The patent badge is an abbreviated version of the USPTO patent document. The patent badge does contain a link to the full patent document.

The patent badge is an abbreviated version of the USPTO patent document. The patent badge covers the following: Patent number, Date patent was issued, Date patent was filed, Title of the patent, Applicant, Inventor, Assignee, Attorney firm, Primary examiner, Assistant examiner, CPCs, and Abstract. The patent badge does contain a link to the full patent document (in Adobe Acrobat format, aka pdf). To download or print any patent click here.

Date of Patent:
Oct. 22, 2024

Filed:

Oct. 20, 2020
Applicant:

Optum360, Llc, Eden Prairie, MN (US);

Inventors:

Daniel T. Heinze, San Diego, CA (US);

Peter Feller, La Mesa, CA (US);

Mark L. Morsch, San Diego, CA (US);

Assignee:

Optum360, LLC, Eden Prairie, MN (US);

Attorney:
Primary Examiner:
Int. Cl.
CPC ...
G16H 40/20 (2018.01); G06F 16/93 (2019.01); G06Q 50/22 (2018.01); G16H 10/00 (2018.01); G16H 50/50 (2018.01); G16H 50/70 (2018.01); G16H 70/00 (2018.01);
U.S. Cl.
CPC ...
G06F 16/93 (2019.01); G06Q 50/22 (2013.01); G16H 10/00 (2018.01); G16H 40/20 (2018.01); G16H 50/50 (2018.01); G16H 50/70 (2018.01); G16H 70/00 (2018.01);
Abstract

Techniques for implementing Quality Assurance of the process of coding medical documents are disclosed. An audit of a coding process for a medical document is initiated by selecting and setting audit parameters. Using the selected parameters, a sample batch of coded documents is obtained from a universe of coded documents. The sample batch of coded documents is presented to auditor(s), and the auditor(s) provide corrections, which are recorded, and a score for each correction is calculated. A sample score, based on the corrections, is calculated in a manner that tracks to subjective auditor assessments of the process quality as being acceptable, marginally acceptable, or unacceptable, and which sample score accounts for the individual auditor subjectivity and an error.


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