A system may receive a proposed medical diagnosis of a patient, and automatically identify potential medical services to be performed with respect to the patient. The identified medical services may be deemed relevant to the proposed medical diagnosis, which the system may determine from a customizable decision table. Further, the system may receive selection of a potential medical service from the identified potential medical services, and present an automated, real-time indication regarding paying entity/plan coverage and estimated cost and/or quality metrics for the selected medical service based on the patient and paying entity/plan of the patient. In addition, the system may facilitate selection of a lab/facility to perform the selected medical service. To communicate across clinicians, labs/facilities and paying entities, the system may employ a catalog of medical services spanning multiple clinicians, labs/facilities or paying entities/plans to thereby integrate their nomenclatures, and may employ a coding system in this regard.

Title
Diagnostics benefits management and decision support system, and associated method and computer-readable storage medium
Application Number
13/038903
Publication Number
20110153357
Application Date
March 2, 2011
Publication Date
June 23, 2011
Inventor
Douglas James Moeller
Phoenixville
PA, US
Daniel Lyakovetsky
Norwalk
CT, US
Craig Allen Knier
Asbury
IA, US
Richard Hensley
Erie
CO, US
Laura Lata Coughlin
North Grafton
MA, US
Matthew Zubiller
San Diego
CA, US
Assignee
McKesson Financial Holdings
IPC
G06Q 50/00
View Original Source