Method and system for generating statistically-based medical provider utilization profiles
US6223164A · kind A · utility
Assignee
Inventors
Key dates
| Filing date | Oct 5, 1995 |
| Grant date | Apr 24, 2001 |
| Priority date | — |
| Expiry date | Oct 5, 2015 |
Classification
- Technology area (CPC G)Physics
- CPC primaryG16H40/20
- WIPO fieldMedical technology
- WIPO sectorInstruments
Abstract
A method and system for analyzing historical medical provider billings to statistically establish a normative utilization profile. Comparison of a medical provider's utilization profile with a normative profile is enabled. Based on historical treatment patterns and a fee schedule, an accurate model of the cost of a specific medical episode can be created. Various treatment patterns for a particular diagnosis can be compared by treatment cost and patient outcome to determine the most cost-effective treatment approach. It is also possible to identify those medical providers who provide treatment that does not fall within the statistically established treatment patterns or profiles.
Source: USPTO / EPO open patent data. Objective bibliographic and citation counts.