Patent ID: 11923055
Assignee: MEDCOM SOLUTIONS, INC.
Field: Medical technology (Instruments)
Classification: CPC G | IPC G

Claim 0:
1. A computer-implemented method for analyzing health care procedure related transactions of a health care entity, the method structured for enabling a health care facility to provide both medically effective health care and cost-effective health care, the method comprising:
importing, by a transaction analysis computer system including at least one electronic computer processor and at least one of the computer-readable medium, at least the following information:
at least a portion of a charge description master (CDM) file containing multiple CDM data items,
at least a portion of an order entry system (OES) file containing multiple OES data items, and
at least a portion of a CDM-to-OES cross-reference data file;

the transaction computer system programmed with at least one dynamic data engine configured for processing multiple data models adaptable to changes in data structures associated with the imported information;
creating, by the transaction analysis system applying the CDM-to-OES cross-reference data file to the CDM data items file and the OES data items file, a linked data items file;
analyzing, by the transaction analysis system, the linked data items file, wherein the analyzing comprises:
reading at least one linked line item of the linked data items file,
analyzing a CDM data portion of the linked line item,
analyzing an OES data portion of the linked line item, and
comparing the linked CDM data portion to the linked OES data portion of the linked line item for determining at least one similarity or difference between the CDM data portion and the OES data portion, wherein the comparing further comprises:
analyzing the CDM data portion of the linked line item for determining an active or inactive status of a CDM data item, and
analyzing the CDM data portion of the linked line item for determining a chargeability status of a CDM data item; and

communicating at least one electronic mail notification in response to determining at least one similarity or difference between the OES data portion and the CDM data portion, the notification including at least one indication of a discrepancy which needs correction.