Method and apparatus for assessing credit for healthcare patients
First Claim
1. A computing system comprising:
- one or more processors configured to execute instructions, wherein the instructions are configured to cause the computing system to;
receive attribute information for a patient of a healthcare facility;
determine a patient population segment for the patient based at least in part on the received attribute information and a custom model for the healthcare facility, wherein the custom model groups patients of the healthcare facility based on attributes of the patients of the healthcare facility; and
generate a prediction of payment for the patient based at least in part on the determined patient population segment.
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Abstract
According to one example embodiment, there is provided a method and an apparatus to evaluate the credit of a healthcare patient. The example embodiment provides methods and computer systems programmed to use multiple variables that are known about a patient prior to a service being rendered to segment the patient population into finer grained groupings. These finer grained groupings allow financial factors, such as a credit score, to be a more accurate predictor. Also, according to another example embodiment, the model is not a generic model for all patients, but the variables and their parameters are specific to a particular healthcare organization'"'"'s or facility'"'"'s patient population. This creates a custom model that further enhances its predictiveness.
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Citations
20 Claims
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1. A computing system comprising:
one or more processors configured to execute instructions, wherein the instructions are configured to cause the computing system to; receive attribute information for a patient of a healthcare facility; determine a patient population segment for the patient based at least in part on the received attribute information and a custom model for the healthcare facility, wherein the custom model groups patients of the healthcare facility based on attributes of the patients of the healthcare facility; and generate a prediction of payment for the patient based at least in part on the determined patient population segment. - View Dependent Claims (2, 3, 4, 5, 6, 7, 8, 9, 10, 11)
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12. A method comprising:
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accessing, by a computing system having one or more hardware processors, attribute information for a patient of a healthcare facility; determining, by the computing system, a patient population segment for the patient based at least in part on the attribute information and a custom model for the healthcare facility, wherein the custom model is configured to group patients of the healthcare facility based on attributes of the patients of the healthcare facility; and generating, by the computing system, a prediction of payment for the patient based at least in part on the determined patient population segment. - View Dependent Claims (13, 14, 15, 16)
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17. Non-transitory computer storage having stored thereon computer-executable instructions configured for execution on a processing system to cause the processing system to:
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access attribute information for a patient of a healthcare facility; determine a patient population segment for the patient based at least in part on the attribute information and a custom model for the healthcare facility, wherein the custom model is configured to group patients of the healthcare facility based on attributes of the patients of the healthcare facility; and generate a prediction of payment for the patient based at least in part on the determined patient population segment. - View Dependent Claims (18, 19, 20)
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Specification