INTELLIGENT RESOLUTON OF CODES IN A CLASSIFICATION SYSTEM

• US 20140136495A1
• Filed: 11/15/2012
• Published: 05/15/2014
• Est. Priority Date: 11/15/2012
• Status: Active Grant

• Current Assignee: International Business Machines Corporation
• Original Assignee: International Business Machines Corporation
• Inventors: Kottaram, Sanjay F.
• Granted Patent: US 8,903,786 B2
• Time in Patent Office: Days
• US Class Current: 707/695
• CPC Class Codes: G06F 16/258 Data format conversion from or to a database
• CPC Class Codes: G06Q 10/00 Administration; Management
• CPC Class Codes: G16H 50/20 for computer-aided diagnosis, e.g. based on medical expert systems

Abstract

Intelligent delegation of codes for mapping between versions of a classification system includes a computer processor and an application executable by the computer processor to implement a method. The method includes receiving data that is classified with a first code. The first code is defined by a first version of the classification system, and the first code is to be re-classified to a second code that is defined by a second version of the classification system. The method also includes searching a database of profiles for content that matches at least a portion of the data, sending the data to a converter system having one of the profiles that is associated with the content responsive to the searching, and receiving, from the converter system, a mapping of the first code to the second code. The method further includes updating a database of codes with results of the mapping.

Claims

1-8. -8. (canceled)

9. A system, comprising:

a computer processor; and

an application executable by the computer processor, the application configured to implement a method, the method comprising;

receiving data that is classified with a first code, the first code defined by a first version of a classification system, the first code to be re-classified to a second code that is defined by a second version of the classification system;

searching a database of profiles for content that matches at least a portion of the data;

sending the data to a converter system having one of the profiles that is associated with the content responsive to the searching;

receiving, from the converter system, a mapping of the first code to the second code; and

updating a database of codes with results of the mapping.

10. The system of claim 9, wherein the data is indicative of a medical condition, treatment performed, and medical symptom.

11. The system claim 10, wherein the first version of the classification system is a first version of a diagnostic and procedure codes index that is updated from a second version of the diagnostic and procedure codes index, the second version of the diagnostic and procedure codes index corresponding to the second version of the classification system.

12. The system of claim 10, wherein the data is received by the computer processor on a medical claim form.

13. The system of claim 9, wherein the application is further configured to implement:

analyzing, over a duration of time, mapping activities performed by a coder via the converter system, the mapping activities including mapping of codes between the first version of the classification system and the second version of the classification system;

determining an accuracy level of the mapping activities with respect to the coder; and

updating a profile of the coder, based on the accuracy level, to include a proficiency of the coder with respect to a subject matter area that relates to the data.

14. The system of claim 9, wherein the mapping of the first code also includes a mapping of the first code to a third code defined by the second version of the classification system.

15. A computer program product comprising a computer storage medium having instructions embodied thereon, which when executed by a computer processor, causes the computer processor to implement a method, the method comprising:

receiving data that is classified with a first code, the first code defined by a first version of a classification system, the first code to be re-classified to a second code that is defined by a second version of the classification system;

searching a database of profiles for content that matches at least a portion of the data;

sending the data to a converter system having one of the profiles that is associated with the content responsive to the searching;

receiving, from the converter system, a mapping of the first code to the second code; and

updating a database of codes with results of the mapping.

16. The computer program product of claim 15, wherein the data is indicative of at least one of a medical condition, treatment performed, and medical symptom.

17. The computer program product of claim 16, wherein the first version of the classification system is a first version of a diagnostic and procedure codes index that is updated from a second version of the diagnostic and procedure codes index, the second version of the diagnostic and procedure codes index corresponding to the second version of the classification system.

18. The computer program product of claim 16, wherein the data is received on a medical claim form.

19. The computer program product of claim 15, wherein the method further comprises:

analyzing, over a duration of time, mapping activities performed by a coder via the converter system, the mapping activities including mapping of codes between the first version of the classification system and the second version of the classification system;

determining an accuracy level of the mapping activities with respect to the coder; and

updating a profile of the coder, based on the accuracy level, to include a proficiency of the coder with respect to a subject matter area that relates to the data.

20. The computer program product claim 15, wherein the mapping of the first code further includes a mapping of the first code to a third code defined by the second version of the classification system.

21. The computer program product of claim 15, wherein the mapping of the first code further includes a mapping of multiple codes defined by the first version of the classification system to the second code defined by the second version of the classification system.

22. (canceled)

23. (canceled)