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Practice Insight Instructional Webinar Series Reporting

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Presentation on theme: "Practice Insight Instructional Webinar Series Reporting"— Presentation transcript:

1 Practice Insight Instructional Webinar Series Reporting
Presented by: Shaun McAnulty – Product Training Specialist

2 Goals Understand The 2 types of reports The 5 report classes
Access reports & dashboards Use Web Browser reports Use of DataMiners Share Configurations - NEW FEATURE Schedule Reports - NEW FEATURE Question & Answer

3 2 Report Types Web Browser : Is a static report, meaning you input basic criteria and a report is generated. Web DataMiner : Is a dynamic report, meaning it is highly customizable. With filtering, sorting, & capability to add or remove data fields. You can also save the reports setup.

4 5 Report Classes Claim Reports: Analyze your claim data.
Dashboard Reports: Analyze claim or ERA data, by breaking up the information in to manageable categories. Claims ERA’s ERA Manager Reports: Analyze ERA transaction data. Statement Manager Reports: Analyzes your Statement/ Billing data. Management Reports: Analyze overall data.

5 Security Level If you’re familiar with Staff setup and User classes you will see security level, If I cover a report that you don’t see then you may not have the required security level. Access to certain reports can be restricted based on Security Level found in the User Class Setup of the staff record.

6 Accessing Reports Application Level Report Manager
Each application has a Reports button, which displays all reporting options specific to that application. Going directly to SEARCH TOOLS and the Report Manager button displays all of the reports you have access to*. PRINT REPORTS in Task Manager displays the same information. *This is based on Security Level.

7 Task Manager: Claim Reports
DASHBOARDS MY DASHBOARD Task Manager: Claim Reports Quick reference reporting capability, allowing the user to quickly adapt the dashboard and change displaying information using the tabs provided. Easy to use Save layout for quick viewing For the Dashboards for analyzing claims simply use the MY DASHBOARD Button on your TASK MANAGER Screen. You can change the report being used in each window using the Reports button, as well as adjusting the Customer the reports are referring to by using the Drop Down search. These dashboards are also interactive, via tabs or hoover text. The dashboard will remember your settings for reports and customer after adjustments.

8 Claim Dashboard Based on the report in use you will have various options, tabs, hover text. The user can change reports using the New Report Button. Initial Rejects, Edifecs is a second layer of Tester edits No need to enter selection criteria. ALL dashboard reports can be run as stand alone reports as well in Report Manager

9 ERA Manager: ERA Reports
DASHBOARD ERA Manager: ERA Reports ERA Manager is an additional service that allows you to mange, search, group and work Individual Transactions. To get to the ERA Dashboard first click ERA Manager Button (1) then click the DASHBOARD Button (2). The ERA Dashboard is only for ERA Manager users, ERA Manager is an Optional Service.

10 ERA Dashboard This being an optional application please contact for questions. ERA Manager is an optional feature. This Dashboard view is the same in function and format that you see in the MY Dashboard on Task Manager.

11 Claim Manager In Claim Manager using the Print Reports button will bring up the full display of CLAIM Class Reports.

12 Claim Web Browsers Change Log Claim Status By Payer / By Date
Starting with Web Browser Reports. Change Log= Displays all changes made to claims for date range. Claim Status By Payer/ Date= Claims status at time, based on Payers or Date of Upload. Clean Claim Report= What percentage are clean and Zero Paid= Displays claims paid Zero Dollars Payer List= Shows Electronic Payer list. Change Log Claim Status By Payer / By Date Clean Claim Report : Dynamic Report Zero Paid Claim Report Claim Status Activity Log Claim Summary Payer List Batched Claim Count

13 Claim Web Browsers Claim Summary Zero Paid Claim Report
Starting with Web Browser Reports. Claim Summary Zero Paid Claim Report Clean Claim Report ICD10 Code Analysis – Newly Released

14 CHANGE LOG The Change Log will show adjustments and changes that have been input into the system as well as allow you to locate what are common changes that may be fixable in the PM. Displays All Changes made to claims by all staff members for selected timeframe.

15 Claim Status By Payer This Report Allows to view totals of claims, dollar amounts, and current status at the payer level. SHOW UHC has Paid Claims. Use to show that Rejected Denied Claims Given a timeframe this report displays dollar and count totals for claims in specific statuses.

16 Claim Summary First brings us to the basic criteria for the report, make sure to read the description to have an understanding of the scope of the report.

17 Clean Claim Report The Clean Claim report displays multiple graphs, and tables. With interactivity via hoover text or detail options when you see the (+) icon. This report is more dynamic in that it allows for drill down details using the (+) in certain columns.

18 Zero Paid Claims Display claims that were paid with $0.00
payments which then allows the user to further research the individual claim using the given Account ID or Claim ID. This report shows claims that were Marked Paid but with $0.00 Payments.

19 ICD 10 Code Analysis Analyze the current ICD 9 codes on claims to get a picture of what they may be coded as in ICD 10 using the GEMs mappings.

20 Claim DataMiners Benefits of DataMiner Reports Highly Customizable
Save your settings (Configuration) Exportable: CSV, EXCEL, OneNote Claim Analysis Claim Error Analysis Claim Rejection Analysis Transaction Analysis

21 DataMiner Configuration Screen
Default Screen After inserting basic criteria you will be brought to the main DM screen for the report, here you can Run the Default, Run a Saved Configuration (Saved Custom report) or Build a New Configuration. You will also see any previous Saved Configurations as well.

22 DataMiner Basics 1.) Unused Blades: Not currently displayed on Report but can be added. They can be used as filters without being on the report. 2.) Row Blades: Currently data that is displayed in a row on the report. User can drag any blades they want to display on report as a row here. 3.) Column Blades: Data can be brought here to display as a column on the report. The system will alert user if the data will be inappropriate for use as a column. Click and drag blades to where you want it to display. Use the Icons for Sorts and Filters, then when report is as desired use the Update Button to display. Some basic uses and breakdown of the controls area.

23 Claim Analysis Analyze claim totals by payer.
This report allows me to analyze my claims and group the totals for my payers to see who my current working payers are as well as my dollar totals for that payer. By adding blades I can adjust the data that I am looking at. I will pull over my Account # so I can uniquely identify the claims, I also want to see my breakdown by Rendering Provider. I will reorder to see REN Prov, EDI Payer, Account # And UPDATE now using my – sign I can collapse areas to see basic totals.

24 DataMiner Main Screen Personal Saved Configurations
Shared Configurations

25 Claim Error Analysis Can use with Clean Claim Report to analyze
Initial uploading errors. This report will show me a breakdown of Claim Errors we received upon initial uploading into the system. Allowing me to point out potential adjustments to make to my uploaded file to negate the errors. I can use this in conjunction with the Clean claim report. Saved Configuration For Facility. Keep in mind multiple errors can appear on an individual claim.

26 Claim Rejection Analysis
This report displays Rejections from the payer. Allowing you to analyze claim submission and locate potential adjustments to make to decrease the revenue cycle timeframe by submitting clean claims as often as possible. Adding Payer Name to a column blade and Rendering Provider to a row blade allows me to break down the rejects and dollar amounts for specific Payers.

27 Transaction Analysis Analyze specific transactions on claims. Drilling into the Transaction lines to break down dollar and count totals based on Procedure Codes. I can take my rendering provider and pull them into the Column Blades area to see this breakout by who is performing the procedure.

28 Task Manager/Report Manager Access
The Print Reports Button on the Task Manager screen is a direct link to Search Tools and will display Report Manager EXACTLY as you’d see it there.

29 MGMT A great example of a MGMT type report is the Staff productivity report.

30 Scheduling Reports/ Share Configurations
Double Click to Open How to Instructions to Schedule Reports. Double Click to Open How to Instructions to Share a DataMiner Configuration

31 Question and Answer

32 Upcoming Training Webinars
ICD-10 Readiness March 3rd 10:00 AM CST Claim Manager March 10th 10:00 AM CST Task Manager Basic March 26th 2:00 PM CST


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