US 8,712,800 B2Granted

System of providing an internet web site that assists medical professionals draft a letter of medical necessity or other documentation for transmission to a third party payer on behalf of a patient and method of use

OwnerJames Noland, Christopher Mentchinventors

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Abstract

The systems disclosed is an internet based application that allows clinical professionals to write letters of medical necessity to justify therapeutic services and devices recommended by physicians and/or clinicians. The letters of medical necessity are intended to be read by reviewers who determine whether or not a service or deice is medically necessary. The system herein requires that either a clinician or vendor begin the process by logging on the internet web site and agree to the user agreements as well as HIPAA compliance measures. Upon all information being entered into the system and justifications from a physician for the services and/or devices, the letter of medical necessity is then generated, signed by the clinician and sent to the third party payer for payment consideration.

A computer-implemented method of remotely collaborating on an internet website to create a letter of medical necessity comprising the steps of:

providing a vendor with a network server having an interface, the interface connected to the website through the network server, wherein the network server comprises a processor configured to perform the following steps, based upon input received from the vendor:
(a) securely logging on to the website;
(b) starting a new specification sheet;
(c) entering patient information, diagnosis information, and insurance information;
(d) designating a clinician;
(e) selecting appropriate therapeutic services and/or devices;
and
(f) entering customized items of information in the interface;
the website applying handles and space holders to the entered items of information used to create a justification of the therapeutic services and/or devices;
assigning a date to complete the project;
adding comments and help notes;
submitting information to the designated clinician's computer;
and
providing the designated clinician with a computer connected to the network server having the interface, the interface connected to the website through the network server, wherein the computer comprises a processor configured to execute the following steps, based upon input received from the designated clinician:
(a) securely logging on to the internet website;
(b) receiving confirmation from the designated clinician regarding the specification sheet of correct patient information, diagnosis information, and insurance information;
(c) editing the patient information, diagnosis information, justification of items, and customized items of information;
(d) notifying the vendor of updates made by the designated clinician automatically by e-mail;
(e) instructing the interface to automatically draft and generate the letter of medical necessity through the network server and the network server comprising the processor automatically drafting and generating the letter of medical necessity;
(f) downloading the letter of medical necessity to the clinician's computer and
(g) instructing the clinicians'computer to transmit the letter of medical necessity to a vendor, insurance company, or third party payer and the interface transmitting the letter of medical necessity.

18 more elements

Abstract

Claims4