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What role does Data Analytics play in the Medical Billing Process?

Medical practitioners heavily rely on billing reports to streamline revenue cycle management.

  • To understand the points where they are losing money
  • To judge the efficiency of their Medical Billing Process
  • To analyze their overall collection rate

Data analytics help medical practitioners analyze and enhance revenue cycle operations systematically.

The University of Kansas Health System was facing a denial rate of 25%. Data analytics and reporting saved $3 million in eight months by reducing denials. (Health Catalyst)

Medical Billing reports help Medical Practitioners to:

  • Identify data trends
  • Analyze claims activity
  • Improve their Medical Billing Processes
  • Identify key factors responsible for revenue growth
  • Get insights into future operational strategies.

Data analytics empower Medical Practices with better decision-making capabilities. Without real-time reports, it is impossible to track and tweak Revenue Cycle deficiencies.

Poor data & billing reporting led to 65-day Accounts Receivable for a medical practice. (Outsource Strategies International)

How can Medical Practices use the power of Analytics to streamline their Medical Billing process?

Data optimizes the interconnected steps of medical billing, enhancing the entire process.

Scheduling

Analyze data to schedule appointments based on cancellation trends. Patient demographics can inform appointment scheduling, like offering Saturday slots for working parents.

Eligibility Verification

Analyze data to prepare claims based on payer requirements and denial trends. Check for key points to reassess before claim submission.

Medical Coding

Medical coding is a sensitive process of Revenue Cycle Management foregoing claim submission. Data analytics can identify and prevent coding errors that lead to claim denials.

Claim Scrubbing

Identify recurring claim errors, such as denied CPT codes, to boost billing efficiency.

Claim Submission

Data on previous claims can be pivoted to see the chances of denials in the current claims list. This helps prevent rejections/denials and speeds up the claim process.

Claim Tracking

Data through dashboards can be analyzed to make sense of delays in reimbursements. Analyzing current and past data trends helps understand the current claim status.

Denial & Appeal Management

Data from the denied claims can be used to understand the reasons for recurring denials. Only by analysis can the problem be pointed out and corrected.

AR Management

Analyzing denied claim data and reasons can help understand the AR rate for claims. Actions can then be taken at a root level to manage Medical Practice’s AR.

Payment Posting

Analyzing past data refines processes, resolves issues, and boosts reimbursements. As it is the most important step in the Medical Billing process, it needs to be precisely taken care of.

Conclusion

To sum it up, the Medical Billing industry has transformed significantly.

Technology and analytics enable medical practices to strategize operations beyond day-to-day activities. Optimizing medical billing and tracking KPIs requires detailed data analysis.

Partnering with experts like AltuMED can help free up the valuable time otherwise spent on data analysis and generating medical reports. Our PracticeFit software’s smart dashboards are well-equipped to collect data and build reports in a matter of clicks. We aim to provide valuable insights to Practitioners about their Medical Billing data through Medical Billing reports to help them make smart decisions about future operations.

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