Method and apparatus for analyzing patient medical records
a patient medical record and analysis method technology, applied in the field of methods and apparatus for analyzing patient medical records, can solve the problems of unproductive approach, high complexity of services, and complicated rules or regulations governing the billing of health insurers and other organizations, such as medicare and medicaid
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[0023]FIG. 1 shows a form used by a clinician to document an encounter with a patient. For the sake of simplicity, the form has been abbreviated, it being understood that in actuality, more comprehensive forms are used. As promulgated by the AMA, a typical encounter between a clinician and a patient consists of three phases: establishing the history, performing an examination and making a medical decision. The purpose of the form shown in FIG. 1 is to enable the clinician to capture information associated with each of these phases, thereby generating the record for the encounter. Once this record has been completed, it can be stored for future review, disseminated to other clinician as necessary, used to generate a billing code, etc. The regulations promulgated by the CMS and other organizations, require that the billing codes be related to each phase of the record generating process, as described in detail below.
[0024]Therefore, the form of FIG. 1 is considered to have four areas; ...
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