System and method for providing real-time bi-directional charge capture-centralized conversation between billing and provider entities
First Claim
1. A method for providing a real-time bi-directional health care charge capture-centralized conversation securely between a Billing entity and a Provider entity regarding a real-time charge capture data and a real-time claim data within a secure network, said method comprising the steps of:
- providing a first computer apparatus having a display and having a first secure point-to-point connection to a database server and a second computer apparatus having a display and having a second secure point-to-point access to said database server, said first and said second computer apparatuses having a charge capture module, said charge capture module having secure access to a real-time charge capture-centralized conversation data stored on said database server;
loading an interface thereon said first computer apparatus, said interface having a charge capture interface, a billing interface and a messaging interface, wherein said charge capture interface is capable of recording at least one of the group consisting of;
diagnoses, diagnosis notes, treatments, treatment notes and combinations thereof, and wherein said billing interface is capable of recording at least one of the group comprising consisting of standardized diagnostic codes and standardized treatment codes, and wherein said messaging interface is capable of displaying a threaded conversation of messages between the Billing entity and the Provider entity;
displaying said interface on said display of said first computer apparatus;
loading said charge capture module via said network thereon said first computer apparatus;
performing at least one action in said charge capture module on said first computer apparatus from a group of actions including;
entering a message associated with said real-time charge capture data, entering a message associated with said real-time claim data, editing said real-time claim data, and combinations thereof said messages comprising a request for supplemental information, a request for clarification, a request for correction, responses to said requests, or combinations thereof;
packaging data resulting from said at least one action into a data package;
transmitting said data package from said first computer apparatus to said database server via said first secure point-to-point connection; and
gathering said data package into a threaded conversation as an updated version of said real-time charge capture-centralized conversation data;
wherein the Billing entity utilizes said second secure point-to-point connection to cooperatively assemble a healthcare claim for reimbursement based upon data in said real-time charge capture-centralized conversation data thereby communicating in a secure.
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Accused Products
Abstract
A system for providing real-time bi-directional charge capture-centralized conversation between Billing and Provider entities, comprising a first computer apparatus with a computer apparatus charge capture module installed and a second computer apparatus with a computer apparatus billing module installed that are used to transmit and/or receive real-time charge capture centralized conversation data. Real-time charge capture-centralized conversation data is comprised of real-time charge capture data, which can be combined to create real-time claim data.
The system further comprises first and second computer apparatus receipt and transmission via secured communication links. The real-time charge capture data, capture-centralized conversation data and claim data is presented in a social media conversation style format. The first and second computer apparatus make it possible for both a Billing and a Provider entity to initiate, transmit or modify any of the sets of real-time charge capture data or charge capture-centralized conversation data.
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Citations
14 Claims
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1. A method for providing a real-time bi-directional health care charge capture-centralized conversation securely between a Billing entity and a Provider entity regarding a real-time charge capture data and a real-time claim data within a secure network, said method comprising the steps of:
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providing a first computer apparatus having a display and having a first secure point-to-point connection to a database server and a second computer apparatus having a display and having a second secure point-to-point access to said database server, said first and said second computer apparatuses having a charge capture module, said charge capture module having secure access to a real-time charge capture-centralized conversation data stored on said database server; loading an interface thereon said first computer apparatus, said interface having a charge capture interface, a billing interface and a messaging interface, wherein said charge capture interface is capable of recording at least one of the group consisting of;
diagnoses, diagnosis notes, treatments, treatment notes and combinations thereof, and wherein said billing interface is capable of recording at least one of the group comprising consisting of standardized diagnostic codes and standardized treatment codes, and wherein said messaging interface is capable of displaying a threaded conversation of messages between the Billing entity and the Provider entity;displaying said interface on said display of said first computer apparatus; loading said charge capture module via said network thereon said first computer apparatus; performing at least one action in said charge capture module on said first computer apparatus from a group of actions including;
entering a message associated with said real-time charge capture data, entering a message associated with said real-time claim data, editing said real-time claim data, and combinations thereof said messages comprising a request for supplemental information, a request for clarification, a request for correction, responses to said requests, or combinations thereof;packaging data resulting from said at least one action into a data package; transmitting said data package from said first computer apparatus to said database server via said first secure point-to-point connection; and gathering said data package into a threaded conversation as an updated version of said real-time charge capture-centralized conversation data; wherein the Billing entity utilizes said second secure point-to-point connection to cooperatively assemble a healthcare claim for reimbursement based upon data in said real-time charge capture-centralized conversation data thereby communicating in a secure. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14)
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Specification