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US 2022/0101988 A1Published application
System And Method For Diagnostic Coding
OwnerBruce Wayne FallHoweinventor
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OwnerBruce Wayne FallHoweinventor
Estimating the term…
A computer implemented coding system for mandating correct medical diagnostic coding by a provider, comprises program code executable to receive preliminary medical test data associated with a patient so as to make a preliminary diagnosis. This enables a preliminary insurance code to be determined and, using a diagnostic database, to identify an outline of all medical tests that must be completed for the selected code. The system records completion of all mandated medical tests and, when complete, the treating provider makes and enters a final diagnosis. If the final diagnosis is the same as the preliminary diagnosis, the insurance code is deemed final for claims submission; otherwise, a new code is chosen and the diagnostic database is then accessed to determine the complete panoply of procedures for the new code. When the final diagnosis is the same as the preliminary diagnosis, the code is deemed correct without further audit.
A computer implemented system for mandating correct medical coding by a treating provider of a patient, said system comprising:
A computer implemented system for mandating correct medical coding by a treating provider of a patient comprises a processor for executing program code and a non-transitory computer-readable storage medium containing program code executable to perform the steps of:
Dependencies are inferred from the claim text.