Robert J Richards

US Patent:

20210158295, May 27, 2021

Filed:

Feb 5, 2020

Appl. No.:

16/782991

Inventors:

- Salt Lake City UT, US
Robert Richards - Salt Lake City UT, US

Assignee:

Leavitt Partners Insight, LLC - Salt Lake City UT

International Classification:

G06Q 10/10
G16H 40/20
G16H 70/20
G16H 10/60
G06F 16/24

Abstract:

Systems, methods, and devices for identifying and quantifying an employment relationship between a practitioner and a facility. A method includes identifying carrier claims processed by a practitioner for procedures performed through a facility and matching the carrier claims to the facility to generate matched claims. The method includes calculating a percentage of outpatient claims based on a percentage of office claims performed by the practitioner that did not occur at the facility. The method includes calculating a level of confidence that the practitioner is employed by the facility based on the matched claims and the percentage of outpatient claims.

US Patent:

20210158452, May 27, 2021

Filed:

May 19, 2020

Appl. No.:

16/877940

Inventors:

- Salt Lake City UT, US
Robert Richards - Salt Lake City UT, US

Assignee:

Leavitt Partners Insight, LLC - Salt Lake City UT

International Classification:

G06Q 40/08
G16H 40/00
G16H 10/60

Abstract:

Matching carrier claims to facilities based on billed claims data in a healthcare system. A method includes identifying a carrier claim processed by a practitioner and matching the carrier claim to a facility to generate a matched claim based on a claims factor. The method is such that the claims factor comprises one or more of a patient identifier, a date of service for a procedure billed on the carrier claim, a practitioner identifier associated with the practitioner, a facility identifier for an inpatient facility associated with the carrier claim if the carrier claim occurred during a hospitalization at the inpatient facility, a most common facility associated with the practitioner.