INTEGRATED MEDICAL SOFTWARE SYSTEM WITH LOCATION-DRIVEN BILL CODING
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Accused Products
Abstract
An integrated medical software system with location-driven bill coding is disclosed. The system comprises an information component that automatically retrieves payment method data and demographic data for a patient and location data for a healthcare provider; a clinical component that captures at least one of a diagnosis code, a procedure code, and an evaluation and management (E&M) code as at least one of a clinician and a staff member at the healthcare provider inputs clinical data for the patient into the an electronic document during an encounter with the patient; a mapping component that automatically associates a billing code with the at least one of a pathology code, a procedural code, and an E&M code and assigns a service cost to the billing code based on a pre-defined fee schedule, said pre-defined fee schedule being automatically chosen based on the location data for the healthcare provider; and a service detail entry component that uses the payment method data and the demographic data for the patient and the service cost to automatically generate at least one of a bill, a claim, and a statement for the patient.
30 Citations
82 Claims
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1-62. -62. (canceled)
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63. An integrated medical software system with location-driven bill coding, the system comprising:
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an information software component executed by a processor of the system to automatically retrieve payment method data and demographic data for a patient and location data for a healthcare provider; a clinical software component executed by the processor of the system to capture at least one of a diagnosis code, a procedure code, and an evaluation and management (E&
M) code as at least one of a clinician and a staff member at the healthcare provider inputs clinical data for the patient into an electronic document during an encounter with the patient;a mapping software component executed by the processor of the system to automatically associate a billing code with the at least one of a diagnosis code, a procedure code, and an E&
M code and assigns a service cost to the billing code based on a pre-defined fee schedule, said pre-defined fee schedule being automatically chosen based on the location data for the healthcare provider; anda service detail entry software component executed by the processor of the system to use the payment method data and the demographic data for the patient and the service cost to automatically generate at least one of a bill, a claim, and a statement for the patient. - View Dependent Claims (64, 65, 66, 67, 68, 69, 70, 71, 72)
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73. A method for providing location-driven bill coding with an integrated medical software system, said method being embodied on a processor-executable medium and said integrated medical software system having a processor that executes the method to perform the steps of:
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using an information software component to automatically retrieve payment method data and demographic data for a patient and location data for a healthcare provider; using a clinical software component to capture at least one of a diagnosis code, a procedure code, and an evaluation and management (E&
M) code as at least one of a clinician and a staff member at the healthcare provider inputs clinical data for the patient into the an electronic document during an encounter with the patient;using a mapping software component to automatically associate a billing code with the at least one of a pathology code, a procedural code, and an E&
M code and to assign a service cost to the billing code based on a pre-defined fee schedule, said pre-defined fee schedule being automatically chosen based on the location data for the healthcare provider; andusing a service detail entry software component to automatically generate at least one of a bill, a claim, and a statement for the patient with the payment method data and the demographic data for the patient and the service cost. - View Dependent Claims (74, 75, 76, 77, 78, 79, 80, 81, 82)
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Specification