摘要 |
<p>A method and system for analyzing historical medical provider billings to statistically establish a normative utilization profile. Comparison of a medical provider's utilization profile with a normative profile is enabled. Client data (101) is loaded from tape. Steps of reordering fields (103) and performing date of service expansion (104) are made. Data is then merged and sorted (106) to ensure all bill ID's are grouped together. Data (108) is then read, analyzed and merged into an extended data set (110). Any other processing (111) may occur and an episode of care (121) is created.</p> |