Method and system for health care coding transition and implementation

Abstract

Methods and systems for implementing coding changes for a transaction are provided. At least one transaction in an original format is received and normalized into a different format. The normalized transaction may be processed and the processing results may be associated with the original format to transmit the processing results in the original format to a recipient.

1 . A method for performing transaction coding changes implemented on a suitably programmed computer comprising a processor and a display, the method comprising:
 receiving at least one transaction in an original format associated with an original code;   normalizing, via the processor, the received transaction into a normalized format associated with a normalized code;   processing the normalized transaction;   providing processing results in the original format by associating the processed normalized transaction with the original format; and   transmitting the processing results to a recipient of the processed transaction.   
     
     
         2 . The method of  claim 1 , wherein normalizing the received transaction further comprises:
 mapping the original code to a group of normalized codes;   determining whether codes in the group of normalized codes are in a priority order; and   selecting the highest priority code from the codes in the group of normalized codes for the normalized code.   
     
     
         3 . The method of  claim 2 , wherein the priority order includes one of a primary and secondary codes, a ranking descending from a highest code to a lowest code, and active and inactive codes. 
     
     
         4 . The method of  claim 1 , further comprising:
 generating a report based upon the processing results, the original code and the normalized code.   
     
     
         5 . The method of  claim 4 , wherein generating the report includes performing statistical analysis on the processing results, the original code and the normalized code. 
     
     
         6 . The method of  claim 1 , further comprising:
 determining whether an error occurred during receipt of the transaction; and   displaying an error message if the error occurred during receipt of the transaction.   
     
     
         7 . The method of  claim 6 , wherein the error comprises an invalid code and an improperly entered code. 
     
     
         8 . The method of  claim 1 , wherein normalizing the received transaction further comprises:
 prompting a user to select a normalized code for normalizing the transaction.   
     
     
         9 . A system for performing transaction coding changes, the system comprising:
 means for receiving at least one transaction in an original format associated with an original code;   means for normalizing the received transaction into a normalized format associated with a normalized code;   means for processing the normalized transaction;   means for providing processing results in the original format by associating the processed normalized transaction with the original format; and   means for transmitting the processing results to a recipient of the processed transaction.   
     
     
         10 . The system of  claim 9 , wherein normalizing the received transaction further comprises:
 means for mapping the original code to a group of normalized codes;   means for determining whether codes in the group of normalized codes are in a priority order; and   means for selecting the highest priority code from codes in the group of normalized codes for the normalized code.   
     
     
         11 . The system of  claim 10 , wherein the priority order includes one of a primary and secondary codes, a ranking descending from a highest code to a lowest code, and active and inactive codes. 
     
     
         12 . The system of  claim 9 , further comprising:
 means for generating a report based upon the processing results, the original code and the normalized code.   
     
     
         13 . The system of  claim 12 , wherein generating the report includes means for performing statistical analysis on the processing results, the original code and the normalized code. 
     
     
         14 . The system of  claim 9 , further comprising:
 means for determining whether an error occurred during receipt of the transaction; and   means for displaying an error message if the error occurred during receipt of the transaction.   
     
     
         15 . The system of  claim 14 , wherein the error comprises an invalid code and an improperly entered code. 
     
     
         16 . The system of  claim 9 , wherein normalizing the received transaction further comprises:
 means for prompting a user to select a normalized code for normalizing the transaction.   
     
     
         17 . A computer program product comprising a computer usable medium having control logic stored therein for causing a computer to perform transaction coding changes, the control logic comprising:
 first computer readable program code means for receiving at least one transaction in an original format associated with an original code;   second computer readable program code means for normalizing the received transaction into a normalized format associated with a normalized code;   third computer readable program code means for processing the normalized transaction;   fourth computer readable program code means for providing processing results in the original format by associating the processed normalized transaction with the original format; and   fifth computer readable program code means for transmitting the processing results to a recipient of the processed transaction.