US2008040231A1PendingUtilityA1
System and method for uniformly pricing items
Est. expiryAug 10, 2026(~0.1 yrs left)· nominal 20-yr term from priority
G06Q 30/00G06Q 10/10G06Q 20/201
56
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Claims
Abstract
A computer-assisted method for uniformly pricing chargeable items in a healthcare provider's chargeable item database is disclosed. The method applies uniform pricing to identical or related chargeable items. A system for uniformly pricing related chargeable items is also disclosed.
Claims
exact text as granted — not AI-modified1 . A computer-assisted method for uniformly pricing chargeable items, said method comprising the steps of:
a. accessing a revenue data set for each chargeable item, each said revenue data set comprising at least one of a gross revenue, a sales volume, and a reference price; b. accessing said healthcare provider's chargeable item database, said chargeable item database storing a plurality of data entries for each said chargeable item, said data entries comprising an identifier that uniquely identifies said chargeable item, a charged price, and a procedural code derived from a coding system that assigns the same procedural code to related chargeable items; and c. reviewing said charged price for each said related chargeable item, said step of reviewing comprising at least one of the following:
i. calculating a final price for each of said related chargeable items, said final price equaling said reference price for said related chargeable item having a preselected parameter, said preselected parameter being derived from said revenue data set; or
ii. excluding from said calculation any of said related chargeable items having an exclusionary code as one of said data entries.
2 . A method as set forth in claim 1 further comprising the step of calculating a predicted price.
3 . A method as set forth in claim 1 wherein said preselected parameter is selected from the group consisting of a highest reference price, a highest gross revenue, a highest sale volume, a lowest reference price, a lowest gross revenue, a lowest sale volume, a mean reference price a mean gross revenue, a mean sale volume, a median reference price, a median gross revenue, a median sale volume, a reference price falling within a percentile, a gross revenue falling within said percentile, and a sale volume falling within said percentile.
4 . A method as set forth in claim 1 wherein said preselected parameter is a reference price.
5 . A method as set forth in claim 1 wherein said preselected parameter is a gross revenue.
6 . A method as set forth in claim 1 wherein said preselected parameter is a sale volume.
7 . A method as set forth in claim 1 wherein said reference price is said charged price.
8 . A method as set forth in claim 2 wherein said reference price is said predicted price.
9 . A method as set forth in claim 1 further comprising a duplicate database, said duplicate database being a duplicate of said chargeable item database, said duplicate database being stored in one of said storage media and capable of being updated.
10 . A method as set forth in claim 9 wherein said step of calculating is performed in said duplicate database.
11 . A method as set forth in claim 1 further comprising the step of updating said chargeable item database such that said charged price for each of said related chargeable items equals said calculated final price.
12 . A method as set forth in claim 10 further comprising the steps of:
a. updating said duplicate chargeable item database such that said charged price for each of said related chargeable items equals said calculated final price; and b. uploading said updates to said chargeable item database.
13 . A method as set forth in claim 1 wherein said chargeable item database is a Chargemaster.
14 . A method as set forth in claim 1 wherein said chargeable item database is a product list.
15 . A method as set forth in claim 1 wherein said chargeable item database is a Service Master.
16 . A method as set forth in claim 1 wherein said procedural code is selected from the group consisting of a Current Procedural Terminology code, a HCFA Common Procedure Coding System code, an International Classification of Disease code, an internal code, and a private insurer's code.
17 . A method as set forth in claim 1 wherein said procedural code is a Current Procedural Terminology code.
18 . A method as set forth in claim 1 wherein said procedural code is a HCFA Common Procedure Coding System code.
19 . A method as set forth in claim 1 wherein said procedural code is an International Classification of Diseases code.
20 . A method as set forth in claim 1 further comprising the step of creating said revenue data set.
21 . A uniform pricing system for use by a healthcare provider, said system comprising:
a. for each chargeable item in said healthcare provider's chargeable item database, a revenue data set comprising at least one of a gross revenue, a sales volume, and a reference price, said revenue data sets for related chargeable items being used to derive a preselected parameter, wherein said chargeable item database stores a plurality of data entries for each said chargeable item, said data entries comprising an identifier that uniquely identifies said chargeable item, a charged price for said chargeable item, and a procedural code derived from a coding system that assigns the same procedural code to related chargeable items; and b. a processor configured to review said charged price for each said related chargeable item, said review comprising at least one of the following:
i. calculating a final price for each of said related chargeable items, said final price equaling said reference price for said related chargeable item having said preselected parameter; or
ii. excluding from said calculation any of said related chargeable items having an exclusionary code as one of said data entries.
22 . A system as set forth in claim 21 said preselected parameter is selected from the group consisting of a highest reference price, a highest gross revenue, a highest sale volume, a lowest reference price, a lowest gross revenue, a lowest sale volume, a mean reference price a mean gross revenue, a mean sale volume, a median reference price, a median gross revenue, a median sale volume, a reference price falling within a percentile, a gross revenue falling within said percentile, and a sale volume falling within said percentile.
23 . A system as set forth in claim 21 wherein said preselected parameter is a highest reference price.
24 . A system as set forth in claim 21 wherein said preselected parameter is a highest gross revenue.
25 . A system as set forth in claim 21 wherein said preselected parameter is a highest sale volume.
26 . A system as set forth in claim 21 wherein said reference price is said charged price.
27 . A system as set forth in claim 21 wherein said reference price is a predicted price.
28 . A system as set forth in claim 21 further comprising a duplicate database, said duplicate database being a duplicate of said chargeable item database, said duplicate database being stored in one of said storage media and capable of being updated.
29 . A system as set forth in claim 21 wherein said chargeable item database is a Chargemaster.
30 . A system as set forth in claim 21 wherein said chargeable item database is a product list.
31 . A system as set forth in claim 21 wherein said chargeable item database is a Service Master.
32 . A system as set forth in claim 21 wherein said procedural code is selected from the group consisting of a Current Procedural Terminology code, a HCFA Common Procedure Coding System code, an International Classification of Disease code, an internal code, and a private insurer's code.
33 . A system as set forth in claim 21 wherein said procedural code is a Current Procedural Terminology code.
34 . A system as set forth in claim 21 wherein said procedural code is a HCFA Common Procedure Coding System code.
35 . A system as set forth in claim 21 wherein said procedural code is an International Classification of Diseases code.
36 . A system as in claim 21 wherein at least one of said data entries is an exclusionary code that excludes said chargeable item from said calculations.
37 . An apparatus for uniformly pricing chargeable items, said apparatus comprising:
a. means for accessing a revenue data set for each chargeable item to derive a preselected parameter, each said revenue data set comprising at least one of a gross revenue, a number of units sold, and a reference price; b. means for accessing a healthcare provider's chargeable item database, said chargeable item database storing a plurality of data entries for each said chargeable item, said data entries comprising an identifier that uniquely identifies said chargeable item, a charged price, and a procedural code derived from a coding system that assigns the same procedural code to related chargeable items; and c. means for reviewing said charged price for each said related chargeable item, said means for reviewing comprising at least one of the following:
i. means for calculating a final price for each of said related chargeable items, said final price equaling said reference price for said related chargeable item having said preselected parameter; or
ii. means for excluding from said calculation any of said related chargeable items having an exclusionary code as one of said data entries.
38 . An apparatus as set forth in claim 37 wherein said preselected parameter is at least one of reference price, gross revenue, sale volume, charged price, or a predicted price.
39 . An apparatus as set forth in claim 37 wherein said procedural code is at least one of a Current Procedural Terminology code, a HCFA Common Procedure Coding System code, or an International Classification of Diseases code.
40 . A computer readable medium having stored therein instructions which, when executed by a processor, cause the processor to:
a. access a chargeable item database that stores a plurality of data entries for a plurality of said chargeable items, said data entries comprising an identifier that uniquely identifies said chargeable item, a charged price, and a procedural code derived from a coding system that assigns the same procedural code to related chargeable items; b. identify all related chargeable items having a selected procedural code; c. access a revenue data set for each of said related chargeable items, each said revenue data set comprising at least one of a gross revenue, a sales volume, and a reference price; and d. review said charged price for each said related chargeable item, said instructions for said review comprising at least one of the following:
i. calculating a final price for each of said related chargeable items, said final price equaling said reference price for said related chargeable item having a preselected parameter, said preselected parameter being derived from said revenue data set; or
ii. excluding from said calculation any of said related chargeable items having an exclusionary code as one of said data entries.
41 . A computer readable medium as set forth in claim 40 wherein said preselected parameter is at least one of reference price, gross revenue, sale volume, charged price, or a predicted price.
42 . A computer readable medium as set forth in claim 40 wherein said procedural code is at least one of a Current Procedural Terminology code, a HCFA Common Procedure Coding System code, or an International Classification of Diseases code.Join the waitlist — get patent alerts
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