Abstract: A system and method for facilitating management of healthcare claims is disclosed. The method includes receiving a request to inspect one or more medical claims, obtaining claim data from one or more data sources and identifying one or more business scenarios. Further, the method includes generating a set of candidate rules for each of prioritized one or more business scenarios and generating one or more recommendations based on the generated set of candidate rules, a historical context, the received request, and the obtained claim data. Furthermore, the method includes generating one or more final rules, validating the generated one or more final rules by using a predefined validation data and outputting the validated one or more final rules, the identified one or more business scenarios and the generated one or more recommendations on user interface screen of one or more electronic devices.

Abstract: Portable charge capture/inventory management systems and methods include a system comprising at least one server at a first location. The server of an embodiment includes inventory data and patient data. The inventory data includes information of drugs and supplies of a facility that is a patient treatment facility. The patient data includes identification, schedule and treatment data of patients of the facility. The system includes at least one portable client at the facility that is coupled to the server. The portable client is configured to access and present the patient data for use during treatment of each patient, and to capture transaction data of the treatment at a point of care. The transaction data is automatically transferred to the server.