Method and system for generating statistically-based medical provider utilization profiles
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United States of America Patent
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Sep 17, 1996
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N/A
app pub date -
Jun 23, 1994
filing date -
Jun 23, 1994
priority date (Note) -
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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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