System and method for accounting and billing patients in a hospital environment
First Claim
1. An accounting and billing system for patients in a hospital environment comprising:
- a telecommunication network;
monitoring stations comprising monitoring equipment, wherein the monitoring equipment comprises instructions for monitoring data elements from geographically dispersed hospitalized patients and sending the monitored data elements to a remote command center via the telecommunications network,wherein the remote command center comprises instructions for;
receiving the monitored data elements from the geographically dispersed hospitalized patients;
accessing patient data elements indicative of a medical condition associated with each of the geographically dispersed hospitalized patients;
establishing patient-specific rules associated with each of the geographically dispersed hospitalized patients; and
applying the patient-specific rules continuously and simultaneously using a rules engine, wherein the rules engine comprises instructions for;
selecting data elements from the monitored data elements and the patient data elements associated with a hospitalized patient;
applying a patient-specific rule associated with the hospitalized patient to the selected data elements;
determining in an automated fashion at the remote command center 24 hours per day 7 days per week whether the patient-specific rule for the hospitalized patient has been contravened; and
in the event the patient-specific rule for the hospitalized patient has been contravened, determining in an automated fashion whether intervention is warranted;
a decision support module comprising instructions for, in the event the patient-specific rule for the hospitalized patient has been contravened;
accessing a decision support algorithm;
applying the decision support algorithm to the selected patient data elements of the hospitalized patient; and
providing patient care guidance formulated to return the medical condition of the patient to compliance with the patient specific rule, whereby the treatment of hospitalized patients is standardized; and
a bill generator, wherein the bill generator comprises instructions for;
receiving a patient ID associated with the hospitalized patient;
receiving a current procedural terminology (CPT) code from a CPT code assignment manager for a billable service provided to the hospitalized patient associated with the patient ID, wherein the billable service is selected from a monitoring service and a patient care service; and
assembling a bill for the billable service provided to the hospitalized patient associated with the patient ID using the CPT codes.
1 Assignment
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Accused Products
Abstract
A system and method for accounting and billing patients in a hospital environment. A hospitalized patient is associated with a patient identifier. Billable services provided to the hospitalized patient are associated with the patient identifier. If the billable service is provided by a physician, a physician identifier is also associated with the billable service. The hospitalized patient is scored and a current procedural terminology (CPT) assignment manager assigns CPT codes to the billable service. A bill generator receives the patient data, patient insurance information, physician insurance information, and CPT codes and generates a bill for the billable services provided to the hospitalized patient.
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Citations
36 Claims
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1. An accounting and billing system for patients in a hospital environment comprising:
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a telecommunication network; monitoring stations comprising monitoring equipment, wherein the monitoring equipment comprises instructions for monitoring data elements from geographically dispersed hospitalized patients and sending the monitored data elements to a remote command center via the telecommunications network, wherein the remote command center comprises instructions for; receiving the monitored data elements from the geographically dispersed hospitalized patients; accessing patient data elements indicative of a medical condition associated with each of the geographically dispersed hospitalized patients; establishing patient-specific rules associated with each of the geographically dispersed hospitalized patients; and applying the patient-specific rules continuously and simultaneously using a rules engine, wherein the rules engine comprises instructions for; selecting data elements from the monitored data elements and the patient data elements associated with a hospitalized patient; applying a patient-specific rule associated with the hospitalized patient to the selected data elements; determining in an automated fashion at the remote command center 24 hours per day 7 days per week whether the patient-specific rule for the hospitalized patient has been contravened; and in the event the patient-specific rule for the hospitalized patient has been contravened, determining in an automated fashion whether intervention is warranted; a decision support module comprising instructions for, in the event the patient-specific rule for the hospitalized patient has been contravened; accessing a decision support algorithm; applying the decision support algorithm to the selected patient data elements of the hospitalized patient; and providing patient care guidance formulated to return the medical condition of the patient to compliance with the patient specific rule, whereby the treatment of hospitalized patients is standardized; and a bill generator, wherein the bill generator comprises instructions for; receiving a patient ID associated with the hospitalized patient; receiving a current procedural terminology (CPT) code from a CPT code assignment manager for a billable service provided to the hospitalized patient associated with the patient ID, wherein the billable service is selected from a monitoring service and a patient care service; and assembling a bill for the billable service provided to the hospitalized patient associated with the patient ID using the CPT codes. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 26, 27, 29, 30, 31, 32)
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13. A method for accounting and billing patients in a hospital environment comprising:
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receiving at a remote command center monitored data elements from geographically dispersed hospitalized patients via a telecommunications network; accessing patient data elements indicative of a medical condition associated with each of the geographically dispersed hospitalized patients; establishing patient-specific rules associated with each of the geographically dispersed hospitalized patients; selecting data elements from the monitored data elements and the patient data elements associated with a hospitalized patient; applying a patient-specific rule associated with the hospitalized patient to the selected data elements; making a determination in an automated fashion at the remote command center 24 hours per day 7 days per week whether the patient-specific rule for the hospitalized patient has been contravened; and in the event the patient-specific rule for the hospitalized patient has been contravened; determining in an automated fashion whether intervention is warranted; and accessing a decision support algorithm; applying the decision support algorithm to the selected patient data elements of the hospitalized patient; providing patient care guidance formulated to return the medical condition of the patient to compliance with the patient specific rule, whereby the treatment of hospitalized patients is standardized; receiving a patient ID associated with the hospitalized patient; receiving a current procedural terminology (CPT) code from a CPT assignment manager for a billable service, wherein the billable service is selected from a monitoring service and a patient care service; and assembling a bill for the billable service provided to the hospitalized patient associated with the patient ID using the CPT codes. - View Dependent Claims (14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 28, 33, 34, 35, 36)
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Specification