System for monitoring healthcare patient encounter related information
First Claim
1. A system for monitoring healthcare encounter related information derived from patient interaction with a healthcare provider to detect irregular data patterns, comprising:
- an interface processor for receiving patient encounter related information comprising clinical and financial information from a plurality of different sources;
a database for storing said received information;
a search processor for searching said database to identify a predetermined data pattern and for determining whether an identified data pattern meets predetermined criteria; and
a data processor for processing said identified encounter related information to be suitable for output communication.
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Accused Products
Abstract
A system monitors in real-time multiple organization patient healthcare financial and clinical encounter related information by automatically recognizing and evaluating complex data patterns to identify statistically significant patterns and clusters using user created data pattern templates to detect fraud, disease outbreaks and cost reduction opportunities. A system monitors healthcare encounter related information derived from patient interaction with a healthcare provider to detect irregular data patterns. The system includes an interface processor for receiving patient encounter related information comprising clinical and financial information from a plurality of different sources for storage in a database. A search processor searches the database to identify a predetermined data pattern and determines whether an identified data pattern meets predetermined criteria. A data processor processes the identified encounter related information to be suitable for output communication.
143 Citations
26 Claims
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1. A system for monitoring healthcare encounter related information derived from patient interaction with a healthcare provider to detect irregular data patterns, comprising:
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an interface processor for receiving patient encounter related information comprising clinical and financial information from a plurality of different sources;
a database for storing said received information;
a search processor for searching said database to identify a predetermined data pattern and for determining whether an identified data pattern meets predetermined criteria; and
a data processor for processing said identified encounter related information to be suitable for output communication. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 11, 12, 13, 14, 15, 16, 17, 18)
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19. A system for monitoring healthcare encounter related information, derived from patient interaction with a healthcare provider, to detect irregular data patterns, comprising:
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an interface processor for accessing patient encounter related information communications being communicated on at least one of a plurality of communication links from a corresponding plurality of different sources, said patient encounter related information comprising clinical and financial information;
a search processor for initiating a continuing search of said accessed patient encounter related information, in response to user command, to identify a predetermined data pattern and for determining whether an identified data pattern meets predetermined criteria; and
a data processor for processing said identified encounter related information to be suitable for output communication. - View Dependent Claims (20, 21)
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22. A method of providing a user interface supporting monitoring healthcare encounter related information derived from patient interaction with a healthcare provider to detect irregular data patterns, comprising the steps of:
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generating at least one display image including, a data entry element supporting user determination of a data pattern including data associated with both clinical and financial items of a patient encounter record, a data entry element supporting user determination of criteria for use in determining whether an identified data pattern meets predetermined requirements;
searching a database to identify patient encounter related data matching said user determined data pattern;
determining whether an identified data pattern meets said user determined criteria; and
processing said identified patient encounter related data to provide search result information for output. - View Dependent Claims (23, 24)
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25. A method for monitoring healthcare encounter related information derived from patient interaction with a healthcare provider to detect irregular data patterns, comprising the steps of:
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receiving patient encounter related information comprising clinical and financial information from a plurality of different sources;
storing said received information;
searching said database to identify a predetermined data pattern;
determining whether an identified data pattern meets predetermined criteria; and
processing said identified encounter related information to be suitable for output communication.
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26. A method for monitoring healthcare encounter related information, derived from patient interaction with a healthcare provider, to detect irregular data patterns, comprising the steps of:
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accessing patient encounter related information communications being communicated on at least one of a plurality of communication links from a corresponding plurality of different sources, said patient encounter related information comprising clinical and financial information;
initiating a continuing search of said accessed patient encounter related information, in response to user command, to identify a predetermined data pattern;
determining whether an identified data pattern meets predetermined criteria; and
processing said identified encounter related information to be suitable for output communication.
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Specification