COMPUTERIZED SYSTEM FOR TRACKING, MANAGING, AND ANALYZING HOSPITAL PRIVILEGES THROUGH THE USE OF SPECIFICALLY RESEARCHED CONTENT IN CONJUNCTION WITH ICD, CPT OR OTHER CODES
Embodiments of systems and methods for tracking, managing, and analyzing hospital privileges through the use of specifically researched content in conjunction with ICD, CPT or other codes are described.
1 . A system comprising:
a data storage unit configured to store:
a dataset of predefined medical service provider privileges;
a dataset of billing information, the billing information that is correlated to the predefined medical service provider privileges; and
a data processor configured to:
access the dataset of predefined medical service provider privileges;
access the dataset of billing information, the billing information including one or more billing codes that are correlated to the predefined medical service provider privileges;
assign a set of one or more of the medical service provider privileges to a medical service provider;
track billing information associated with the medical service provider; and
update the set of one or more of the medical service provider privileges assigned to the medical service provider in response to the billing information.
2 . The system of claim 1 , wherein the dataset of billing information further comprises a billing code that are correlated with the medical service provider privileges.
3 . The system of claim 2 , wherein the data processor is configured to modify the correlation of the set of one or more billing codes with the medical service provider privileges.
4 . The system of claim 3 , further comprising an interface for allowing a user to modify the set of one or more billing codes associated with the medical service provider privileges.
5 . The system of claim 1 , further comprising an interface for allowing a user to modify one or more of the medical service provider privileges.
6 . The system of claim 1 , wherein assigning the set of one or more of the medical service provider privileges further comprises assigning a default set of medical service provider privileges in response to a service provider profile.
7 . The system of claim 6 , wherein the data processor is further configured to update the default set of medical service provider privileges assigned to the service provider in response to the billing information.
8 . The system of claim 7 , wherein the data processor is further configured to automatically track billing codes associated with the medical service provider over a period of time to determine a number of procedures and a type of procedures performed by the medical service provider.
9 . The system of claim 8 , wherein updating further comprising granting privileges in response to a determination that the number of procedures performed by the medical service provider exceeds a threshold number of procedures.
10 . The system of claim 8 , wherein updating further comprising restricting privileges in response to a determination that the number of procedures performed by the medical service provider is below a threshold number of procedures.
11 . The system of claim 1 , wherein the data processor is further configured to automatically generate a notification in response to updating the set of one or more medical service provider privileges assigned to the medical service provider.
12 . A method comprising:
accessing a dataset of predefined medical service provider privileges stored on a data storage unit;
accessing a dataset of billing information, the billing information that is correlated to the predefined medical service provider privileges stored on a data storage unit;
assigning a set of one or more of the medical service provider privileges to a medical service provider with a data processor;
tracking billing information associated with the medical service provider with the data processor; and
updating the set of one or more of the medical service provider privileges assigned to the medical service provider in response to the billing information with the data processor.
13 . The method of claim 12 , wherein the dataset of billing information further comprises a billing code that are correlated with the medical service provider privileges.
14 . The method of claim 13 , further comprising modifying the correlation of the set of one or more billing codes with the medical service provider privileges.
15 . The method of claim 14 , further comprising providing an interface for allowing a user to modify the set of one or more billing codes associated with the medical service provider privileges.
16 . The method of claim 12 , further comprising providing an interface for allowing a user to modify one or more of the medical service provider privileges.
17 . The method of claim 12 , wherein assigning the set of one or more of the medical service provider privileges further comprises assigning a default set of medical service provider privileges in response to a service provider profile.
18 . The method of claim 17 , further comprising updating the default set of medical service provider privileges assigned to the service provider in response to the billing information.
19 . The method of claim 18 , further comprising automatically tracking billing codes associated with the medical service provider over a period of time to determine a number of procedures and a type of procedures performed by the medical service provider.
20 . The method of claim 19 , wherein updating further comprising granting permanent privileges in response to a determination that the number of procedures performed by the medical service provider exceeds a threshold number of procedures.
21 . The method of claim 19 , wherein updating further comprising restricting privileges in response to a determination that the number of procedures performed by the medical service provider is below a threshold number of procedures.
22 . The method of claim 12 , further comprising generating a notification in response to updating the set of one or more medical service provider privileges assigned to the medical service provider.