Systems and methods for automated extraction and processing of billing information in patient records
DCFirst Claim
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1. A method for processing medical information, comprising the steps of:
- obtaining a medical record of a patient, wherein the medical record comprises patient information from structured and unstructured data sources;
analyzing with a computer the patient information from at least the unstructured data source in the medical record using domain-specific criteria; and
automatically extracting billing information from the medical record as part of the analysis.
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Abstract
Systems and methods for automated processing of medical information in electronic patient medical record databases, wherein billing information (e.g., diagnosis codes, procedural codes) is automatically extracted from electronic patient medical records through comprehensive analysis of clinical information included in the patient medical records using a knowledge base of domain-specific criteria. The extracted billing information can be automatically processed for purposes of, e.g., medical claims correction, medical claims billing, quality assurance of recorded billing information, or claim reimbursement tracking.
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Citations
31 Claims
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1. A method for processing medical information, comprising the steps of:
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obtaining a medical record of a patient, wherein the medical record comprises patient information from structured and unstructured data sources; analyzing with a computer the patient information from at least the unstructured data source in the medical record using domain-specific criteria; and automatically extracting billing information from the medical record as part of the analysis. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11, 12, 13, 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27)
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28. In a program storage device readable by a machine, tangibly embodying a program of instructions executable on the machine to perform steps for processing medical information, the program storage device comprising instructions for:
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obtaining a medical record of a patient, wherein the medical record comprises patient information from structured and unstructured data sources; analyzing the patient information from at least the unstructured data source in the medical record using domain-specific criteria; and automatically extracting billing information from the medical record as part of the analysis. - View Dependent Claims (29, 30, 31)
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Specification