Medication Therapy Review Methods
First Claim
1. A method for population and patient-specific medication therapy review using a computer particularly adapted for a medication therapy management or health care delivery organization, wherein the method comprises the following steps:
- a) collecting patient claims data;
b) reviewing the patient claims data for accuracy and data integrity;
c) identifying characteristics sought within said patient claims data;
d) organizing and structuring the patient claims data;
e) establishing a set of clinical rules;
f) transforming the set of clinical rules established into a computer language, and entering the transformed clinical rules into an electronic database; and
g) analyzing the patient claims data by applying the clinical rules using a computer particularly adapted for a medication therapy management or health care delivery organization, thereby producing an analytical result.
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Accused Products
Abstract
A method for population and patient-specific medication therapy review using a computer particularly adapted for a medication therapy management or health care delivery organization is provided, wherein the method includes at least the steps of: collecting patient claims data; reviewing the patient claims data for accuracy and data integrity; identifying particular characteristics sought within the patient claims data; organizing and structuring the patient claims data; establishing a set of clinical rules; transforming the set of clinical rules established into a computer language, and entering the transformed clinical rules into an electronic database; and analyzing the patient claims data by applying the clinical rules using a computer particularly adapted for a medication therapy management or health care delivery organization, thereby producing an analytical result. In further embodiments, the analytic results are used to evaluate the need for patient-level medication therapy review and, optionally, to actually conduct a patient-level medication therapy review based on the review of the analytic results.
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Citations
8 Claims
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1. A method for population and patient-specific medication therapy review using a computer particularly adapted for a medication therapy management or health care delivery organization, wherein the method comprises the following steps:
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a) collecting patient claims data; b) reviewing the patient claims data for accuracy and data integrity; c) identifying characteristics sought within said patient claims data; d) organizing and structuring the patient claims data; e) establishing a set of clinical rules; f) transforming the set of clinical rules established into a computer language, and entering the transformed clinical rules into an electronic database; and g) analyzing the patient claims data by applying the clinical rules using a computer particularly adapted for a medication therapy management or health care delivery organization, thereby producing an analytical result. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8)
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Specification