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Healthcare Key Performance Indicator Consulting

ezDI analysts and consultants perform in-depth analysis of a hospitalu2019s KPIs, including, Coder and CDI Productivity, Denials and a host of other metrics to enhance reimbursement and quality.<br><br>If you are looking for Healthcare Key Performance Indicator Consulting. Visit Us:- https://www.ezdi.com/<br>

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Healthcare Key Performance Indicator Consulting

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  1. Healthcare Key Performance Indicator Consulting

  2. Enhance reimbursement and quality through data driven, actionable insights. ezDITManalysts and consultants perform in- depth analysis of a hospital’s KPIs, including Case Mix Index (CMI), Coder and CDI Productivity, Denials and a host of other metrics. CONTACT US

  3. Case Mix Index Case Mix Index (CMI) is the average of DRG weights of all inpatients. CMI Consulting Did You Know? • Improve CMI by analysing high-impact MS-DRG pairs • Identifying reasons for any increase or decrease in CMI • Comparison of a Hospital’s CMI against National, State and Regional Peer group. 14-site hospital system lost $3M in reimbursement in a year from an unspecified code (F32.9), where more specific code (F32.3) could have been assigned. • Identification of the top 10 MS-DRGs within a fiscal year. • Comparison of the Geometric Mean Length of Stay (GMLOS) to the Actual Length of Stay (ALOS) for the top 10 MS-DRGs, with impact and opportunity assessment. • Tracking of trends in patient mix (total cases, medical/surgical cases).

  4. Coder/CDIS Productivity Coder Productivity is defined as the time required to code a patient record. Did You Know? Coder/CDIS Productivity Consulting 271-bed hospital identified 25% increase in coder productivity level, and thus savings of $276K with analytics driven case allocation. This was in addition to 47% increase with CAC adoption. • Benchmark productivity levels to determine the gaps • Productivity level analysis by individual Coder/CDIS • AI-based optimization modeling on past data designed to enhance current Coder/CDIS productivity and accuracy l levels • Coder Productivity by service lines, LOS, DRGs

  5. Denials Denial is the refusal by payor to honor a request of a provider to pay for healthcare services. Did You Know? Denials Consulting Approximately 9% ($262 billion) of hospital charges in 2016 were initially claim denials. However, roughly $165B of denied claims were recoverable. • Manage denials by knowing potential “at risk” MS-DRGs in advance • Uncover and eliminate root causes for Denials • List of denied claims that are likely to be appealed based on higher rate of approval • Denials analysis by service line/MDCs, CDS, coder, physician, top 10 DRGs

  6. Miscellaneous Did You Know? Detailed analysis will be conducted on following KPIs and shared with the provider in order to achieve efficiencies and prevent any revenue leakage in the existing processes: A 271 beds hospital enhanced its cashflow by $2.3M by decreasing its DNFC from 7.6 days to 4.7 days (38% drop) •DNFC days •LOS Variance •30- day Readmission cases

  7. Contact us Visit Our Website:- https://www.ezdi.com/ Address:- 12806 Townepark Way, Louisville, Kentucky 40243

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