REVENUE CYCLE CHARGE CAPTURE SYSTEM AND METHOD
First Claim
1. A computer method for identifying charge capture opportunities, comprising:
- a receiving and storing step wherein at least one itemized bill and at least one final bill are received and stored by a server computer;
a comparing step wherein said final bill and said itemized bill are compared to identify discrepancies between line items of said itemized bill and line items of said final bill;
at least one evaluating step wherein a selected bill is evaluated according to a set of rules to identify potential missing charges associated with line items of said selected bill;
a reporting step wherein reporting data summarizing said discrepancies and said missing charges is generated by said server computer and forwarded to a client computer for display to a user.
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Accused Products
Abstract
A method for identifying charge capture opportunities comprises steps of receiving and storing in a server computer at least one itemized bill and at least one final bill, comparing the final bill to the itemized bill to identify line item discrepancies between the bills, comparing either or both bills to a Charge Description Master (CDM) to identify discrepancies between line items of the bill and correct charges defined in CDM, and evaluating final bill according to a set of rules to identify potential missing charges associated with billed charges. Additionally or alternatively, itemized charges can be evaluated according to the rules to identify potential missing charges. Potential missing charges are displayed to a user as revenue opportunities for correction of the bill or other remedial action.
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Citations
18 Claims
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1. A computer method for identifying charge capture opportunities, comprising:
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a receiving and storing step wherein at least one itemized bill and at least one final bill are received and stored by a server computer; a comparing step wherein said final bill and said itemized bill are compared to identify discrepancies between line items of said itemized bill and line items of said final bill; at least one evaluating step wherein a selected bill is evaluated according to a set of rules to identify potential missing charges associated with line items of said selected bill; a reporting step wherein reporting data summarizing said discrepancies and said missing charges is generated by said server computer and forwarded to a client computer for display to a user. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16)
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17. A computer-implemented system for identifying charge capture opportunities, comprising:
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a server computer; a communication interface in communication with said server computer adapted for communication with at least one client computer via a network; a database accessible by said server computer; a storage device readable by said server computer, the storage device having stored thereon a computer program comprising computer readable code executable by said server computer to perform a method for identifying charge capture opportunities, the method comprising; a receiving and storing step wherein at least one itemized bill and at least one final bill are received by said server computer and stored; a comparing step wherein said final bill and said itemized bill are compared to identify discrepancies between line items of said itemized bill and line items of said final bill; at least one evaluating step wherein a selected bill is evaluated according to a set of rules to identify potential missing charges associated with line items of said selected bill; a reporting step wherein reporting data summarizing said discrepancies and said missing charges is generated by said server computer and forwarded to a client computer for display to a user.
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18. A computer program product comprising:
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at least one computer readable storage device having computer readable code embodied thereon, said computer readable code for programming one or more computers to perform a method for identifying charge capture opportunities, the method comprising; a receiving and storing step wherein at least one itemized bill and at least one final bill are received and stored by a server computer; a comparing step wherein said final bill and said itemized bill are compared to identify discrepancies between line items of said itemized bill and line items of said final bill; at least one evaluating step wherein a selected bill is evaluated according to a set of rules to identify potential missing charges associated with line items of said selected bill; a reporting step wherein reporting data summarizing said discrepancies and said missing charges is generated by said server computer and forwarded to a client computer for display to a user.
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Specification