Abstract: A method for monitoring a medical related decision made by a medical professional includes providing access to a plurality of databases. Each of the plurality of databases contains medical related information and rules governing medical care. The method also includes receiving medical analysis information from the medical professional. The medical analysis information may be used by the medical professional to make the medical related decision. The method may further include applying at least one of the rules to the medical analysis information received from the medical professional, and auditing the medical related decision made by the medical professional for compliance with the rules. The method may further include providing an indication to the medical professional of compliance or non-compliance of the medical related decision with the rules.

Abstract: A method for assessing billing compliance of a medical related decision may include receiving medical related information relating to the medical related decision and applying at least one rule to the medical related information. The method may also include auditing the medical related decision for compliance with the at least one rule and providing results of the audit.

Abstract: A method for assisting a medical professional with making a medical related decision based on patient information includes providing access to a plurality of databases containing medical related information and at least one rule governing medical care. The method may also include searching for patient information on at least one of the plurality of databases providing search results of the patient information regardless of the location of the patient information.

Abstract: A medical claim fraud prevention system includes a first controller positioned at a medical facility and a second controller positioned at a patient information collection center and adapted to be in communication with the first controller. The first controller may transmit a first signal to the second controller responsive to an occurrence of a predetermined event. The second controller may initiate contact with a patient via the patient's mobile phone in response to the first signal revived from the first controller, and the patient may be prompted to enter predetermined information to verify their location. The second controller may transmit an indication to the first controller in response to the first signal received from the first controller regarding whether the patient is within a predetermined vicinity of the medical facility based on the predetermined information entered by the patient to verify their location.

Abstract: A medical claim fraud prevention system includes a first controller positioned at a medical facility, a second controller positioned at a patient information collection center and adapted to be in communication with the first controller, and a patient locating device adapted to be within a predetermined vicinity of a patient and adapted to be in communication with the second controller to provide location data relating to the location of the patient locating device. The first controller may a first signal to the second controller responsive to an occurrence of a predetermined event. The second controller may transmit an indication to the first controller in response to the first signal received from the first controller of whether the patient locating device is within a predetermined vicinity of the medical facility based on the location data relating to the location of the patient locating device.

Abstract: A medical claim fraud prevention system includes a first controller positioned at a medical facility and a second controller positioned at a patient information collection center and adapted to be in communication with a data center having historical location information relating to a patient locating device. The first controller may transmit a first signal to the second controller responsive to an occurrence of a predetermined event. The second controller may transmit an indication to the first controller in response to the first signal received from the first controller regarding the historical location of the patient locating device and whether the patient locating device was within a predetermined vicinity of the medical facility during a predetermined time period.

Abstract: A medical claim fraud prevention system includes a first controller positioned at a medical facility and including a user interface and a second controller positioned at a patient information collection center and adapted to be in communication with the first controller. The first controller may send a first signal to the second controller responsive to an occurrence of a predetermined event. The second controller may request identification information from a patient in response to the first signal received from the first controller, and the patient may enter the identification information using the user interface in communication with the second controller to verify their location.