System and Method for Uniformly Pricing Items

• US 20190325455A1
• Filed: 07/02/2019
• Published: 10/24/2019
• Est. Priority Date: 08/10/2006
• Status: Active Grant

• Current Assignee: MedCom Solutions, Inc.
• Original Assignee: MedCom Solutions, Inc.
• Inventors: Hunt, William A., Hunt, Jennifer
• Granted Patent: US 10,910,104 B2
• Time in Patent Office: Days
• CPC Class Codes: G06Q 10/063 Operations research, analysis or management
• CPC Class Codes: G06Q 10/10 Office automation; Time management
• CPC Class Codes: G06Q 30/00 Commerce
• CPC Class Codes: G06Q 30/0283 Price estimation or determination
• CPC Class Codes: G06Q 30/06 Buying, selling or leasing transactions
• CPC Class Codes: G16H 40/20 for the management or administration of healthcare resources or facilities, e.g. managing hospital staff or surgery rooms
• CPC Class Codes: G16H 40/67 for remote operation

Abstract

A computer-assisted method for uniformly pricing chargeable items in a healthcare provider'"'"'s chargeable item database is disclosed. The method applies uniform pricing to identical or related chargeable items. A system for uniformly pricing related chargeable items is also disclosed.

Claims

1. A computer-implemented method of uniformly pricing items, the method comprising:

creating in a first computing environment, with an electronic computer processor, a duplicate of an original electronic chargeable item database located in a second computing environment independent of the first computing environment;

accessing, by the processor and in an electronic revenue and usage database, a revenue data set comprising data associated with each chargeable item stored in the duplicate electronic chargeable database;

using computer-implemented instructions executed by the processor for;

identifying in the duplicate electronic chargeable item database two or more chargeable items having the same procedural code;

linking the identified chargeable items having the same procedural code in at least one group of related chargeable items;

selecting a predetermined parameter from the revenue data set stored in the revenue and usage database, the predetermined parameter comprising a comparatively lowest price for selecting from among the respective prices of each item in the linked group of related chargeable items;

determining, by the processor, a uniform price for the linked group of related chargeable items using the selected predetermined parameter;

updating in the duplicate chargeable item database, by the processor, price charged data for each item in the linked group of related chargeable items with the determined uniform price; and

,

exporting, by the processor, data from the duplicate chargeable item database to the original chargeable item database for implementing updates or changes derived from the duplicate chargeable item database.

2. The method of claim 1, further comprising excluding from the linked group, using the processor, an excluded chargeable item following creating the linked group of related chargeable items.

3. The method of claim 1, wherein the revenue data set comprises a utilization file associated with a healthcare provider.

4. The method of claim 1, wherein the revenue data set further comprises at least one predicted price resulting from either a future price or a budgeted price change.

5. The method of claim 1, further comprising associating, using the processor, at least one chargeable item with:

an inpatient or outpatient indication, or

a payor indication.

6. A computer system programmed for uniformly pricing items, the system comprising:

an original electronic chargeable item database in a first computing environment;

a duplicate of the original electronic chargeable item database in a second computing environment independent of a second computing environment of the original electronic chargeable item database;

an electronic revenue and usage database comprising a revenue data set comprising data associated with each chargeable item stored in the duplicate electronic chargeable database;

an electronic computer processor programmed for executing computer-implemented instructions for;

identifying in the duplicate electronic chargeable item database two or more chargeable items having the same procedural code;

linking the identified chargeable items having the same procedural code in at least one group of related chargeable items;

selecting a predetermined parameter from the revenue data set stored in the revenue and usage database, the predetermined parameter comprising a comparatively lowest price for selecting from among the respective prices of each item in the linked group of related chargeable items;

determining a uniform price for the linked group of related chargeable items using the selected predetermined parameter;

updating in the duplicate chargeable item database price charged data for each item in the linked group of related chargeable items with the determined uniform price; and

,

exporting data from the duplicate chargeable item database to the original chargeable item database for implementing updates or changes derived from the duplicate chargeable item database.

7. The system of claim 6, further comprising the processor programmed for excluding from the linked group an excluded chargeable item following creating the linked group of related chargeable items.

8. The system of claim 6, wherein the revenue data set comprises a utilization file associated with a healthcare provider.

9. The system of claim 6, wherein the revenue data set further comprises at least one predicted price resulting from either a future price or a budgeted price change.

10. The system of claim 6, further comprising the processor programmed for associating at least one chargeable item:

an inpatient or outpatient indication, or

a payor indication.

11. A computer-implemented method of uniformly pricing items, the method comprising:

creating in a first computing environment, with an electronic computer processor, a duplicate of an original electronic chargeable item database located in a second computing environment independent of the first computing environment;

accessing, by the processor and in an electronic revenue and usage database, a revenue data set comprising data associated with each chargeable item stored in the duplicate electronic chargeable database;

using computer-implemented instructions executed by the processor for;

identifying in the duplicate electronic chargeable item database two or more chargeable items having the same procedural code;

linking the identified chargeable items having the same procedural code in at least one group of related chargeable items;

selecting a predetermined parameter from the revenue data set stored in the revenue and usage database, the predetermined parameter comprising a mean price for selecting from among the respective prices of each item in the linked group of related chargeable items;

determining, by the processor, a uniform price for the linked group of related chargeable items using the selected predetermined parameter;

updating in the duplicate chargeable item database, by the processor, price charged data for each item in the linked group of related chargeable items with the determined uniform price; and

,

exporting, by the processor, data from the duplicate chargeable item database to the original chargeable item database for implementing updates or changes derived from the duplicate chargeable item database.

12. The method of claim 11, further comprising the processor programmed for excluding from the linked group an excluded chargeable item following creating the linked group of related chargeable items.

13. The method of claim 11, wherein the revenue data set comprises a utilization file associated with a healthcare provider.

14. The method of claim 11, wherein the revenue data set further comprises at least one predicted price resulting from either a future price or a budgeted price change.

15. A computer-implemented method of uniformly pricing items, the method comprising:

creating in a first computing environment, with an electronic computer processor, a duplicate of an original electronic chargeable item database located in a second computing environment independent of the first computing environment;

accessing, by the processor and in an electronic revenue and usage database, a revenue data set comprising data associated with each chargeable item stored in the duplicate electronic chargeable database;

using computer-implemented instructions executed by the processor for;

identifying in the duplicate electronic chargeable item database two or more chargeable items having the same procedural code;

linking the identified chargeable items having the same procedural code in at least one group of related chargeable items;

selecting a predetermined parameter from the revenue data set stored in the revenue and usage database, the predetermined parameter comprising a median price for selecting from among the respective prices of each item in the linked group of related chargeable items;

determining, by the processor, a uniform price for the linked group of related chargeable items using the selected predetermined parameter;

updating in the duplicate chargeable item database, by the processor, price charged data for each item in the linked group of related chargeable items with the determined uniform price; and

,

exporting, by the processor, data from the duplicate chargeable item database to the original chargeable item database for implementing updates or changes derived from the duplicate chargeable item database.

16. The method of claim 15, further comprising the processor programmed for excluding from the linked group an excluded chargeable item following creating the linked group of related chargeable items.

17. The method of claim 15, wherein the revenue data set comprises a utilization file associated with a healthcare provider.

18. The method of claim 15, wherein the revenue data set further comprises at least one predicted price resulting from either a future price or a budgeted price change.

19. A computer-implemented method of uniformly pricing items, the method comprising:

creating in a first computing environment, with an electronic computer processor, a duplicate of an original electronic chargeable item database located in a second computing environment independent of the first computing environment;

accessing, by the processor and in an electronic revenue and usage database, a revenue data set comprising data associated with each chargeable item stored in the duplicate electronic chargeable database;

using computer-implemented instructions executed by the processor for;

identifying in the duplicate electronic chargeable item database two or more chargeable items having the same procedural code;

linking the identified chargeable items having the same procedural code in at least one group of related chargeable items;

selecting a predetermined parameter from the revenue data set stored in the revenue and usage database, the predetermined parameter comprising a price falling within a predetermined percentile for selecting from among the respective prices of each item in the linked group of related chargeable items;

determining, by the processor, a uniform price for the linked group of related chargeable items using the selected predetermined parameter;

updating in the duplicate chargeable item database, by the processor, price charged data for each item in the linked group of related chargeable items with the determined uniform price; and

,

exporting, by the processor, data from the duplicate chargeable item database to the original chargeable item database for implementing updates or changes derived from the duplicate chargeable item database.

20. The method of claim 19, further comprising the processor programmed for excluding from the linked group an excluded chargeable item following creating the linked group of related chargeable items.

21. The method of claim 19, wherein the revenue data set comprises a utilization file associated with a healthcare provider.

22. The method of claim 19, wherein the revenue data set further comprises at least one predicted price resulting from either a future price or a budgeted price change.