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    • 9. 发明申请
    • COMPUTER-ASSISTED MEDICAL INFORMATION ANALYSIS
    • 计算机辅助医学信息分析
    • WO2015126859A1
    • 2015-08-27
    • PCT/US2015/016239
    • 2015-02-18
    • 3M INNOVATIVE PROPERTIES COMPANY
    • ZASOWSKI, Jeremy M.CAUX, Rebecca H.SEESE, Jeffrey S.
    • G06Q50/24
    • G16H10/60G06F17/30554G06F19/00G06F19/326G06F19/328G06Q10/10G06Q50/24
    • This disclosure describes systems, devices, and techniques for determining discrepancies in medical information. In one example, a computer-implemented method includes receiving clinical documentation related to a patient encounter, receiving one or more selected codes associated with the patient encounter, and determining, by the computing device, one or more suggested codes associated with the patient encounter and based on clinical documentation. The method may also include determining one or more discrepancies between the one or more selected codes and the one or more suggested codes, responsive to determining the one or more discrepancies, generating, based on the one or more discrepancies, a query that indicates the one or more discrepancies and solicits user input resolving the one or more discrepancies, and outputting the query for display.
    • 本公开描述了用于确定医疗信息不一致的系统,设备和技术。 在一个示例中,计算机实现的方法包括接收与患者相遇相关的临床文档,接收与患者相遇的一个或多个所选择的代码,以及由计算设备确定与患者遭遇相关联的一个或多个建议代码,以及 基于临床文献。 该方法还可以包括响应于确定一个或多个差异来确定所述一个或多个所选代码与所述一个或多个建议代码之间的一个或多个差异,基于所述一个或多个差异,生成指示所述代码的查询 或更多的差异,并恳求用户输入解决一个或多个差异,并输出查询以进行显示。
    • 10. 发明申请
    • AUTOMATED CLAIMS PROCESS MANAGEMENT SYSTEM
    • 自动化过程管理系统
    • WO2015069409A1
    • 2015-05-14
    • PCT/US2014/059806
    • 2014-10-09
    • 3M INNOVATIVE PROPERTIES COMPANY
    • ANDERSON, Deborah S.RAWAT, AnkurBARROW, DaCosta E.
    • G06Q40/00
    • G06F19/328G06F19/00G06Q10/103
    • Health care claims are managed and processed automatically. Data related to a plurality of health care claims is stored on a computer readable medium. The health care claims are retrieved from the computer readable medium, and each of the plurality of health care claims is assigned a type indicator with the processor from a set of type indicators that characterizes a health care service associated with each health care claim. The plurality of health care claims is then grouped based on the type indicator assigned to each of the health care claims. A programmed set of pricing rules is applied to the grouped plurality of health care claims to price each of the health care claims. The programmed set of pricing rules is derived from pricing standards for one or more health insurance systems.
    • 卫生保健索赔自动管理和处理。 与多个医疗保健理赔有关的数据被存储在计算机可读介质上。 从计算机可读介质检索医疗保健声明,并且从一组类型指示符中分配多个医疗保健索赔中的每一个与处理器的类型指示符,其表征与每个医疗保健声明相关联的保健服务。 然后,基于分配给每个医疗保健索赔的类型指示符来分组多个医疗保健索赔。 一组编程的定价规则适用于分组的多个医疗保健理赔,以对医疗保健索赔中的每一项进行定价。 编程的定价规则集源自一个或多个健康保险制度的定价标准。