Granted Patent B2

US 8,688,475 · App. 11/595,236 · Granted Apr 1, 2014

Abstract

Claims (54)

1. A method for improving clinical trial compliance for a business entity, the method comprising:

creating a clinical trial protocol associated with a clinical trial that includes information associating one or more medical services and their respective cost data with an insurance company and a clinical trial sponsor, a schedule of appointments of medical services included in the clinical trial, information identifying which appointments in the schedule of appointments are permitted to be rescheduled, and information identifying one or more patients as clinical trial subjects, the clinical trial protocol established as a first subsystem;

establishing a second subsystem including a software application that schedules appointments for clinical trial subjects;

establishing a third subsystem including a software application that generates invoices for medical services provided for clinical trial subjects;

storing the clinical trial protocol, the second subsystem and the third subsystem in a database of a computer system;

providing communication means between the clinical trial protocol, the second subsystem and the third subsystem, wherein the computer system is configured to identify patients that are clinical trial subjects using the clinical trial protocol;

determining, with the computer system, that one of the one or more patients that is a clinical trial subject did not attend at least one appointment in the schedule of appointments;

determining, with the computer system, whether the clinical trial protocol permits rescheduling of appointments;

removing, with the computer system, the one of the one or more patients who did not attend the at least one appointment from the clinical trial when the clinical trial protocol does not permit rescheduling of appointments or keeping the one of the one or more patients as a clinical trial subject if the clinical trial protocol does permit rescheduling of appointments;

performing a particular medical service during the clinical trial on one of the one or more patients that is a clinical trial subject and determining a corresponding medical service cost;

comparing the particular medical service against the clinical trial protocol to determine whether the particular medical service is included in the clinical trial protocol;

generating an invoice, using the third subsystem, directed to (1) the insurance company to reimburse at least a portion of the medical service cost when the particular medical service is identified in the clinical trial protocol as associated with the medical service cost data for the insurance company or (2) the clinical trial sponsor to reimburse at least a portion of the medical service cost when the particular medical service is identified in the clinical trial protocol as associated with the medical service cost data for the clinical trial sponsor.

2. The method of claim 1 further comprising verifying that the medical service cost is not included in the clinical trial protocol by manually comparing the medical service cost against the clinical trial protocol when the computer system determines that the medical service cost is not included in the clinical trial protocol.

3. The method of claim 2 further comprising generating and sending an invoice to the insurance company upon verification that the medical service cost is not included in the clinical trial protocol.

4. The method of claim 1 wherein comparing the medical service cost against the clinical trial protocol further comprises determining whether at least one of the insurance company or the clinical trial sponsor is responsible for reimbursing the medical service cost.

5. The method of claim 4 further comprising sending the invoice to at least one of the insurance company or the clinical trial sponsor.

6. The method of claim 1 wherein creating a clinical trial protocol comprises creating clinical trial subject personal data.

7. The method of claim 1 further comprising monitoring for unscheduled clinical trial subject medical visits.

8. The method of claim 1 further comprising rescheduling, with the computer system, one of the scheduled appointments when it is determined that the clinical trial protocol permits rescheduling of appointments.

9. A system for enhancing clinical trial revenue for a business entity, the system comprising a computer system, wherein the computer system comprises:

a clinical trial protocol associated with a clinical trial that comprises information associating one or more medical services and their respective cost data with an insurance company and a clinical trial sponsor, a schedule of appointments of medical services included in the clinical trial, information identifying which appointments in the schedule of appointments are permitted to be rescheduled, and information identifying one or more patients as clinical trial subjects, the clinical trial protocol established as a first subsystem;

a second subsystem comprising a software application that schedules appointments for clinical trial subjects; and

a third subsystem comprising a software application that generates invoices for medical services provided during a clinical trial for clinical trial subjects, wherein the clinical trial protocol, the second subsystem and the third subsystem are configured to communicate with each other and wherein the computer system is configured to:

identify patients that are clinical trial subjects using the clinical protocol;

determine that one of the one or more patients that is a clinical trial subject did not attend at least one appointment in the schedule of appointments;

determine whether the clinical trial protocol permits rescheduling of appointments;

upon a determination that the clinical trial protocol does not permit rescheduling of appointments, remove the one of the one or more patients who did not attend the at least one appointment from the clinical trial, or upon a determination that the clinical trial protocol does permit rescheduling of appointments, keeping the one of the one or more patients as a clinical trial subject;

compare a particular medical service that has been performed during the clinical trial on one of the one or more patients that is a clinical trial subject against the clinical trial protocol to determine whether the particular medical service is included in the clinical trial protocol; and generate an invoice directed to (1) the insurance company to reimburse at least a portion of a medical service cost when the particular medical service is identified in the clinical trial protocol as associated with the medical service cost data for the insurance company or (2) the clinical trial sponsor to reimburse at least a portion of the medical service cost when the particular medical service is identified in the clinical trial protocol as associated with the medial service cost data for the clinical trial sponsor.

10. The system of claim 9 , wherein the computer system is further configured to reschedule one of the scheduled appointments, upon a determination that the clinical trial protocol permits rescheduling of appointments.

11. The system of claim 9 wherein unscheduled medical visits of the at least one clinical trial subject are monitored.

12. The system of claim 11 wherein when an unscheduled medical visit occurs a clinical trial researcher is notified.

13. The system of claim 12 wherein the clinical trial researcher is to determine whether an adverse event has occurred.

14. The system of claim 11 wherein when an unscheduled medical visit occurs a health care professional is notified.

15. The system of claim 14 wherein the health care professional is to administer treatment to the at least one clinical trial subject that is compatible with the clinical trial protocol.

16. An apparatus for improving clinical trial compliance for a business entity, the apparatus comprising:

a tangible machine accessible storage medium comprising instructions that, when executed, cause the machine to:

store in a database a clinical trial protocol established as a first subsystem, a second subsystem and a third subsystem, the protocol associated with a clinical trial that comprises information associating one or more medical services and their respective cost data with an insurance company and a clinical trial sponsor, a schedule of appointments of medical services included by the clinical trial, information identifying which appointments in the schedule of appointments are permitted to be rescheduled, and information identifying one or more patients as clinical trial subjects, the second subsystem comprises a software application that schedules appointments for clinical trial subjects, and the third subsystem comprises a software application that generates invoices for medical services provided for clinical trial subjects;

provide communication between the clinical trial protocol, the second subsystem and the third subsystem, wherein the computer is configured to identify patients that are clinical trial subjects using the clinical trial protocol;

determine that one of the one or more patients that is a clinical trial subject did not attend at least one appointment in the schedule of appointments;

determine whether the clinical trial protocol permits rescheduling of appointments;

upon a determination that the clinical trial protocol does not permit rescheduling of appointments, remove the one of the one or more patients who did not attend the at least one appointment from the clinical trial, or upon a determination that the clinical trial protocol does permit rescheduling of appointments, keeping the one of the one or more patients as a clinical trial subject;

compare a particular medical service performed on one of the one or more patients that is a clinical trial subject during a clinical trial against the clinical trial protocol to determine whether the particular medical service is included in the clinical trial protocol; and

generate an invoice directed to (1) the insurance company to reimburse at least a portion of a medical service cost when the particular medical service is identified in the clinical trial protocol as associated with the medical service data for the insurance company or (2) the clinical trial sponsor to reimburse at least a portion of the medical service cost when the particular medical service is identified in the clinical trial protocol as associated with the medical service cost data for the clinical trial sponsor.

17. The apparatus of claim 16 wherein the clinical trial protocol further comprises clinical trial subject personal data.

18. The apparatus of claim 16 wherein the clinical trial protocol is analyzed to determine whether at least one of an insurance company or a clinical trial sponsor is responsible for reimbursing the medical service cost.

19. The apparatus of claim 16 , wherein the computer is further programmed to reschedule one of the scheduled appointments, upon a determination that the clinical trial protocol permits rescheduling of appointments.

20. The apparatus of claim 16 wherein unscheduled clinical trial subject medical visits are monitored.

21. A method comprising:

generating a clinical trial protocol for a clinical trial that includes a first medical service identified as at least partially reimbursable by an insurance company and a second medical service identified as at least partially reimbursable by a clinical trial sponsor, the clinical trial protocol including a plurality of patients participating in the clinical trial;

providing a schedule of one or more appointments of medical services for a patient participating in the clinical trial including at least one of the first medical service or the second medical service;

monitoring patient attendance to determine whether the patient attends a scheduled appointment included in the clinical trial and removing the patient from the clinical trial protocol when the patient does not attached a scheduled appointment included in the clinical trial and the clinical trial protocol does not permit rescheduling of the appointment;

comparing, via a processor, when the patient has not been removed from the clinical trial, medical service cost data associated with a particular medical service performed on the patient against the clinical trial protocol, the medical service cost data including a medical service cost associated with the particular medical service;

determining whether the medical service cost data corresponds to at least one of the first medical service or the second medical service in the clinical trial protocol; and

generating an invoice directed to (1) the insurance company for at least a portion of the medical service cost when the medical service cost data corresponds to the first medical service or (2) the clinical trial sponsor for at least a portion of the medical service cost when the medical service cost data corresponds to the second medical service.

Assignments (13)