BILLING MODIFIER MODULE FOR INTEGRATED EMERGENCY MEDICAL TRANSPORTATION DATABASE SYSTEM
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Abstract
An integrated medical database system for the emergency medical transportation business. The system includes a dispatch and demographic module, a clinical module, an administration module and a billing module. Each module may communicate data with one or more of the other modules to form a system incorporating data sharing, thus achieving an end-to-end automation of emergency medical care accounting. Internal consistency checks are performed by the system to ensure that proper treatments are performed according to a chosen diagnosis. The system includes a billing modifier module operating on data from the dispatch and demographic module. In one embodiment, the billing modifier module applies Geographic Practice Cost Index (GPCI) and Metropolitan Statistical Area (MSA) billing modifiers based on modifiable computerized rules so as to provide a more accurate charge to the payer. The results of the billing modifier module are forwarded to the billing module.
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Citations
22 Claims
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1. (canceled)
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2. A method of modifying charges for a bill using one or more transport associated billing modifiers based on a location of an emergency encountered during emergency medical transportation, the method comprising:
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obtaining the location of a medical emergency;
checking a library comprising a plurality of locations corresponding to one or more billing modifiers against the location; and
if a match is found, applying the library'"'"'s billing modifiers to charges associated with the emergency medical transportation. - View Dependent Claims (3, 4, 5, 6, 7, 8, 9)
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10. An integrated medical database system with a billing modifier module that modifies charges in a bill by applying one or more transport associated billing modifiers based on a location of an emergency to determine whether the emergency location qualifies for enhanced reimbursement, the system comprising:
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a transport information module configured to receive the location of a medical emergency; and
a billing modifier module configured to store a plurality of pickup locations and compare the location to the pickup locations, wherein if a match exists for the location in the pickup locations, the billing modifier module modifies charges according to a modifier associated with the matched pickup location. - View Dependent Claims (11, 12, 13)
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14. A method of modifying charges in a bill using a billing modifier database, the method comprising:
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receiving a zip code or Global Positioning Satellite (GPS) data corresponding to a location of a medical emergency;
determining whether the location is within the billing modifier database, the database comprising a plurality of pickup locations and respective billing modifiers; and
adjusting charges associated with a bill for emergency medical transportation, if one or more matches exist between the location and a database entry. - View Dependent Claims (15, 16, 17)
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18. An emergency medical database system having a billing modifier module for modifying charges in a bill based on a location of a patient'"'"'s medical emergency, the system comprising:
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a billing computer;
a billing module executed by the billing computer; and
a plurality of billing modifiers stored in the billing computer, wherein the billing modifiers are used to modify transport charges by applying a Geographic Practice Cost Index (GPCI) and a Metropolitan Statistical Area (MSA). - View Dependent Claims (19)
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20. A computer usable medium having computer readable program code embodied therein for modifying charges incurred during medical transportation to a medical facility, the computer readable code comprising instructions for:
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obtaining a zip code of the location of a patient'"'"'s medical emergency;
checking a library comprising zip codes corresponding to a Geographic Practice Cost Index (GPCI) billing modifier or a Metropolitan Statistical Area (MSA) billing modifier; and
applying one or more of the billing modifiers to modify charges on a bill. - View Dependent Claims (21, 22)
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Specification