Invention Grant
US07774252B2 Method and system for generating statistically-based medical provider utilization profiles 有权
用于生成基于统计的医疗提供者利用概况的方法和系统

Method and system for generating statistically-based medical provider utilization profiles
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.
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