Heath Care Analytics

Hardik — Mon, 22 Oct 2018 08:17:50 GMT

Health Care Analytics provide analysis of different disciplines of health care including financial analysis,staffing plans and clinical data analysis.It focusses on searching patterns in the healthcare data to provide meaningful insights and improve healthcare quality by limiting excessive funding.The idea is to increase the profits and quality by analysing the areas which impact the growth of the healthcare industry.

This is a brief description about insights provided by each report.

Hospital Patient Care Financial Margins by Payors-This report shows the surplus and deficit by payor in total and by inpatient and outpatient services.

Revenue Cycle Management

Revenue cycle management is the process used by healthcare systems in the United States to track the revenue from patients, from their initial appointment or encounter with the healthcare system to their final payment of balance. It is a cycle that describes and explains the life cycle of a patient (and subsequent revenue and payments) through a typical healthcare encounter from admission (registration) to final payment (or adjustment off of accounts receivables).

Proper revenue cycle management ensures that billing errors are reduced so that reimbursements from the insurance companies are maximized.

Executive Summary-Revenue Cycle Management

This report summarizes the important aspects of the revenue cycle management

Manage the amount receivable, visits, charges, payments and adjustments monthly or yearly and compare the performance of same with previous year (YTD or MTD).
Track the net collection rate.
Determine Payer information.

Charges, Payments and Adjustments

This is the detailed report for charges, payment and adjustments.
It provides insights about the adjustment distribution according to charges (YTD or MTD) for Current Year and Previous Year.
The evaluation of the distribution of charges, payments and adjustments for each provider and payor is clearly depicted in the report.

AR Management KPI

According to AR aging bucket we are distributing the AR amount.
Top 5 financial class according to AR.
Determining the AR amount according to Account Balance Category.

Coding Distribution

Track coding (CPT and ICD) distribution for old and new patients
Determine the centers/clinics with highest visits w.r.t. CPT codes
Determine the count of CPT code for each financial class

Denial Management

Determine the reasons for the occurrence of each denial and decide which areas we can improve to decrease the denial rate.

Charge Liquidation

Evaluate total no. of account and % of AR w.r.t the aging categories and account balance categories.
Evaluate Monthly charge liquidation.

Glossary

AR	Accounts Receivable	Accounts receivable or A/R is a term used to denote money owed to your practice for services you have rendered and billed. Any payments due from patients, payers, or other guarantors are considered A/R.
CPT	Current Procedural Terminology	Current Procedural Terminology (CPT) is a medical code set that is used to report medical, surgical, and diagnostic procedures and services to entities such as physicians, health insurance companies and accreditation organizations. CPT codes are used in conjunction with ICD-9-CM or ICD-10-CM numerical diagnostic coding during the electronic medical billing process.
DAR	Days of Accounts Receivable	Days in Accounts Receivable (A/R). Days in A/R refers to the average number of days it takes a practice to collect payments due. The lower the number, the faster the practice is obtaining payment, on average.

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Re: Heath Care Analytics

ashishvadhan — Thu, 07 Jun 2018 05:03:40 GMT

Amazing Work...

Re: Heath Care Analytics

cmajka — Thu, 07 Jun 2018 11:30:51 GMT

This is really impressive. My only critique is that the images in the background distract from the actual data and visualizations. Perhaps you can make them more transparent or not at all. Great work!

Re: Heath Care Analytics

muleso — Tue, 23 Jul 2019 20:38:35 GMT

How can i contact the developer or get this ?

Re: Heath Care Analytics

nguyenngoclyna — Wed, 18 Mar 2020 04:28:37 GMT

Dear Mr/Ms Hardik

Your dashboard's wonderful, I like it.

And, about "Payer mix change from previous year", how do you create effective up/down a row?

Pls, I want to build my dashboard which sames that.

Thank you so much!

Re: Heath Care Analytics

Anonymous — Mon, 27 Apr 2020 12:49:15 GMT

Can i have a copy of this report for study purposes?
Please

Thanks in advance

Re: Heath Care Analytics

Anonymous — Mon, 27 Jul 2020 19:41:38 GMT

were you able to contact the developer?

Re: Heath Care Analytics

Anonymous — Tue, 28 Jul 2020 16:14:13 GMT

No response yet

Re: Heath Care Analytics

avi081265 — Tue, 01 Aug 2023 14:08:50 GMT

Can you please share with me if pissible, avi081265@sagore.onmicrosoft.com

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