Patents Assigned to Optum360, LLC
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Patent number: 11966695Abstract: Methods, systems and computer program products for implementing a mere-parser are disclosed. Text data is processed to generate one or more parse items. A boundary based attribute associated with one of the parse items is identified, and the identified mere attribute is associated with one or more of the remaining parse items that is not blocked from associated with the boundary based attribute.Type: GrantFiled: October 27, 2020Date of Patent: April 23, 2024Assignee: Optum360, LLCInventors: Daniel T. Heinze, Mark L. Morsch
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Patent number: 11581068Abstract: Among other things, methods, systems and computer program products for providing visual indication of documentation and coding of medical procedures may include providing a choice of medical codes associated with a medical procedure. A user selection of one of the medical codes is detected. Based on the detection, a visual indication of the user selection is generated on one or more anatomical diagrams.Type: GrantFiled: March 5, 2018Date of Patent: February 14, 2023Assignee: Optum360, LLCInventors: Mark L. Morsch, Michael A. Landis, Blair C. Jennings
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Patent number: 11562813Abstract: Computer-based, natural language processing systems and methods are provided for review of clinical documentation and other medical records, and for clinical documentation improvement. The systems and methods are configured to analyze received diagnoses and/or procedures in view of documents in the record using a natural language processor and a tiered information model to identify clinical indicators, and optionally markers. The identified information is compared with the received data for use in generating queries requesting evidence in support of the received diagnosis or procedure, or for use in validating the received information.Type: GrantFiled: December 18, 2019Date of Patent: January 24, 2023Assignee: OPTUM360, LLCInventors: Ronald Sheffer, Mark Morsch, Michelle Wieczorek
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Patent number: 11288455Abstract: Computer implemented systems and methods of processing clinical documentation for a multi-axial coding scheme include inputting clinical documentation from memory operatively coupled with a computer system, and executing a natural language processor configured to process narrative text in the clinical documentation. The processor segments the narrative text based on boundaries defined in the clinical documentation, sequences words in the narrative text based on the segmentation, and maps the sequenced words to semantic objects in an ontology database. The ontology defines classes of semantic objects and relationships between them, corresponding to the multi-axial coding scheme. The semantic objects are converted into characters and output into slots in a medical code, with the characters positioned in the slots based on the multi-axial coding scheme.Type: GrantFiled: October 20, 2018Date of Patent: March 29, 2022Assignee: Optum360, LLCInventors: George Karres, Destinee Tormey, Christopher Miller, Brian Potter, Mark L. Morsch
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Patent number: 11237830Abstract: Methods, systems and computer program products for resolving multiple magnitudes assigned to a target vector are disclosed. A target vector that includes one or more target vector dimensions is received. One of the target vector dimensions is processed to determine a total number of magnitudes assigned to the processed target vector dimension. Also, a source vector that includes one or more source vector dimensions is received. The received source vector is processed to determine a total number of features associated with the source vector. When it is detected that the total number of magnitudes assigned to the processed target vector dimension exceeds one, one of the assigned magnitudes is selected based on one of the determined features associated with the source vector.Type: GrantFiled: June 8, 2018Date of Patent: February 1, 2022Assignee: Optum360, LLCInventors: Daniel T. Heinze, Mark L. Morsch
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Patent number: 11200379Abstract: Computer implemented systems and methods of processing clinical documentation for a multi-axial coding scheme include inputting clinical documentation from memory operatively coupled with a computer system, and executing a natural language processor configured to process narrative text in the clinical documentation. The processor segments the narrative text based on boundaries defined in the clinical documentation, sequences words in the narrative text based on the segmentation, and maps the sequenced words to semantic objects in an ontology database. The ontology defines classes of semantic objects and relationships between them, corresponding to the multi-axial coding scheme. The semantic objects are converted into characters and output into slots in a medical code, with the characters positioned in the slots based on the multi-axial coding scheme.Type: GrantFiled: May 29, 2019Date of Patent: December 14, 2021Assignee: Optum360, LLCInventors: George Karres, Destinee Tormey, Christopher Miller, Brian Potter, Mark L. Morsch
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Patent number: 10839152Abstract: Methods, systems and computer program products for implementing a mere-parser are disclosed. Text data is processed to generate one or more parse items. A boundary based attribute associated with one of the parse items is identified, and the identified mere attribute is associated with one or more of the remaining parse items that is not blocked from associated with the boundary based attribute.Type: GrantFiled: June 27, 2019Date of Patent: November 17, 2020Assignee: OPTUM360, LLCInventors: Daniel T. Heinze, Mark L. Morsch
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Patent number: 10832811Abstract: Techniques for implementing Quality Assurance of the process of coding medical documents are disclosed. An audit of a coding process for a medical document is initiated by selecting and setting audit parameters. Using the selected parameters, a sample batch of coded documents is obtained from a universe of coded documents. The sample batch of coded documents is presented to auditor(s), and the auditor(s) provide corrections, which are recorded, and a score for each correction is calculated. A sample score, based on the corrections, is calculated in a manner that tracks to subjective auditor assessments of the process quality as being acceptable, marginally acceptable, or unacceptable, and which sample score accounts for the individual auditor subjectivity and an error.Type: GrantFiled: January 17, 2019Date of Patent: November 10, 2020Assignee: Optum360, LLCInventors: Daniel T. Heinze, Peter Feller, Mark L. Morsch
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Patent number: 10552931Abstract: Computer-based, natural language processing systems and methods are provided for review of clinical documentation and other medical records, and for clinical documentation improvement. The systems and methods are configured to review documents in the record using a natural language processor and to identify clinical indicators with associated contextual information. The clinical indicators are compared to scenarios to generate markers based on an information model. The markers used to generate physician queries and other informational requests with supporting evidence for each query based on indicators identified in the record. In additional examples, pragmatic guidelines including business-based rules can also be utilized, either in combination with, or as part of, the scenarios in the information model.Type: GrantFiled: September 5, 2013Date of Patent: February 4, 2020Assignee: OPTUM360, LLCInventors: Ronald Sheffer, Mark Morsch, Michelle Wieczorek
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Patent number: 10354005Abstract: Methods, systems and computer program products for implementing a mere-parser are disclosed. Text data is processed to generate one or more parse items. A boundary based attribute associated with one of the parse items is identified, and the identified mere attribute is associated with one or more of the remaining parse items that is not blocked from associated with the boundary based attribute.Type: GrantFiled: July 31, 2018Date of Patent: July 16, 2019Assignee: Optum360, LLCInventors: Daniel T. Heinze, Mark L. Morsch