IP Library Granted Patent US 11,348,683
Granted Patent B2
US 11,348,683 · App. 17/379,635 · Granted May 31, 2022

System and method for processing medical claims

Inventors: Joseph Guaneri (Merrick, NY); Daniel Posnack (Fort Lauderdale, FL); Peter Arn (Roxbury, CT); Wendy Para (Las Vegas, NV); S. Adam Hacking (Nashua, NH); Micheal Mueller (Oil City, PA); Jonathan Greene (Denver, CO); Steven Mason (Las Vegas, NV)
Assignee: ROM TECHNOLOGIES, INC.
G16H40/20G06Q10/10G16H10/60G16H40/67G16H50/70G16H70/20A63B22/0694A63B24/0062A63B2225/20G06Q40/08
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Quick Facts
Patent No.
US 11,348,683
App. No.
17/379,635
Granted
May 31, 2022
Kind
B2
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.

Claims (48)

1. A computer-implemented system for processing medical claims, comprising:

a physical rehabilitation machine configured to be manipulated by a user while the user performs a treatment plan;

a patient interface associated with the physical rehabilitation machine, the patient interface comprising an output configured to present telemedicine information associated with a telemedicine session; and

a processor configured to:

during the telemedicine session, receive device-generated information from the physical rehabilitation machine;

using the device-generated information, determine device-based medical coding information; and

transmit the 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 physical rehabilitation 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 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 transmit the device-based medical coding information to an electronic medical records database.

6. The computer-implemented system of claim 1 , wherein the processor is further configured to:

receive 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 processor is further configured to determine a match indicator; and

transmit the match indicator to the claim adjudication server.

7. A system for processing medical claims, comprising:

a processor configured to:

receive device-generated information from a physical rehabilitation machine;

using the device-generated information, determine device-based medical coding information; and

transmit the 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 physical rehabilitation machine.

9. The system of claim 7 , wherein, using the device-generated information, the processor is further configured to determine device-based medical result information.

10. The system of claim 9 , wherein the processor is further configured to transmit the device-based medical result information to a patient notes database.

11. The system of claim 7 , wherein the processor is further configured to transmit the device-based medical coding information to an electronic medical records database.

12. The system of claim 7 , wherein the processor is further configured to receive 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 processor is further configured to determine a match indicator.

14. The system of claim 13 , wherein the processor is further configured to transmit the match indicator to the claim adjudication server.

15. The system of claim 7 , further comprising a memory device operatively coupled to the processor, wherein the memory device stores instructions, and wherein the processor is configured to execute the instructions.

16. A method for a clinic server processing medical claims, comprising:

receiving device-generated information from a physical rehabilitation machine;

using the device-generated information, determining device-based medical coding information; and

transmitting the device-based medical coding information to a claim adjudication server.

17. The method of claim 16 , wherein the device-generated information is generated by the physical rehabilitation machine.

18. The method of claim 16 , further comprising using the device-generated information to determine device-based medical result information.

19. The method of claim 18 , further comprising transmitting the device-based medical result information to a patient notes database.

20. The method of claim 16 , further comprising transmitting the device-based medical coding information to an electronic medical records database.

21. The method of claim 16 , further comprising receiving reviewed medical coding information from an electronic medical records database.

22. The method of claim 21 , further comprising using the reviewed medical coding information and the device-based medical coding information to determine a match indicator.

23. The method of claim 22 , further comprising transmitting the match indicator to the claim adjudication server.

24. A tangible, non-transitory computer-readable medium storing instructions that, when executed, cause a processor to:

receive device-generated information from a physical rehabilitation machine;

using the device-generated information, determine device-based medical coding information; and

transmit the device-based medical coding information to a claim adjudication server.

25. The tangible, non-transitory computer-readable medium of claim 24 , wherein the device-generated information is generated by the physical rehabilitation machine.

26. The tangible, non-transitory computer-readable medium of claim 24 , wherein, using the device-generated information, the instructions further cause the processor to determine device-based medical result information.

27. The tangible, non-transitory computer-readable medium of claim 26 , wherein the instructions further cause the processor to transmit the device-based medical result information to a patient notes database.

28. The tangible, non-transitory computer-readable medium of claim 24 , wherein the instructions further cause the processor to transmit the device-based medical coding information to an electronic medical records database.

29. The tangible, non-transitory computer-readable medium of claim 24 , wherein the processor is further configured to receive reviewed medical coding information from an electronic medical records database.

30. The tangible, non-transitory computer-readable medium of claim 29 , wherein, using the reviewed medical coding information and the device-based medical coding information, the instructions further cause the processor to determine a match indicator.

Assignments (5)
CONFIDENTIALITY AND NONDISCLOSURE AGREEMENT (EMPLOYMENT AGREEMENT) Recorded Mar 31, 2025
From: MUELLER, MICHEAL
To: ROM TECHNOLOGIES, INC.
Reel/Frame 070690/0651 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Mar 24, 2025
From: POSNACK, DANIEL; ARN, PETER; PARA, WENDY; HACKING, S. ADAM; MASON, STEVEN
To: ROM TECHNOLOGIES, INC.
Reel/Frame 070605/0632 →
ASSIGNMENT OF ASSIGNOR'S INTEREST Recorded Mar 24, 2025
From: GREENE, JONATHAN
To: ROM TECHNOLOGIES, INC.
Reel/Frame 070605/0730 →
CHANGE OF NAME Recorded Mar 21, 2025
From: ROM3 REHAB, LLC
To: ROM TECHNOLOGIES, INC.
Reel/Frame 070593/0205 →
CONFIDENTIALITY AND NONDISCLOSURE AGREEMENT (EMPLOYMENT AGREEMENT) Recorded Mar 21, 2025
From: GUANERI, JOSEPH
To: ROM TECHNOLOGIES, INC.
Reel/Frame 070746/0417 →
Continuity (5)
Continuation 17147642 · Jan 13, 2021
Continuation In Part 17021895 · Sep 15, 2020
Provisional Application 63028392 · May 21, 2020
Provisional Application 62910232 · Oct 3, 2019
Related Publication 20210350914A1 · Nov 11, 2021
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