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    • 2. 发明申请
    • COMPUTERIZED SYSTEM AND METHOD FOR CODING MEDICAL RECORDS
    • 用于编码医疗记录的计算机系统和方法
    • US20160358284A1
    • 2016-12-08
    • US13276741
    • 2011-10-19
    • Scott Bagley
    • Scott Bagley
    • G06Q50/24
    • G06Q50/22
    • A computerized system and method for medical record coding is disclosed. The computerized system and method facilitates pre-screening of medical records and analyzes medical record data to identify potential coding errors. When potential coding errors are identified in a record, the suspect record is forwarded to a certified medical coder to confirm the presence or absence of the error. In an example embodiment, synonyms likely to be found in medical records are associated with standardized medical terms and codes and stored in a database. The computerized system and method searches electronic records using the synonyms. If a synonym is present in a record, the system identifies an appropriate code for the associated medical condition confirms that the appropriate medical code is associated with the record. If the code is not found, appropriate action is taken to correct the coding error. Multiple levels of review may be applied to each record.
    • 公开了一种用于医疗记录编码的计算机化系统和方法。 计算机化系统和方法有助于对病历进行预筛选,并分析医疗记录数据以识别潜在的编码错误。 当在记录中识别出潜在的编码错误时,将可疑记录转发给经认证的医疗编码器以确认是否存在错误。 在一个示例性实施例中,可能在医疗记录中找到的同义词与标准化医学术语和代码相关联并存储在数据库中。 计算机化系统和方法使用同义词搜索电子记录。 如果记录中存在同义词,则系统识别相关医疗状况的适当代码,确认适当的医学代码与记录相关联。 如果找不到代码,则采取适当的措施来纠正编码错误。 可以对每个记录应用多个级别的审查。