Data processing: financial – business practice – management – or co – Automated electrical financial or business practice or... – Health care management
Reexamination Certificate
2007-05-22
2007-05-22
Poinvil, Frantzy (Department: 3628)
Data processing: financial, business practice, management, or co
Automated electrical financial or business practice or...
Health care management
C705S002000
Reexamination Certificate
active
09437567
ABSTRACT:
A method and system for analyzing historical medical provider billings to statistically establish a normative utilization profile. Comparison of a medical provider's utilization profile with a normative profile is enabled. Based on historical treatment patterns and a fee schedule, an accurate model of the cost of a specific medical episode can be created. Various treatment patterns for a particular diagnosis can be compared by treatment cost and patient outcome to determine the most cost-effective treatment approach. It is also possible to identify those medical providers who provide treatment that does not fall within the statistically established treatment patterns or profiles.
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Bentley Matthew R.
Mattey Jean Andrea
Seare Jerry G.
Smith-Wilson Patricia A.
Snyder Eileen K.
Dorsey & Whitney LLP
Ingenix Inc.
Poinvil Frantzy
LandOfFree
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