Data processing: financial – business practice – management – or co – Automated electrical financial or business practice or... – Health care management
Patent
1995-04-13
1999-06-29
Thomas, Joseph
Data processing: financial, business practice, management, or co
Automated electrical financial or business practice or...
Health care management
705 7, 705 10, G06F15900, G06F 1760
Patent
active
059182083
ABSTRACT:
A managed care expert system provides a graphical, interactive computer system which accepts user input relating to contract variables for a plurality of alternative contract scenarios, consults a database of national and locality-specific utilization data, performs a utilization and revenue analysis for both commercial and Medicare-age beneficiaries, and provides a synthetic fee schedule for comparing the likely revenue under capitation for a plurality of services to revenue for those services under a current reimbursement scenario. The system of the invention in its preferred embodiment enables a physician or other health care professional to use a broad array of assumptions to forecast utilization of medical procedures and estimated revenue per procedure under multiple capitation scenarios.
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Ingenix Inc.
Thomas Joseph
LandOfFree
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