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US5483443A
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Method for computing current procedural terminology codes from physician generated documentation
Assignee: KENNEDY ELIZABETH ANN
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Filing: 1994-04-08
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Granted: 1996-01-09
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Expires: 2014-04-08
Abstract
Abstract A process is disclosed for calculating a Current Procedural Terminology ("CPT") code from input received from a physician or other medical professional. The physician is prompted with lists of choices corresponding to a patient's medical status. The physician makes selections from these lists which are then input into a computer. The computer then determines intermediate codes from the physician's selections. After the physician has completed entering selections, the computer then calculates a final CPT code for reimbursement purposes based on the previously calculated intermediate codes.
Inventors
- 👤 Bernard A. Milstein
- 👤 Nancy J. Maguire
- 👤 Judith H. Meier
Bibliographic Details
Application Number
—
Jurisdiction
US
Data Source
google_patents
Last Synchronized
2026-10-26 04:30
CPC Classifications
G; G06; G06Q; G06Q10/00; G06Q10/06; G06Q10/10
Claims Analysis
Total Claims: 17
Claim 1
Independent Claim
114 words
A process for generation of Current Procedural Terminology ("CPT") codes comprising: storing historical data in a memory; comparing the historical data to a set of historical criteria to define a history code; storing an examination data in a memory; comparing the examination data to a set of examination criteria to define an examination code; storing medical decision making data in a memory; comparing the medical decision making data to a set of medical decision making criteria to define a medical decision making code; comparing the historical code, the examination code, and the medical decision making code to a set of final criteria to define a final CPT code; and displaying the final CPT code.
Claim 2
Dependent Claim
114 words
A process for generation of Current Procedural Terminology ("CPT") codes comprising: storing historical data in a memory; comparing the historical data to a set of historical criteria to define a history code; storing an examination data in a memory; comparing the examination data to a set of examination criteria to define an examination code; storing medical decision making data in a memory; comparing the medical decision making data to a set of medical decision making criteria to define a medical decision making code; comparing the historical code, the examination code, and the medical decision making code to a set of final criteria to define a final CPT code; and displaying the final CPT code.
Claim 3
Dependent Claim
14 words
A process as in claim 1 wherein the display occurs on a CRT screen.
Claim 4
Dependent Claim
14 words
A process as in claim 1 wherein the display occurs on a printed page.
Claim 5
Dependent Claim
20 words
A process as in claim 1 wherein the CPT code is provided as an input variable to an accounting program.
Claim 6
Dependent Claim
115 words
A process for computing Current Procedural Terminology ("CPT") codes from documentation generated by a medical professional, said process comprising: displaying a set of queries to the medical professional; receiving input from the medical professional in response to said queries; computing a component historical code based on said input and a set of stored historical criteria; computing a component examination code based on said input and a set of stored examination criteria; computing a component medical decision code based on said input and a set of stored medical decision criteria; computing a final CPT code based on said historical code, said examination code and said medical decision code and a set of stored patient encounter criteria.
Claim 7
Dependent Claim
115 words
A process for computing Current Procedural Terminology ("CPT") codes from documentation generated by a medical professional, said process comprising: displaying a set of queries to the medical professional; receiving input from the medical professional in response to said queries; computing a component historical code based on said input and a set of stored historical criteria; computing a component examination code based on said input and a set of stored examination criteria; computing a component medical decision code based on said input and a set of stored medical decision criteria; computing a final CPT code based on said historical code, said examination code and said medical decision code and a set of stored patient encounter criteria.
Claim 8
Dependent Claim
29 words
A process as in claim 5 wherein said computing a component historical code comprises weighting said historical code based on the number of times a historical criterion is met.
Claim 9
Dependent Claim
29 words
A process as in claim 5 wherein said computing a component examination code comprises weighting said examination code based on the number of times an examination criterion is met.
Claim 10
Dependent Claim
32 words
A process as in claim 5 wherein said computing a component medical decision code comprises weighting said medical decision code based on the number of times a medical decision criterion is met.
Claim 11
Dependent Claim
33 words
A process as in claim 5 wherein said medical decision code further comprises a number of diagnoses sub-component code, a risk of complications sub-component code and a complexity of data reviewed sub-component code.
Claim 12
Dependent Claim
28 words
A process as in claim 5 wherein said component historical code, said component examination code and said component medical decision code are computed each time input is received.
Claim 13
Dependent Claim
13 words
A process as in claim 5 wherein said queries further comprise textual phrases.
Claim 14
Dependent Claim
20 words
A process as in claim 5 wherein said queries are textual selections related to a medical treatment of a patient.
Claim 15
Dependent Claim
24 words
A process as in claim 5 wherein said queries are free of International Classification of Disease ("ICD") and Diagnosis Related Group ("DRG") code numbers.
Claim 16
Dependent Claim
19 words
A process as in claim 5 wherein said queries comprise diagnostic lists used in generating a patient's medical record.
Claim 17
Dependent Claim
17 words
A process as in claim 5 wherein said input is free of ICD and DRG code numbers.
References Cited (Backward Citations)
USPTO Annuity & Maintenance Windows
| Annuity Stage | Window Opens | Payment Deadline | Surcharge Period Until | Estimated Fee | Status |
|---|---|---|---|---|---|
| 3.5 Years (Year 4) | 1999-01-08 | 1999-07-10 | 2000-01-09 | $2000.00 | Window Closed / Lapsed |
| 7.5 Years (Year 8) | 2003-01-08 | 2003-07-10 | 2004-01-09 | $3760.00 | Window Closed / Lapsed |
| 11.5 Years (Year 12) | 2007-01-08 | 2007-07-10 | 2008-01-09 | $7700.00 | Window Closed / Lapsed |