Importance

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Abstract

A comprehensive program method and system particularly adapted for the segments of the healthcare industry dealing with Durable Medical Equipment items and related out-patient services, such as found in the home health care segment, wherein the prescribed patient goods and services, 3rd party providers, and insurance companies are efficiently integrated according to various functions, e.g. pre-certification, purchasing, leasing, inventory management, billing coding of goods/services, fraud detection and prevention, and final delivery to the patient or consumer. According to one feature of the present invention, the advantages of ownership of the Durable Medical Equipment by the prescribing or insuring groups such as Health Maintenance Organizations, are provided without any of the maintenance or other headaches typically associated with ownership by bulk ordering and outsourcing the warehousing and shipping to facilities which may be shared by other prescribing or insuring groups, while avoiding the current system of repeatedly renting the DME item without receiving title.

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First Claim