Patent ID: 8073709
Filing Date: 2011-12-06
Classification: G06Q,G16H

Abstract:
1. A computer-implemented method of determining an actual amount a target healthcare organization charges for a procedure, the procedure associated with a billing code, the method comprising: accessing, with a computer processor, billing data, from a database on a computer-readable medium, defining a plurality of charge amounts charged by the target healthcare organization for the procedure; applying, with the computer processor, a set of rules, from the computer-readable medium, to the billing data, wherein applying the set of rules further comprises computing a highest frequency charge amount, wherein the highest frequency charge amount of the plurality of charge amounts comprises a charge amount with the highest number of occurrences among the plurality of charge amounts; and, based on the application of the set of rules, selecting from the billing data using the computer processor, the highest frequency charge amount of the plurality of charge amounts, wherein the highest frequency charge amount comprises an actual dollar amount charged by the target healthcare organization for the procedure associated with the billing code; and generating, with the computer processor, a pricing structure of the target healthcare organization based on the actual dollar amount.