METHOD AND SYSTEM FOR PREDICTING THE MOST LIKELY SUPPLEMENTARY MEDICAL SERVICES FOR A GIVEN PRIMARY SERVICE BY IDENTIFYING PATTERNS BETWEEN CO-OCCURRING BILLED SUPPLEMENTARY SERVICES IN HISTORICAL CLAIMS DATA

METHOD AND SYSTEM FOR PREDICTING THE MOST LIKELY SUPPLEMENTARY MEDICAL SERVICES FOR A GIVEN PRIMARY SERVICE BY IDENTIFYING PATTERNS BETWEEN CO-OCCURRING BILLED SUPPLEMENTARY SERVICES IN HISTORICAL CLAIMS DATA

A method and system for determining or predicting the most commonly billed supplementary codes or medical services for each unique primary CPT code or service by identifying patterns between co-occurring billed supplementary services in historical claims data. The accuracy of the predictions is scor...

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Bibliographische Detailangaben
Hauptverfasser: Lee, Chulmin, Gabbert, Zachary, Coddington, Matthew Alan, Roy, Sneha, Arjun, Shipra, Kolbeck, Michael Benjamin, Kattirtzi, John Andrew
Format: Patent
Sprache:eng
Schlagworte:
CALCULATING
COMPUTING
COUNTING
DATA PROCESSING SYSTEMS OR METHODS, SPECIALLY ADAPTED FORADMINISTRATIVE, COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORYOR FORECASTING PURPOSES
PHYSICS
SYSTEMS OR METHODS SPECIALLY ADAPTED FOR ADMINISTRATIVE,COMMERCIAL, FINANCIAL, MANAGERIAL, SUPERVISORY OR FORECASTINGPURPOSES, NOT OTHERWISE PROVIDED FOR
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Beschreibung
Zusammenfassung:A method and system for determining or predicting the most commonly billed supplementary codes or medical services for each unique primary CPT code or service by identifying patterns between co-occurring billed supplementary services in historical claims data. The accuracy of the predictions is scored by applying a similarity index, and an accuracy score is provided for each prediction.