System and method for processing medical claims

Abstract

A computer-implemented system for processing medical claims is disclosed. The system includes a medical device configured to be manipulated by a user while the user performs a treatment plan; a patient interface associated with the medical device, the patient interface comprising an output configured to present telemedicine information associated with a telemedicine session; and a processor. During the telemedicine session, the processor is configured to receive information from a medical device. Using the device-generated information, the processor is further configured to determine device-based medical coding information. The processor is further configured to transmit the device-based medical coding information to a claim adjudication server.

What is claimed is: 
     
         1 . A computer-implemented system for processing medical claims, comprising:
 an electromechanical device configured to be manipulated by a user while the user performs a treatment plan;   a patient interface associated with the an electromechanical device, the patient interface comprising an output configured to present telemedicine information associated with a telemedicine session; and   a processor of the electromechanical device configured to:
 during the telemedicine session, transmit device-generated information to a clinic server; 
 cause the clinic server to determine device-based medical coding information; and 
 cause the clinic server to transmit device-based medical coding information to a claim adjudication server. 
   
     
     
         2 . The computer-implemented system of  claim 1 , wherein, during the telemedicine session, the device-generated information is generated by the electromechanical machine. 
     
     
         3 . The computer-implemented system of  claim 1 , wherein, using the device-generated information, the processor is further configured to determine device-based medical result information. 
     
     
         4 . The computer-implemented system of  claim 3 , wherein the processor is further configured to cause the clinic server to transmit the device-based medical result information to a patient notes database. 
     
     
         5 . The computer-implemented system of  claim 1 , wherein the processor is further configured to cause the clinic server transmit the device-based medical coding information to an electronic medical records database. 
     
     
         6 . The computer-implemented system of  claim 1 , wherein clinic server receives reviewed medical coding information from an electronic medical records database, wherein, using the reviewed medical coding information and the device-based medical coding information, the clinic server determines a match indicator, and transmits the match indicator to the claim adjudication server. 
     
     
         7 . A system for processing medical claims, comprising:
 a processor configured to:   during a telemedicine session, transmit, from an electromechanical device, device-generated information to a clinic server;   cause the clinic server to determine device-based medical coding information; and   cause the clinic server to transmit device-based medical coding information to a claim adjudication server.   
     
     
         8 . The system of  claim 7 , wherein the device-generated information is generated by the electromechanical device. 
     
     
         9 . The system of  claim 7 , wherein, using the device-generated information, the clinic server determines device-based medical result information. 
     
     
         10 . The system of  claim 9 , wherein the clinic server transmits the device-based medical result information to a patient notes database. 
     
     
         11 . The system of  claim 7 , wherein the clinic server transmits the device-based medical coding information to an electronic medical records database. 
     
     
         12 . The system of  claim 7 , wherein the clinic server receives reviewed medical coding information from an electronic medical records database. 
     
     
         13 . The system of  claim 12 , wherein, using the reviewed medical coding information and the device-based medical coding information, the clinic server determines a match indicator. 
     
     
         14 . The system of  claim 13 , wherein the clinic server transmits the match indicator to the claim adjudication server. 
     
     
         15 . A method for a clinic server processing medical claims, comprising:
 during a telemedicine session, transmitting, from an electromechanical device, device-generated information to a clinic server;   causing the clinic server to determine device-based medical coding information; and   causing the clinic server to transmit device-based medical coding information to a claim adjudication server.   
     
     
         16 . The method of  claim 15 , wherein the device-generated information is generated by the electromechanical device. 
     
     
         17 . The method of  claim 15 , wherein the clinic server uses the device-generated information to determine device-based medical result information. 
     
     
         18 . The method of  claim 17 , wherein the clinic server transmits the device-based medical result information to a patient notes database. 
     
     
         19 . The method of  claim 15 , wherein the clinic server transmits the device-based medical coding information to an electronic medical records database. 
     
     
         20 . The method of  claim 15 , wherein the clinic server receives reviewed medical coding information from an electronic medical records database.