System and method for optimizing medical diagnosis, procedures and claims using a structured search space
First Claim
1. A method of optimizing medical diagnosis, procedures and reimbursement claims using a structured search space, the method comprising:
- listing alphanumeric codes that represent each of a plurality of medical procedures to produce a master procedure list, wherein the master procedure list includes simple procedures and compound procedures which consist of at least two simple procedures;
associating a value to each of the plurality of medical procedures;
listing medical procedures for a specific medical encounter to produce a list of ordered procedures;
building a search tree of all possible combinations of the simple procedures and the compound procedures in the list of ordered procedures; and
searching the search tree for the lowest total of values associated with the medical procedures in the list of ordered procedures.
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Abstract
A system and method for optimizing medical diagnosis, procedures and reimbursement claims using a structured search space is described. The system may comprise: a master procedure list of alphanumeric codes that represent each of a plurality of medical procedures, wherein the master procedure list includes simple procedures and compound procedures which consist of at least two simple procedures; a value associated with each of the plurality of medical procedures; a list of ordered procedures listing medical procedures for a specific medical encounter; a search tree of all possible combinations of the simple procedures and the compound procedures in the list of ordered procedures; and a minimum total of the values associated with the medical procedures in the list of ordered procedures.
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Citations
21 Claims
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1. A method of optimizing medical diagnosis, procedures and reimbursement claims using a structured search space, the method comprising:
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listing alphanumeric codes that represent each of a plurality of medical procedures to produce a master procedure list, wherein the master procedure list includes simple procedures and compound procedures which consist of at least two simple procedures;
associating a value to each of the plurality of medical procedures;
listing medical procedures for a specific medical encounter to produce a list of ordered procedures;
building a search tree of all possible combinations of the simple procedures and the compound procedures in the list of ordered procedures; and
searching the search tree for the lowest total of values associated with the medical procedures in the list of ordered procedures. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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9. A computer program for optimizing medical diagnosis, procedures and reimbursement claims using a structured search space, the computer program comprising:
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instructions for listing alphanumeric codes that represent each of a plurality of medical procedures to produce a master procedure list, wherein the master procedure list includes simple procedures and compound procedures which consist of at least two simple procedures;
instructions for associating a value to each of the plurality of medical procedures;
instructions for listing medical procedures for a specific medical encounter to produce a list of ordered procedures;
instructions for building a search tree of all possible combinations of the simple procedures and the compound procedures in the list of ordered procedures; and
instructions for searching the search tree for the optimal total of values associated with the medical procedures in the list of ordered procedures. - View Dependent Claims (10, 11, 12, 13, 14, 15, 16)
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17. A system for optimizing medical diagnosis, procedures and reimbursement claims using a structured search space, the system comprising:
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a master procedure list of alphanumeric codes that represent each of a plurality of medical procedures, wherein the master procedure list includes simple procedures and compound procedures which consist of at least two simple procedures;
a value associated with each of the plurality of medical procedures;
a list of ordered procedures listing medical procedures for a specific medical encounter;
a search tree of all possible combinations of the simple procedures and the compound procedures in the list of ordered procedures; and
a minimum total of the values associated with the medical procedures in the list of ordered procedures. - View Dependent Claims (18, 19, 20, 21)
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Specification