Patent ID: 8050938

Claim:
A computer program product, embodied on a computer-readable medium, providing instructions for a processor to implement an integrated system for management of a healthcare provider, the system comprising computer code for: a scheduling module that schedules at least one of a plurality of patients and at least one of a clinician, staff member, and resource at the healthcare provider, and translates associated scheduling data into a normalized data format; a registration component that captures patient data for the plurality of patients during a check-in or registration process, the patient data including demographic information and payor information for the plurality of patients, and translates the patient data into the normalized data format; a clinical module that builds one or more sections in a user-defined template that include one or more fields where at least a portion of the demographic data for a specific patient will be subsequently and automatically populated during a subsequent encounter with that specific patient, the specific patient being a patient from among the plurality of patients, creates an electronic document by compiling the one or more sections from the user-defined template into the electronic document and automatically populating the one or more fields with the corresponding portion of demographic data for the specific patient, captures clinical data for the specific patient in the electronic document during the encounter with that specific patient, the clinical data including at least one of a diagnosis, a procedure, and a prescription for that specific patient, and automatically associates the at least one of a diagnosis, a procedure, and a prescription with a specific billing code as the at least one of a diagnosis, a procedure, and a prescription is captured, translates the clinical data into the normalized data format; an account management module that determines an allowed claim amount from the payor information captured for the specific patient and the billing code associated with the at least one of a diagnosis, a procedure, and a prescription captured for that specific patient, automatically generates a claim for the specific patient by automatically populating an electronic claim form with at least a portion of the demographic data for the specific patient, the at least one of a diagnosis, a procedure, and a prescription captured for that specific patient, and the allowed claim amount; and a framework module that electronically transmits the claim to a claims clearinghouse after the claim is generated by the account management module, wherein the computer-readable medium is portable such that it can be removed from a processing device and operated by the processing device without installing the instructions on the processing device.