information Navigation Engine (“MINE”), a computerized method for computing a metric for a medical system, the method comprising;
- construct a patient-encounter vector for every encounter within the medical system;
- obtain a payoff for each constructed patient-encounter vector;
- generate a linear system using the obtained payoffs and the constructed patient-encounter vectors, wherein the linear system is the obtained payoffs equaling an efficiency metric times the constructed patient-encounter vectors;
- and
- optimizing the linear system to determine the efficiency metric.
Dependencies are inferred from the claim text.