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Abstract

An integrated medical software system with location-driven bill coding is disclosed. The system comprises an information component that automatically retrieves payment method data and demographic data for a patient and location data for a healthcare provider; a clinical component that captures at least one of a diagnosis code, a procedure code, and an evaluation and management (E&M) code as at least one of a clinician and a staff member at the healthcare provider inputs clinical data for the patient into the an electronic document during an encounter with the patient; a mapping component that automatically associates a billing code with the at least one of a pathology code, a procedural code, and an E&M code and assigns a service cost to the billing code based on a pre-defined fee schedule, said pre-defined fee schedule being automatically chosen based on the location data for the healthcare provider; and a service detail entry component that uses the payment method data and the demographic data for the patient and the service cost to automatically generate at least one of a bill, a claim, and a statement for the patient.

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First Claim