COMPUTERIZED MEDICAL RECORD CODING SYSTEM AND METHOD USING CODE MODELS

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United States of America Patent

SERIAL NO

14227604

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ATTORNEY / AGENT: (SPONSORED)

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Abstract

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A computerized system and method that allows healthcare providers to update the medical codes in health benefits provider member records using medical code models. Each medical code model has an identifier and associated medical codes. Each member record has a code model identifier that indicates which set of medical codes are appropriate for the member's medical conditions. In an example embodiment, the code model identifiers include a medical hierarchical condition code model, and an end-stage renal disease code model. When medical conditions are affirmed or added to a member's database medical record, the member's code model identifier is used to select the set of medical codes from which a computer user can choose. The use of the medical code model identifier limits a user's selection of medical codes and as a result, reduces the likelihood of medical record coding errors.

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Patent Owner(s)

Patent OwnerAddress
HUMANA INC500 WEST MAIN STREET LOUISVILLE KY 40202

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Inventor(s)

Inventor Name Address # of filed Patents Total Citations
Christner, Michael Sellersburg, US 2 0

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