Medical Billing System Visual Interface and Automated Code Generation
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Solution Overview
Problem
The current process of generating medical bills is time-consuming and prone to errors due to the involvement of multiple parties, poor organization of doctor's notes, use of non-standard medical terminology, and language barriers, which can lead to incomplete or inaccurate billing.
Innovation Solution
A computer program with a graphical user interface that allows medical professionals to document procedures visually and automatically generate billing codes using a billing code generator, reducing manual effort and increasing accuracy.
Engineering Contradictions & Design Principles
Engineering Contradiction Analysis
1Productivity
If manual billing code generation is used, then flexibility in handling complex procedures is maintained, but time consumption increases and errors occur
Solution Approach 1:
The system enables self-service by allowing the billing software to automatically generate billing codes without requiring manual intervention from staff. The software processes procedure notes and autonomously creates accurate billing codes, eliminating the time-consuming and error-prone manual coding process while maintaining high reliability through automated validation.
Solution Approach 2:
The patent replaces the mechanical manual coding process with an automated computer-based system. The software electronically processes procedure documentation, matches it with appropriate billing codes from a database, and generates billing information automatically, substituting human manual operations with an automated digital system that improves both speed and accuracy.
2Reliability
If multiple parties are involved in billing generation, then cross-checking accuracy is possible, but time consumption and complexity increase
Solution Approach 1:
The system extracts the billing code generation function from the manual multi-party process and integrates it directly into the procedure documentation system. By taking out the coding function and embedding it in the electronic health record system, the patent eliminates the need for separate manual coding steps and multiple parties, reducing time while maintaining accuracy through systematic validation.
Solution Approach 2:
The patent merges the procedure documentation and billing code generation functions into a single integrated system. By combining these previously separate processes, the system eliminates the time lost in coordination between multiple parties while maintaining accuracy through unified data processing and automated validation within a single system.
3Ease of operation
If doctor's notes are manually processed, then flexibility in handling various documentation styles is maintained, but errors increase due to poor organization and non-standard terminology
Solution Approach 1:
The system applies parameter changes by transforming unstructured doctor's notes into standardized digital data formats. The software processes various documentation styles and non-standard terminology, converting them into consistent structured data that can be reliably matched with billing codes, thereby improving accuracy while maintaining flexibility in accepting different input formats.
Solution Approach 2:
The patent introduces an intermediary processing layer between the doctor's notes and billing code generation. This intermediary system includes natural language processing and terminology normalization components that bridge the gap between diverse documentation styles and standardized billing codes, enabling accurate coding regardless of the original note's organization or terminology used.
Data Source
AI summary
A method may include outputting a graphical user interface (GUI), the GUI including a visual representation of at least a portion of the human body. The method may also include receiving input from a user via the GUI, the input selecting portions of the visual representation and medical procedures that were performed with respect to the selected portions, highlighting the selected portions of the visual representation and providing at least one of icons or text corresponding to the medical procedures that were performed. The method may further include automatically generating billing codes associated with the medical procedures that were performed and displaying the billing codes on the GUI.