Automatic processing and management of referrals of specialty healthcare services
First Claim
1. A digital medical referral management system for automatically monitoring a specialty referral order received from a referring provider system, the system comprising:
- an order processing engine for processing the received order and storing the order in the referral order management system;
a data store engine for receiving subsequent modifications to the order; and
a notification module for notifying the referring provider system of the subsequent modifications to the order.
1 Assignment
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Accused Products
Abstract
According to various embodiments, methods and systems are provided for facilitating and managing communications between healthcare service referrers and healthcare service providers. Such communications are transacted via digital networks in connection with a healthcare information system. Referral of various diagnostic and therapeutic specialties is tracked from the initiation by the referrers to the completion of the services by the specialty service providers. Validation of insurance authorization is performed automatically if needed. Reports on the results of a requested specialty service as well as intermediate recommendations are made available to the referrer or other relevant entities upon completion of the service.
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Citations
43 Claims
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1. A digital medical referral management system for automatically monitoring a specialty referral order received from a referring provider system, the system comprising:
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an order processing engine for processing the received order and storing the order in the referral order management system;
a data store engine for receiving subsequent modifications to the order; and
a notification module for notifying the referring provider system of the subsequent modifications to the order. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17)
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18. A method performed by a medical referral management system for automatically monitoring an order received from a referring provider system, the method comprising:
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processing the received order and storing the order in the referral management system;
receiving subsequent modifications to the order; and
notifying the referring provider system of the subsequent modifications to the order. - View Dependent Claims (19, 20, 21, 22, 23, 24, 25, 26, 27, 28, 29, 30, 31)
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32. A computer program product comprising:
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a computer-readable medium having computer program code embodied therein for automatically monitoring an order received by a referral management system from a referring provider system, the computer program code adapted to;
process the received order and store the order in the referral management system;
receive subsequent modifications to the order; and
notify the referring provider system of the subsequent modifications to the order.
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33. The computer program code of 32, wherein subsequent modifications to the order specify at least one of an order status update, order result update, and an update to an order preauthorization information.
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34. The computer program code of 32, wherein subsequent modifications to the order specify that an order status has been updated, and wherein the computer program code further adapted to notify the referring provider system that the order status has been updated.
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35. The computer program code of 32, wherein subsequent modifications to the order specify an order status update, and wherein the computer program code is further adapted to notify the referring provider system of the order status update.
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36. The computer program code of 32, wherein subsequent modifications to the order specify an order results update, and wherein the computer program code is further adapted to notify the referring provider system of the order result update.
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37. The computer program code of 32, wherein subsequent modifications to the order specify an update to order preauthorization information, and wherein the computer program code is further adapted to notify the referring provider system of the update to order preauthorization information.
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38. The computer program code of 32, wherein the order includes an ordered procedure to be performed on a patient, and wherein processing of the order further comprises:
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validating the received order;
scheduling the ordered procedure; and
updating the stored order with the scheduled procedure.
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39. The computer program code of 32, further comprising:
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storing subsequent modifications to the order in the form of events, an event is associated with an event type; and
providing the notifications of subsequent modifications to the order responsive to the type of the event.
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40. The computer program code of 32, further comprising:
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storing subsequent modifications to the order in the form of events, an event is associated with an event type and a time stamp indicating when the event occurred; and
querying for the events having a time stamp greater than a time stamp of events of which a notification has been provided.
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41. The computer program code of 32, wherein processing of the order further includes scheduling a procedure indicated in the order, and wherein the method further comprises notifying the referring provider office that the procedure has been scheduled for the order.
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42. The computer program code 32, wherein subsequent modifications of the order specify follow up recommendations to the order, and wherein the computer program product is further adapted to notify the referring provider office of the follow up recommendations to the order.
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43. The computer program 32, wherein the referral order management system is in communication with a specialty department system adapted to communicate subsequent modifications to the order to the referral order management system, and wherein the computer program code is further adapted to notify the specialty department system of the processed order.
Specification