CLINICAL CARE UTILIZATION MANAGEMENT SYSTEM
First Claim
1. A computer implemented system, consisting of one or more computers connected by one of an internet and a local area network, for generating an electronic clinical record of a patient clinical encounter for submission for review by a health care reviewing organization, comprising:
- at least one selection interface module, the selection interface module adapted to facilitate the selection of at least a diagnosis; and
a verification module for determining an authorization level for the diagnosis by referring to at least data in identified fields, the verification module determining said authorization level prior to submission of the clinical record to a server computer, said selection interface module facilitating selection of criteria prompts in a prompts pop-up button list by display of a clickable navigator text field, and text in the navigator field describes a set of prompts which are selected to meet criteria for a diagnosis for a patient encounter.
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Accused Products
Abstract
A computer implemented system facilities the submission of clinical events date to a reviewing agency by prompting for date needed to authorize the appropriateness of the event. The system directs an appropriate submission to authorize the event. The system further stores the patient clinical event data and presents the date for review. The system confirms that the clinical event is appropriate by referring to the input data and predetermined validation rules.
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Citations
3 Claims
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1. A computer implemented system, consisting of one or more computers connected by one of an internet and a local area network, for generating an electronic clinical record of a patient clinical encounter for submission for review by a health care reviewing organization, comprising:
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at least one selection interface module, the selection interface module adapted to facilitate the selection of at least a diagnosis; and
a verification module for determining an authorization level for the diagnosis by referring to at least data in identified fields, the verification module determining said authorization level prior to submission of the clinical record to a server computer, said selection interface module facilitating selection of criteria prompts in a prompts pop-up button list by display of a clickable navigator text field, and text in the navigator field describes a set of prompts which are selected to meet criteria for a diagnosis for a patient encounter. - View Dependent Claims (2, 3)
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Specification