Billing modifier module for integrated emergency medical transportation database system
AssigneeGolden Hour Data Systems, Inc.
InventorsKevin C. Hutton, Scott J. Jones
Life of this patent
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AssigneeGolden Hour Data Systems, Inc.
InventorsKevin C. Hutton, Scott J. Jones
Estimating the term…
An integrated medical database system for the emergency medical transportation business. The system includes a dispatch and demographic module, a clinical module, an administration module and a billing module. Each module may communicate data with one or more of the other modules to form a system incorporating data sharing, thus achieving an end-to-end automation of emergency medical care accounting. Internal consistency checks are performed by the system to ensure that proper treatments are performed according to a chosen diagnosis. The system includes a billing modifier module operating on data from the dispatch and demographic module. In one embodiment, the billing modifier module applies Geographic Practice Cost Index (GPCI) and Metropolitan Statistical Area (MSA) billing modifiers based on modifiable computerized rules so as to provide a more accurate charge to the payer. The results of the billing modifier module are forwarded to the billing module.
A method of modifying charges for a bill using one or more transport associated geographic billing modifiers based on a location of an emergency encountered during emergency medical transportation, the method adapted to be performed on a processor, wherein the processor is connected to a memory to execute the following steps:
An integrated medical database system with a geographic billing modifier module that modifies charges in a bill by applying one or more transport associated geographic billing modifiers based on a location of an emergency remote from a hospital emergency room to determine whether the emergency location qualifies for enhanced reimbursement, the system comprising:
An emergency medical database system having a geographic billing modifier module for modifying charges in a bill based on a location of a patient's medical emergency, the system comprising:
A non-transitory computer usable medium having computer readable program code embodied therein for modifying charges incurred during medical transportation to a medical facility, the computer readable code comprising instructions for:
Dependencies are inferred from the claim text.