System, method and computer program for estimating medical costs
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United States of America Patent
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Mar 25, 2014
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N/A
app pub date -
Jul 6, 2011
filing date -
Oct 15, 2003
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Abstract
Various embodiments for estimating a cost of a medical procedure. In one example, a method may include the operations of averaging data from various geographies of the amount billed to form a national average amount billed for the medical procedure; associating the average amount billed with one or more claim data items from a health plan; grouping the claim data items from the health plan using episode classes; calculating an average amount billed for each episode class; and adjusting the average amount billed for each episode class by a geographic adjustment factor to form an estimated cost of the medical procedure.
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