Patient credit balance account analysis, overpayment...

Details Patient credit balance account analysis, overpayment... Patient credit balance account analysis, overpayment...

2003-01-31

2009-10-20

Gilligan, C. Luke (Department: 3626)

Data processing: financial, business practice, management, or co

Automated electrical financial or business practice or...

Health care management

C705S030000, C705S040000

Reexamination Certificate

active

07606721

ABSTRACT:
The present invention provides a system for managing, analyzing and reporting accounts of overpaid claims for patient balance accounts, although various components and features of the system are inventions into themselves. Certain aspects of the inventor allow managers of both service providers (such as health care facilities) and payers (such as insurance companies and Medicare) to assign work and produce reports. Other aspects of the invention allow provider users and payer users to analyze and resolve the claims in an automated environment. These aspects provide the users with information in a readily accessible and easy to navigate format. The users are also provided with tools for analyzing the claims in an automated manner.

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Anonymous “Credit Balances: Spotlighting a Little-Known Area of Risk and Opportunity,” Jan. 2004, Healthcare Financial Management, vol. 58, No. 1, S1.
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James E. Massey, entitled: “Formula for Analyzing Accounts Receivable Management Performance”, Topics and Presentations, Sep. 20, 2002, pp. 1-3.

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