This chapter describes how to use the Analytics Dashboard.
This chapter describes how to use the Analytics Dashboard. The Analytics Dashboard can be set up for administrator use only, or for both administrators and healthcare providers. In all cases, the Dashboards provide predefined views that are customized for your facility. The information, based on Charge Capture data, is displayed in easy-to-read charts, graphs, and tables that provide high-level data and the ability to drill down to more detailed information.For administrators who need additional custom reports, see Creating Your Own Analytics Reports.The following tasks are described in this chapter:
How to view reports, including using quick view filters, drilling down in a graph or table to see more detailed information, printing PDFs, and exporting report results. See How to View Reports on the Analytics Dashboard.
The Charge Analytics application is accessed from the Analytics tab. Clicking the Analytics tab opens the Analytics Dashboard. The Analytics Dashboard contains predefined views, with data plotted as a line, bar, or pie chart, or in a tabular format. The Analytics Dashboard can be set up in one of two ways:
For Administrators: The Analytics Dashboard can be set up with tabs such as Overview, Charges, Productivity Reports, Visits/LoS, Readmissions, Referrals, PQRS, and Hospitalist Reports that allow administrators to look at detailed comparative data throughout the organization.
For Healthcare Providers. The Analytics Dashboard can be set up with tabs such as Hospitalist Reports and Physician Reports. These tabs contain reports that are of interest to providers, on charge information that is specific to them or their department(s). Charge Analytics also provides a Report Library with predefined tabular reports. From here, administrators can create specialized reports by “diving” into the data using Dimensional Insight NetDiver.
Each tab contains one or more views (reports). Some tabs, like the Charges tab, also have additional pages of views that are listed in a menu on the left side of the screen.Each view is an individual plot, with a separate title. Some views display a data summary, like Number of Charges over Last 12 Weeks. Others have clickable areas so that you can see data for a specific year, department, or provider.
The Analytics Dashboard is available from the Analytics tab in the Commure Pro Desktop Charge Capture application. Some institutions have single sign-on access to Charge Analytics, while others require an additional username and password to log into Charge Analytics.To access Charge Analytics, follow these steps:
Log in to Commure Pro.
Click the Analytics tab.
If your system is configured for single sign-on, the Analytics Dashboard is displayed immediately.
If not configured for single-sign-on, you must now enter a Username and Password for Charge Analytics and then click the Log On button. The Analytics Dashboard is then displayed.
Some institutions require an additional username and password to log in to Charge Analytics. If this is the case at your organization, and you want to change your Charge Analytics password, contact your Commure Pro representative.To change your Charge Analytics password, follow these steps:
Contact Commure Pro Support and request a new password.
Log in to Commure Pro.
Click the Analytics tab.
You will be prompted to change your password.
Click the My Account button.
Under My Account Information, click the Change Password link.
Fill in the fields:
Old Password: Enter your existing password.
New Password: Enter your new password.
Confirm Password: Enter the new password again.
Click OK to save your new password, or click Cancel to return to the previous page without saving the new password.
Administrators can change the title and the color scheme of the Analytics Dashboard for all users. To change either of these settings, follow these steps:
From Desktop Charge Capture, click the Analytics tab.
Click the ADMIN link in the upper right corner of the screen, and then choose Portal Settings from the drop-down menu.
The Portal Settings page is displayed showing a list of Properties (such as Title, Skin, Logo URL, and so on) and the current Value for each Property.
On the Portal Settings page, change one or both of these settings:
To change the title, type a new name in the Title field.
To change the color scheme, select a different color scheme from the list of options in the Skin field.
The Analytics Dashboard is built using predefined charts, graphs, and tables.
If you are a physician, your version of the Dashboard contains two tabs for the Physician Dashboard and Hospitalist Reports.
If you are an administrator, your version of the Dashboard contains multiple tabs and pages of charts, graphs, and tables that show trends and detailed information about the organization’s metrics. The main difference between administrator and physician access is that an administrator has access to more data for detailed analysis. For example, an administrator can see general information at the organization level, and then drill down to department-level or physician-level data. In comparison, the physician can see at a glance all the pertinent data for himself or his department, such as the number of charges by month, or his RVU yearly trend.
Here is how the values on the various views are calculated:
Only charges with a status of “Sent to Billing” are included in the analysis. A charge consists of a single CPT code and its associated ICD and modifier codes. If a transaction has multiple CPT codes, each code is considered to be a charge.
Time-based views use the Date of Service to determine which period the charge falls in (for example, year, quarter, month, or week).
Individual charges can be associated with Departments, Billing Areas, Billing Providers, and Referring Providers.
If your organization uses “dummy” CPT codes, these would typically be included in the reports that show data such as the number of charges. If you do not want the dummy CPT code to be included in these totals, contact your Commure Pro representative who can make a configuration change to exclude them.
Only a specified number of year’s worth of data is stored in Charge Analytics, as defined in a configuration file. When a new year begins, the oldest year’s worth of data is automatically purged. This keeps report performance at optimal levels. Contact your Commure Pro representative to define the number of year’s worth of data that you want to keep.
When you open a page on Analytics dashboard, you’re looking at a collection of individual charts and views. Some charts and views allow you to look at additional data, such as individual departments or providers, or a different year. For instance, the Number of Charges by Month Last 12 Weeks view allows you to look at the recent charges for the entire organization, or to select a department and review the recent charges for that single department.Other views show a summary of data. For example, Average Lag over Last 12 Weeks (Total v Provider v Admin) is a line graph that plots the Admin Lag, the Provider Lag, and the Total Lag as three lines on the same graph. When you are most interested in a general trend, rather than specific numbers, this type of plot can be very effective. With these three graphed together, you can easily see trends, such as the sharp decrease in Admin Lag time after you implemented Charge Capture.To display the views on the Analytics Dashboard, follow these steps:
From Desktop Charge Capture, click the Analytics tab.
If your system is configured for single sign-on, the Analytics Dashboard is displayed immediately.
If not configured for single-sign-on, you must now enter a Username and Password for Charge Analytics and then click the Log On button. The Analytics Dashboard is then displayed.
Click the tab on the Analytics Dashboard that you want to display (such as Overview, Charges, Productivity Reports, etc.).
Some tabs immediately show all available reports, while others have a menu listing of pages on the left side of the screen.
If necessary, select a page from the menu on the left side of the screen.
The views available for the selected tab or page are shown.
(Optional) Select one or more Quick View filters. In most cases, default values are automatically selected for the Quick Views, and the report results are immediately retrieved and displayed. In cases where the report data takes a few moments to retrieve (such as on the Productivity Reports tab), no defaults are selected. Instead, you must choose values from the Quick View filters and then click a GO button.
If a Quick View drop-down list is available, choose an item such as a Year, Department, or Provider from the list to see information for that specific item. Sometimes the Quick View filters are located at the top left of the page, above all of the views on the page; this means that the filter affects all of the views on the page. For example, the Charges > Trends page contains Quick View filters for Service Site and Financial Class. When you select a specific service site or financial class from the list, all four of the views on the page are refreshed to show data for only that service site or financial class.In other cases, the Quick View filters are located at the top of a specific view and apply to only the single view above which they are located. For example, on the same Charges > Trends page, the Number of Charges over Last 12 Weeks view has a Department Quick View filter, that affects only that one graph.
(Optional) Drill down to view more detailed information. If you move the mouse over a data point or the legend, and the arrow cursor changes to a hand, you can click to “drill down” and see more information. For example, on the Charges >Trends page, the Number of Charges bar chart shows your entire organization’s charges, summarized by month. If you hover your mouse cursor over the chart, the arrow cursor changes to a hand, and an area of the chart is highlighted. Just click anywhere on the highlighted chart to drill down. The view refreshes, and a new Quick View filter for Department is displayed. You can now select a specific department to see the number of charges per month for that one department. Click the [ Back ] link to return to the previous page.
(Optional) Print a view or page, or export a view to Microsoft Excel.
To print an individual view on a page, click the PDF icon that is located in the bottom left corner of every view. A PDF version of the report is displayed, which you can then send to a printer.
To print all of the views on a given page, click the Printer icon that is located in the upper right corner of every page. A PDF version of the page is displayed, which you can then send to a printer.
To export an individual view to Microsoft Excel®, click the Excel icon that is located in the bottom left corner of some views.
Charge Analytics can be configured to send reports automatically via e-mail on a daily, weekly, monthly, or quarterly basis. Reports can be sent to single or multiple recipients at specified intervals. If you would like to use this feature, please contact your Commure Pro representative to discuss which reports you would like to have sent via e-mail, as well as the recipients and the frequency.The three files described below are used to configure the e-mail schedule. Although your Commure Pro representative will create and implement the actual files for you, you can use the information below when working with your representative to design a schedule that meets the needs of your organization.
The “emails.txt” file: This file defines one or more e-mail groups, to which one or more reports can be sent. Each e-mail group can consist of one or more e-mail addresses. If an e-mail group consists of more than one e-mail address, then there must be a separate row for each of those addresses (each row would use the same group name in the Email column, and an individual address in the Address column). Each row in the file must contain the following columns, with tab-delimited values:
Email: The name of an e-mail group, to be used as a reference in another file. This column accepts any value, no spaces are allowed.
Address: A single e-mail address associated with the group.
The “schedules.txt” file: This file defines the schedule under which a report is sent. The file has a separate row for each schedule. A given schedule can be used for multiple reports. For example, you might define a schedule called “weekly” this is used for several different reports that you want e-mailed on a weekly basis. Each row in the file must contain the following columns, with tab-delimited values:
Schedule: The name of a schedule, to be used as a reference in another file (for example: “weekly”). Accepts any value, no spaces.
Type: The type of schedule, which must be one of the following values: daily, weekdays, weekly, monthly, or quarterly.
Parm1: The first parameter, which may be required, depending on the value used in the Type column.
If Type = weekly, this is the number of the day to send on (1=Sunday, 2=Monday, etc.)
If Type = monthly, this is the day of the month to send on (1-31, or “last”)
If Type = quarterly, this is the month of the quarter to send it on (1, 2, or 3)
Parm2: The second parameter, which may be required, depending on the value that is used in the Type column.
If Type = quarterly, this is the day of the month to send it on (1-31, or “last”)
Sample “schedules.txt” file:
Schedule
Type
Parm1
Parm2
quarterly
quarterly
3
15
weekly
weekly
4
The “reports.txt” file: This file defines the markers (the reports) that are e-mailed, according to a particular schedule (from the “schedule.txt” file), and sent to a particular group (from the “emails.txt” file). Each row in this file must contain the following columns, with tab-delimited values:
Marker: The report that should be e-mailed. This column should contain the filename and path of the marker, in the format: /Charge_Analytics/models/db/markers/filename.mrk.
Filename: The name that should be used for the saved report. Accepts any value, no spaces.
Email: The e-mail group that should receive the report. This column is a reference to a value in the Email column in the “emails.txt” file.
Schedule: The schedule that should be used for sending the report. This column is a reference to a value in the Schedule column in the “schedules.txt” file.
Each of the main tabs on the Analytics Dashboard (Overview, Charges, Charge Lag, Visits/LoS, Readmissions, Referrals, PQRS, Report Library,Physician Reports, and Hospitalist Reports) contains one or more predefined views, such as pie charts, line graphs, or bar charts. Each view has a name, such as “Provider and Admin Lag by Month.”This list describes the most commonly used Dashboard tabs. Depending on how Charge Analytics is set up at your organization, you might also see custom tabs. The data is automatically refreshed on a regular basis.
The Overview tab is typically available only to administrators. It contains four different views that summarize key indicators. Each view shows high-level results, such as monthly comparisons (year-over-year), and monthly trends. The tab has a Service Site quick view at the top, that can be used to filter all of the charts on the page.
Percentage of Charges by Department (pie chart): Shows each department’s charges for the year as a percentage of the total charges for the organization (100%). The legend is sorted by number of charges, so the first department listed in the legend is the department with the highest percentage of charges. The pie chart allows up to 15 slices, so up to 15 departments are shown in this graph. If there are more than 15 departments, only the 14 with the most charges will have a slice in the graph. The data for the remaining departments will be combined into an “Other” pie slice.
Quick Views: Year.
Drill-downs: None.
Referrals by Month (line graph): Compares the charges that have a referring provider (a value in the Referring Provider charge header) for this year versus the previous year, broken down by month.
Quick Views: None.
Drill-downs: None.
Provider and Admin Lag by Month (bar chart): Side-by-side comparison of provider and billing administrator charge lag, by month, for the selected year. Billing provider lag is the time it takes from visit date until the provider submits a charge. Admin lag is the time from charge submission until the charge is sent to billing.
Quick Views: Year
Drill-downs: None.
Average Length of Stay by Month (line graph): Compares the length of stay, month by month, between this year and last year, for visits with entered charges. Length of stay is time from admit date to discharge date.
The Charges tab is typically available only to administrators. It displays information derived from individual charge transactions. The Charges tab has several pages listed in the menu on the left side of the screen.
Trends. This page has a Service Site quick view at the top, that can be used to filter all of the charts on the page.
Number of Charges (bar chart): Side-by-side comparison of total charges entered for each month, year-to-date versus last year. The initial view shows data for the entire organization, and users can drill down to view data for individual departments and billing providers.
Quick Views: None on the initial view. Department on the first Drill-down, and Billing Provider on the second Drill-down.
Drill-downs: Click on the chart to drill down to Department, and then click again to drill down to Billing Provider.
Number of Charges over Last 12 Weeks (line graph): Shows the number of charges for each of the last 12 weeks. The initial view shows data for the entire organization. Users can select a specific department from the Quick View to show data for just that department.
Quick Views: Department.
Drill-downs: None.
Number of Charges by Month (Dept v Total) (line graph): Shows the number of charges for each month of the selected year, for the entire organization versus a single department.
Quick Views: Department and Year. If you select a department, the graph shows two lines: one for selected department, and one for entire organization.
Drill-downs: None.
Active Visits by Month (line graph): Shows the number of active visits for each month, with one line for the current year, and another for last year. Active visits are the number of patient visits for which charges were entered during a particular period.
Quick Views: None on the initial view. Department on the Drill-down.
Drill-downs: Department.
Volume. This page has a Service Site quick view at the top, that can be used to filter all of the charts on the page.
Percentage of Charges by Department (pie chart): Shows each department’s charges for the year as a percentage of the total charges for the organization (100%). When you drill down to a department, it shows each billing provider’s charges for the year (in that department) as a percentage of the total charges for the department.
Quick Views: Year on the initial view. Department on the Drill-down.
Drill-downs: Click the chart to drill down to see the percentage of charges for each Billing Provider in the selected Department.
E & M Distribution by CPT Code (Dept v Benchmark) (bar chart): Within an E & M group (such as Inpatient Initial, or Inpatient Subsequent), this chart shows how the department’s charges are distributed among the different E & M charge codes, by showing the percentage of the total that was attained by each E & M charge code. The department’s numbers are shown side by side with the benchmark percentages established by CMS. Commure Pro includes the most commonly used E & M groups; consult your Commure Pro representative if you wan to create more/different groups.
Quick Views: Department, Year, and E & M Group on the initial view. Billing Provider in the Drill-down.
Drill-downs: Click the chart to drill down to Billing Provider; a third bar shows the provider’s E & M distribution.
Number of Charge Transactions Submitted by Date (table): For each Billing Area, this report shows the total number of charge transactions in a given week (Total), along with individual totals for each day of the week (yyyy-mm-dd). The number in any given column is the total number of transactions with a service date that matches that column’s date. The report is sorted by Billing Area name, but you can click on the Billing Area or Total column headings to change the sort order.
Quick Views: Week Desc (a specific week), and Department.
Drill-downs: None.
Percentage of Charges per Department by Month (stacked bar chart): Shows each department’s charges for the month as a percentage of the total charges for the organization (100%).
Quick Views: Year.
Drill-downs: None.
Charge Activity by Department (tabular): For each department, this table has columns that show the number of charges year-to-date (# Charges YTD), the number of charges for the last year-to-date (# Charges Last YTD), and the average daily charges for the last month (Avg Daily Last Month). Totals for all departments are shown at the bottom of the report. The report is sorted by Department name, but you can click on any column heading to change the sort order.
Quick Views: Department.
Drill-downs: None.
RVU. This page has only one view. It adjusts charge volume by the RVU weighting for the charge’s CPT code. So, a charge with an RVU weight of 1.0 counts as 1.0, and a charge with an RVU weight of 1.5 counts as 1.5.
Work RVU Yearly Trend (line graph): Shows the trend of accumulated RVU values for entered charge data, comparing this year to last year. The line graph helps you to verify whether the organization, department, or provider is on track for RVUs, as compared to last year. Please note that each line on the graph shows cumulative data for the whole year. So for the line representing the current year, the line will be level from the current month to the end of the year (representing what would be your cumulative total if you did not accumulate any more RVUs for the year). Commure Pro provides a reference file of RVU values used by this chart, but your organization can modify this.
Quick Views: Service Site and Department on the initial view. Billing Provider on the Drill-down.
Drill-downs: Billing Provider.
Daily Transactions. This page has only one view.
Daily Transactions sent to Analytics, past 2 weeks (bar chart): This is an administrative graph that tracks the number of charges that have been sent to billing for each day over the past two weeks.
Quick Views: Service Site and Department.
Drill-downs: None.
Usage by Setting. This page has only one view.
Usage by Setting (table): For each Billing Provider, this table has columns that show the total number of charge transactions for the selected timeframe (Total), along with individual totals for each category of service site (Service Site Category, such as Inpatient, Outpatient, Ambulatory). Please note that the Service Site Category columns might not necessarily contain a single service site, but could instead contain several. Contact your Commure Pro representative to determine which service sites should be listed in each column. Any service site that is not configured will go into an Other column. You can also customize the names of the columns, or specify the order in which the columns are listed. The report is sorted by Billing Provider Name, but you can click on the Billing Provider Name or Total column headings to change the sort order.
Quick Views: Timeframe, Department, and Billing Area.
The Productivity Reports tab is typically available only to administrators. It helps clients to track how long it is taking to submit charges, from both the provider and biller perspective, as well as to see how many charges are causing errors to fire. The purpose of these reports is two-fold: to identify those billing focused users who are performing well (or poorly) and to identify those physician users who need extra assistance/training on charging appropriately for the care they provide.In these reports, Charge Lag is the time, in days, between the Date of Service for a charge and when it is sent to billing. A charge that is sent to billing on the same day as the date of service has a charge lag of zero (0). Charge lag can be divided into Provider lag and Administrator lag. Provider lag is the time it takes from the Date of Service until the provider submits a completed charge. Administrator lag is time from charge submission until the charge is sent to billing.The Productivity Reports tab has several pages listed in the menu on the left side of the screen.
Overview by Department (two tables): For charge transactions that were sent to billing during the selected time frame, this report gives you an overview of billing productivity by Department and Billing Area, along with error frequency and resolution time. There are two tables: one with a row for each Department, and another with a row for each Billing Area, as described below.
Department: This table contains a row for each department, with the following columns: the number of transactions sent to billing (# Txn Sent to Billing), the average number of errors on each transaction (Average # Errors on Txn), the average time it took to resolve each error in days (Resolve Time Average), the average administrative lag for these transactions (Admin Lag Average), and the total number of errors (# Errors).
Quick Views: Timeframe (the week of the year), Department, Visit Type.
Drill-downs: Click anywhere on the table to see options to view a pie chart that shows the percentage of errors of each type, out of the total number of errors for the selected time frame (# of Errors by Error Type), or to export the table to a Microsoft Excel spreadsheet.
Billing Area: This table contains a row for each billing area, with the same columns as those for the Department table above (# Txn Sent to Billing, Average # Errors on Txn, Resolve Time Average, Admin Lag Average, and # Errors).
Quick Views: Billing Area.
Drill-downs: Click anywhere on the table to see an option to export the table to a Microsoft Excel spreadsheet.
Overview by Billing Provider (table): For charge transactions that were created during the selected time frame, this report gives an overview of billing productivity by billing provider, along with error frequency. The table has a row for each Billing Provider, with the following columns: the number of transactions created (Charge Transactions), the average provider lag in days (Provider Lag Average), the total number of errors generated by this billing provider (Errors Fired), and the average number of errors per transaction entered by this billing provider (Average # Errors on Txn).
Quick Views: Timeframe (the week of the year), Department, Billing Area, and Visit Type.
Drill-downs: Click anywhere in the Billing Provider column to see the following options:
Details by Billing Provider: A table that shows information about each of the actual charge transactions, including the billing provider, patient MRN, charge transaction ID, service date, account ID, provider lag in days, error ID number, error description, the user who created the charge, and whether the user who fired the error bypassed it (saved without correcting it).
Show Error Details: A pie chart that includes a Billing Provider drop-down. The chart shows the percentage of errors of each type, out of the total number of errors for the selected provider (Errors Fired by Error Type).
An option to export the table to a Microsoft Excel spreadsheet.
Overview by Editing User (table): Shows information about how many unique charge transactions each user has edited after the transaction was initially created. The report retrieves data for each user who edited a charge transaction during the time range specified in the Edit Date criteria, for transactions that were initially created during the time range specified in the Timeframe - Input Date criteria. The table has a row for each user, and contains data for only those charge transactions that were edited by that user. Contact your Commure Pro representative if you want to include only users with certain Roles to on this report, such as only those users with a “billing administrator” or “coder” role (by default, all user Roles are included). The columns list the number of unique transactions edited by the user (# Transactions Touched), the number of errors resolved by the editing user (Errors Resolved), the average time it took to resolve each error in days (Avg. Resolve Time), the average number of errors that were on the transactions that had this particular error (Average # Errors on Txn), and the number of unique transactions that were sent to billing by the editing user (# Trans Sent to Billing). Please note that in the # Transactions Touched and # Trans Sent to Billing columns, each charge transaction is counted only one time, regardless of how many times the user may have made changes to it.
Quick Views: Timeframe - Input Date (the week of the year), Department, Billing Area, Visit Type, and Edit Date.
Drill-downs: Click on a specific person in the Edit User column to see the following options:
Details by Editing User: A table that shows information about each of the actual charge transactions, including the editing user, patient MRN, service date, account ID, billing provider, CPT code, number of errors fired, error description, error ID, user who created the transaction, resolve time average, number of errors resolved, number of transactions touched, number of total touches, and number of transactions sent to billing.
Chart: Error Types Resolved: A pie chart that shows the percentage of errors of each type that were resolved, out of the total number of errors for the selected editing user (Errors Resolved by Error Type).
Chart: Error Types Fired: A pie chart that shows the percentage of errors of each type that were fired, out of the total number of errors for the selected editing user (Errors Fired by Error Type).
An option to export the table to a Microsoft Excel spreadsheet.
Coder Productivity Summary (table): Shows information about how many edits each user has made to charge transactions after the transactions were initially created. The report retrieves data for each user who edited a charge transaction during the time range specified in the Edit Date criteria, for transactions that were initially created during the time range specified in the Timeframe - Input Date criteria. The table has a row for each user, and contains data for only those charge transactions that were edited by that user. Contact your Commure Pro representative if you want to include only users with certain Roles to on this report, such as only those users with a “billing administrator” or “coder” role (by default, all user Roles are included).
There are several columns for each user:
# Total Touches: Lists the number of times that the user edited a transaction, marked a transaction as reviewed, sent it to the Outbox, or sent it to billing. A single charge transaction can be counted more than once, if for example, the user “touches” it multiple times.
Total Errors Resolved: Lists the number of errors resolved by the editing user. When counting errors, the following logic is used:
Corrections made at the charge code level, such as code edits that check each charge code, are counted for each charge code where the code edit was resolved.
Corrections made at the transaction level (for example, correcting a transaction level header such as Service Date) are counted only once, regardless of number of charge codes on the transaction. In this example, marking two hold reasons as reviewed on a transaction that has three charge codes would count as two errors resolved.
Total Entered: Lists the number of new transactions that the user created and that were immediately sent to the Outbox, without stopping in the Holding Bin.
Total Reviewed: Lists the number of transactions that the user reviewed in the Holding Bin and then sent to the Outbox.
Total Sent to Outbox: Lists the number of transactions that were either entered or edited by a user and then sent to Outbox.
Total Sent to Billing: Lists the number of transactions that the user sent to billing (that they batched for billing by clicking Commit on the Outbox tab).
Quick Views: Timeframe - Input Date (the week of the year), Department, Billing Area, Visit Type, and Edit Date.
Drill-downs: Click on a specific person in the Editing User column to see the following options:
Details by Editing User: A table that shows information about each of the actual charge transactions, including the editing user, patient MRN, service date, account ID, billing provider, CPT code, number of errors fired, error description, and error ID.
Chart: Error Types Resolved: A pie chart that shows the percentage of errors of each type that were resolved, out of the total number of errors for the selected editing user (Errors Resolved by Error Type).
Chart: Error Types Fired: A pie chart that shows the percentage of errors of each type that were fired, out of the total number of errors for the selected editing user (Errors Fired by Error Type).
An option to export the table to a Microsoft Excel spreadsheet.
Error Details by Type (pie chart and table): The pie chart shows the percentage of times each type of error has fired out of all errors that have fired for all charge transactions in the organization (100%), on those transactions that had service dates in the selected time frame.
Below the pie chart is a table. The table shows the Error Type, the number of times that error fired (Errors Fired), the percentage of times it fired as compared to all error types (% Errors Fired), the percentage of times the error was bypassed (transaction saved without correcting the error) (% Errors Bypassed), the average time in days that it took for a user to resolve it (Resolve Time Average), the average administrative lag in days for a charge transaction with this type of error (Admin Lag Average), and the average number of errors that were on the transactions that had this particular error (Average # Errors on Txn).
Quick Views: Timeframe (various date ranges), Department, Billing Area, Billing Provider, Visit Type, and Financial Class.
Drill-downs: Click on a specific Error Type in the table to see the following options:
Individual Errors for this Type: A table that shows the same information as above for individual errors, as opposed to error types. This is most useful for code edits where there are multiple errors configured for each type (for example, Type 3, CPT-CPT-Time), or for validity errors where there may be several different types of error. Note that the label for each error comes from a configuration file, and by default it is the code edit reference number. Click on any row in the table of individual errors to open a pop-up message that shows which error messages are configured for this error. This is useful when it is unclear what the error is from the label of the error.
An option to export the table to a Microsoft Excel spreadsheet.
Provider and Admin Lag: This page contains the three reports below:
Provider and Admin Lag by Month (bar chart): Side-by-side comparison of provider and billing administrator charge lag in days, by month, for the selected year.
Quick Views: Year and Financial Class on the initial view. Service Site and Department on the first Drill-down, and Billing Provider on the second Drill-down.
Drill-downs: Click on the chart to drill down to Department, and then click again to drill down to Billing Provider.
Billing Provider Charge Lag (table): This report shows both provider and administrative lag for all charge transactions entered during the specified timeframe. There is a row for each Billing Provider, with columns for the average provider lag in days (Provider Lag (days)), the average administrative lag in days (Admin Lag (days)), the total number of charge transactions (# Charges), and the total number of visits (Vis its).
Quick Views: Year and Year-Month.
Drill-downs: None.
Average Lag over Last 12 Weeks (Total v Provider v Admin) (line graph): Shows the average lag, in days, for charges in each of the last 12 weeks. There are three lines for Total Lag, Admin Lag, and Provider Lag.
Quick Views: None on the initial view. Service Site and Department on the Drill-down.
Drill-downs: Click on the graph to drill down to Department.
Upcoded/Downcoded Summary (table): Shows a summary of charges that have been upcoded or downcoded (cases where the charge was changed to a different CPT code for a more or less complex procedure). The report has a row for each upcoding or downcoding event. For example when a charge is upcoded from 99221 to 99223, there is a row to represent this event, along with columns that give the following information: the original charge code on the transaction (Original Code), the new charge code (Update Code), an indication of whether this change represents an upcoding or downcoding event with an up or down arrow indicating the same (Change), the average administrative lag in days for charge transactions where this specific upcoding or downcoding change was made (Admin Lag Average), and the number of charge transactions where this specific change was made (# Charges Edited).
The specific codes that are included on this report are configurable; please contact your Commure Pro representative to add or remove codes.
Quick Views: Input Week (the week of the year), Department, Billing Area, and Billing Provider.
Drill-downs: Click on a specific upcoding/downcoding event in the Code Change column to access the options below.
% Charges Edited: A table that shows the original charge code, the total number of transactions with that original code (not just the upcode/downcode events) (# Charges with Original Code), and the percentage of transactions that were upcoded or downcoded (that had that original code) (% Charges Edited).
Editing Users: A table that shows information about each of the users who made an upcode/downcode event of this type, including the name of the editing user and the number of charges they edited.
Summary by Billing Provider: A drop-down for Original Code is displayed, followed by a table that shows a summary of the upcode/down code event, by billing provider. The columns include the billing provider name, the department, the number of charges edited, the total number of transactions with the original charge codes (not just the upcode/downcode events), the percentage of charges that were upcoded (out of all the transactions with the original charge code), and the percentage of charges that were downcoded (out of all the transactions with the original charge code).
Charge Transaction Details: A drop-down for Original Code is displayed, followed by a table that shows information about each of the actual charge transactions. The columns include the original code, update code, patient MRN, service date, account ID, department, billing area, billing provider, editing user, and average administrative lag.
An option to export the table to a Microsoft Excel spreadsheet.
Average Admin Lag by Coder: This page contains the following view:
Average Lag (days) by Coder by Week (table): This report shows the average administrative lag time for each person who is designated as a “coder” in your system. Whether or not a person is considered to be a “coder” is based on the Roles assigned to that user, which can vary at different organizations. Contact your Commure Pro representative if you want to include only users with certain Roles to on this report (by default, all user Roles are included). In order to determine which user should be associated with a given transaction as the coder, the system selects the user who changed the status of the transaction from Holding Bin to Outbox. The resulting report contains a row for each coder (Edit User), with columns showing the average administrative lag in days overall (Total), and the average administrative lag in days for each week in the selected timeframe (yyyy/mm/dd - dd (week number)).
Quick Views: Billing Area, Department, and Timeframe (such as Last 7 Days, Last 30 Days, etc.).
The Visits/LoS tab is typically available only to administrators. It has two pages (Main and LoS and Visit Trends) that show information about visits and length of stay. When calculating the number of visits, only those visits that have charges entered in Commure Pro that are sent to billing are counted (visits with no charges are not counted). Length of Stay is the time from admit date to discharge date. In addition, the diagnosis data in these reports represents primary diagnoses only.The Visits/LoS tab has one report listed on the main page, as well as several other pages of reports listed in the menu on the left side of the screen.
The Main page of the Visits/LoS tab has one view:
Average LoS by Primary Diagnosis for Visits Discharged in a Year (tabular): For the selected year, this table shows average length of stay for all visits discharged in that year, per primary diagnosis. It shows each diagnosis used in that year (ICD-10 Code and ICD Description), the number of times that diagnosis was used (Dx Count), and the average length of stay for that diagnosis (Avg LoS). The table is sorted by Dx Count, but you can click on any column heading to change the sort order. At the bottom of the report, the total Dx Count and Average LoS for all diagnoses is displayed.
Quick Views: Department, Service Site, and Year.
Drill-downs: None.
ICD-10 data is only available for charges that were entered after upgrading to Commure Pro version 8.0.0.
The Los and Visit Trends page contains several views. The page has a Service Site quick view at the top, that can be used to filter all of the charts on the page.
Avg Length of Stay by Month (line graph): Compares the average length of stay for all visits with charges, month by month, between this year and last year.
Quick Views: None on the initial view. Service Site and Department on the Drill-down.
Drill-downs: Click on the line graph to drill down to Department.
Number of Discharged Visits by Month (bar graph): Shows the number of visits with a discharge date (typically, this is only inpatient visits and possibly emergency room visits) for each month, comparing the current year to last year.
Quick Views: None on the initial view. Service Site and Department on the Drill-down.
Drill-downs: Click on the chart to drill down to Department.
Number of Visits & Average LoS by Dept (tabular): For each department, this table shows the average length of stay so far this year-to-date and last year-to-date (Avg LoS YTD, Avg LoS Last YTD), and also the number of discharged visits so far this year-to-date and last year-to-date (Discharged Visits YTD, Discharged Visits Last YTD). The table is sorted by Department name, but you can click on any column heading to change the sort order.
The Readmissions tab is typically available only to administrators. It shows hospital readmission rates, with the ability to filter by department, discharging provider, or financial class. Administrators can also drill down to view the patient details associated with the readmissions. This report can be useful in reviewing and managing readmissions. The Readmissions tab contains a single report.
Readmissions (table): Shows the percentage and number of visits where a patient was readmitted within 30 days of the discharge date of the previous visit. The view contains a dashboard at the top that displays the total number of readmissions and percentage of readmissions within the past 30 days. It has columns for the number of Discharges in a given month, the number of Readmissions within 30 days of those discharges, and the Readmission Rate (the number of readmissions as a percentage of the total number of discharges). A visit is considered to be a readmission if it has an admit charge with a service date within 30 days from the service date of a visit with a discharge charge for the same patient (a patient is identified by MRN). The totals are shown for a given month: if a patient is discharged in March and readmitted in April, the readmission is counted in the March totals. The report has rows with totals for each billing Provider (that is associated with the discharge charge).
Quick Views: Discharge Department (the department with which the billing area on the discharge charge is associated), Discharge Provider (the billing provider associated with the discharge charge), Discharge Financial Class, Discharge Year, and Discharge Month.
Drill-downs: Click on a Provider row to drill down to the view below. (After drilling down, click OK to close the report and go back to the previous view.)
Readmission Details (table): Shows the specific details for each patient with a readmission. Columns include Patient Name, MRN, Discharge Date, Discharge Diagnosis, Readmit Date, Readmit Diagnosis, Readmit Provider, and Discharge Financial Class. Each row in the table represents a single patient with a readmission.
The Referrals tab is typically available only to administrators. It displays accounts with charges that include a Referring Provider. For Referrals, an account may be counted more than once, for instance, when there are multiple (consult) charges with different referring physicians. However, a referring provider is only counted once per account.The Referrals tab contains two reports. There is a Service Site quick view at the top, that can be used to filter both of the charts on the tab.
Referrals by Month (Current v Last Year) (line graph): Compares the charges that have a referring provider (a value in the Referring Provider header) for this year versus the previous year, broken down by month.
Quick Views: Department.
Drill-downs: None.
Referrals by Provider and Department over Last 12 Months (tabular): Shows the number of charges by provider, for all providers who have been entered in the Referring Provider header, with totals for Last 12 Months,YTD, Last YTD.
Quick Views: Department. If you select a department, the table shows the charge data for that department (the referrals made to that department).
The PQRS tab is typically available only to administrators. It displays information about the quality measure data entered by providers at sites where Commure Pro’s Physician Quality Reporting System (PQRS) feature is used. These reports measure provider completion of the PQRS questionnaires, and also measure the patient population as it relates to PQRS.The PQRS tab has several pages of reports listed in the menu on the left side of the screen.
Eligible Cases Reported by Measure: For each quality measure that was deemed eligible for PQRS reporting (based on the patient information, charges, and diagnosis), this report displays the number of times the measure was shown to a provider, the number of times it was completed, the completion rate (as a percentage), a green or red indicator to show whether the percentage is above or below the completion goal of either 50% or 80%, and the percentage of times that an “unspecified” answer was chosen (out of all the times the measure was answered). “Unspecified” answers are answers such as “not documented,” and are configured in a reference file by your Commure Pro representative.
Quick Views: Year, Year-Quarter, Financial Class, Department, Billing Provider, Goal (50% or 80%), and Show (All, or only measures with completion rates below the selected goal). A Quick View for Measure is added when you drill down.
Drill-downs: Click on a Measure to drill down to either of the items below. (After drilling down to a different view, there is a link to go back to the previous views.)
Eligible Cases Reported by Department: The report shows you the same columns as above (times shown, times completed, completion rate, green/red indicator, percentage of “unspecified” answers), except that the totals are broken down by Department. From here, you can drill down to see the same report with totals broken down by Billing Provider.
Response Data for Individual Measures: The report shows you the quality measure question, all of the possible responses, and a pie chart that illustrates the percentage of times each response was selected. It also includes the percentage of times the measure was submitted with no response chosen. This is an unlikely scenario, but may be possible if a measure is configured to have no required questions. For reference, it also displays the CPT II code and modifier that is associated with each response. For measures with multiple questions, a separate pie chart is displayed for each question.
Due to some special formatting on this report, you cannot print it from this page. However, you can print a simplified version of it from the For Printing/Exporting page (see below).
Eligible Cases Not Reported: This report includes only those quality measures that were eligible for PQRS reporting and shown to providers, but that were not completed. This enables an administrator or a physician to determine which charges have incomplete measures, so that they can go back and complete the measures in the Commure Pro application. For each quality measure, it displays the total number of times the measure was shown to a provider, and out of those times, the number of times the provider cancelled out (a maximum of one cancellation is counted per reporting period), the number of times the provider submitted it with no answers chosen, and the percentage that were not completed because the provider either cancelled out or submitted with no answer.
Quick Views: Year, Year-Quarter, Financial Class, Department, and Billing Provider. A Quick View for Measure is added when you drill-down.
Drill-downs: Click on a Measure to drill down to Department. The report shows you the same columns as above (times shown, times cancelled, times submitted with no answer, percentage not completed), but the totals are broken down by Department. Click on the Department to drill down to Billing Provider. Click on the Billing Provider to drill down to the Patient. When you drill down to Patient, the patient’s Name, Service Date, and MRN are shown. With this last view, you can see exactly for which visits and patients the measure was not completed.
You can click the Excel or PDF icons at the bottom of the report to view or print the report in either of those formats. Or, you can click the Print icon in the upper right corner.
Graphs: This section contains the three bar graphs below. Each bar graph contains two bars: the first bar (blue) is for entity 1, and the second bar (green) is for entity 2. You can choose each of these entities from among the available Departments, Billing Providers, Measures, or Financial Classes. For example, you could choose a Department (Cardiology) as entity 1, and a Provider (Dr. Jones) as entity 2. Once you click the Go button, you would see the numbers below for the Cardiology department on the blue bar, as compared to Dr. Jones on the green bar. You can also choose the Year for which the data is calculated.
# Measures Completed: This is the total number of measures that were completed.
% Measures Completed: This is the percentage of measures that were completed, out of the total eligible measures.
% Measures Not Completed: This is the percentage of measures that were not completed, out of the total eligible measures.
Reference
Measures List: This is simply a list of all of the quality measures, for your reference. It includes the measure number, name, and full description.
For Printing/Exporting: These are all variations of the Eligible Cases Reported by Measure report above, but in a somewhat simplified format for printing purposes. For any of these reports, you can click the Excel or PDF icons at the bottom of the report to view or print the report in either of those formats. Or, you can click the Print icon in the upper right corner. (Please note that you can print the Eligible Cases Not Reported report above directly from the Eligible Cases Not Reported page itself, which is why it is not included on this page.)
Eligible Cases Reported by Measure: For each eligible quality measure, this report shows the number of times the measure was shown to a provider, the number of times it was completed, the completion rate (as a percentage), a green or red indicator to show whether the percentage is above or below the completion goal of either 50% or 80%, and the percentage of times that an “unspecified” answer was chosen (out of all the times the measure was answered). “Unspecified” answers are answers such as “not documented,” and are configured in a reference file by your Commure Pro representative.
Quick Views: Year, Year-Quarter, Financial Class, Department, Billing Provider, Goal (50% or 80%), and Show (All, or only measures with completion rates below the selected goal).
Drill-downs: None.
Eligible Cases Reported by Department: This report has the same columns as above, except that the totals are shown for each Department (rather than each measure).
Quick Views: Year, Year-Quarter, Financial Class, Department, Billing Provider, Goal (50% or 80%), Show (All, or only measures with completion rates below the selected goal), and Measure.
Drill-downs: None.
Eligible Cases Reported by Provider: This report has the same columns as above, except the totals are shown for each Billing Provider (rather than each Department).
Quick Views: Year, Year-Quarter, Financial Class, Department, Billing Provider, Goal (50% or 80%), Show (All, or only measures with completion rates below the selected goal), and Measure.
The Physician Reports tab is available to healthcare providers, so that they can review their own charge data and compare it to their peers and benchmark data. It consists of several pages, which display a series of reports on a variety of topics pertaining to physicians, such as encounter statistics, E & M code distribution, work RVU, length of stay, and readmission rates.The Physician Reports tab has several pages of reports listed in the menu on the left side of the screen.
The Encounter Statistics page of the Physician Reports tab has a single view:
Encounter Statistics (table): This report shows information about total and average encounters for all visits and for specific types of visits. The table shows a row for each Billing Provider, with columns for the total number of unique visits with charge transactions (Total Encounters), and the average number of unique visits with charge transactions for a single day, based on service date (Avg Daily Encounters). The next six columns are similar information for specific types of encounters: the total number of charge transactions with CPT codes in the admission, discharge, and follow-up categories (Total Admits, Total Discharges, Total Follow-ups), and the average number of charge transactions with CPT codes in the same three categories, based on service date (Avg Daily Admits, Avg Daily Discharges, Avg Daily Follow-ups).
Quick Views: Year, Year-Month, Department, and Financial Class.
Drill-downs: None.
The Code Distribution page of the Physician Reports tab has a single view:
E & M Distribution by CPT Code (Dept v Benchmark) (bar chart): This report shows how the charge codes for the selected Department and Billing Provider within the selected time period are distributed across the charge codes for a given E & M (Evaluation and Management) category, such as Inpatient Initial or Inpatient Subsequent. The department’s and provider’s numbers are shown side by side with the benchmark percentages established by CMS. Commure Pro includes the most commonly used E & M groups; consult your Commure Pro representative if you want to create more/different groups. In addition, you can create an additional benchmark based on a region or a specific specialty (contact your Commure Pro representative to implement this change). This causes an additional bar for the region or specialty benchmark. For each charge code there are the following bars:
Benchmark: The percentage of charges expected by the CMS for each charge code in the selected E&M Category. For example, if five charge codes are listed for the Inpatient Initial category, the Benchmark bars might indicate that 20% of the charges are expected for the first code, 25% for the second charge code, 30% for the third, 15% for the fourth, and 10% for the fifth (totaling 100%).
Region or Specialty Benchmark (optional): The percentage of charges expected for a region or specialty for each charge code in the selected E&M Category.
% Charges Dept: The percentage of charges that were entered for the Department for each charge code in the selected E&M category. For example, a particular department might not have the same distribution as either of the expected Benchmarks, and might instead have a larger percentage of charges for one or two particular codes, and smaller percentages for other codes.
% Charges Provider: The percentage of charges that were entered by the Provider for a specific charge code in the selected E&M category. Again, a given provider might not have the same distribution as either of the expected Benchmarks.
The RVU page of the Physician Reports tab has a single view:
Cumulative Work RVU YTD v LYTD (line graph): Shows the trend of accumulated RVU values for entered charge data, comparing this year to last year. The line graph helps you to verify whether you are on track for RVUs, as compared to last year. Please note that each line on the graph shows cumulative data for the whole year. So for the line representing the current year, the line will be level from the current month to the end of the year (representing what would be your cumulative total if you did not accumulate any more RVUs for the year). Commure Pro provides a reference file of RVU values used by this chart, but your organization can modify this.
Quick Views: Service Site, Billing Provider, Financial Class.
Drill-downs: None.
The LOS page of the Physician Reports tab has two views:
Average LoS by Primary Diagnosis for Visits Discharged in a Year (table): This same report is also found on the Visits/LoS tab, except that this version does not have a Department Quick View.
Average Length of Stay by Month (line graph): This same report is also found on the Visits/LoS > LoS and Visit Trends page.
See Visits/LoS Tab for descriptions of the above reports.
The Readmissions page of the Physician Reports tab has a one view:
Readmissions (table): This same report is also found on the Readmissions tab, except that this version does not have a Discharge Department Quick View. Also, this version already shows the Readmission Details by default underneath the main report (the version on the Readmissions tab requires the user to click on a provider name in order to drill down to the Readmission Details).
The Report Library tab is typically available only to administrators. It contains a repository of NetDiver views organized by topic, such as Charge & RVU Volume, Charge Lag, CPT Codes, Visits, Referrals, RVU, PQRS, and Productivity Reports. Once you choose a report, you can choose how you want to look at the data, such as by Year, or by Year-Department. From this page, you can also download the report as a PDF, open the report in Excel, or open the report in NetDiver so that you can view more detailed data or create a new report. See Using the Report Library on the Administrator Dashboard.
The Hospitalist Reports tab is available to both administrators and healthcare providers (specifically Hospitalists). It consists of several pages, which display a series of reports on a variety of topics pertaining to Hospitalists, such as encounter statistics, work RVU, length of stay, readmission rates, PQRS, and 1099 coverage.The Hospitalists tab has several pages of reports listed in the menu on the left side of the screen.
Encounter Statistics: This page contains three sub-pages that show multiple statistics for provider encounters with patients over a selected time period and/or for specific provider(s). To switch between the three sub-pages, you can use either the three buttons at the top of the screen (By Month, By Provider/Month, and Graphs), or the three menu options of the same names in the left sidebar:
By Month: This sub-page contains the Encounter Statistics by Month view (table). It shows a row for each Year-Month, with columns for the total number of unique visits with charge transactions (Total Encounters), the average number of unique visits with charge transactions for a single day, based on service date (Avg Daily Encounters), the average number of unique visits with charge transactions with admit codes or discharge codes for a single day, based on service date (Avg Daily Admits and Avg Daily DC), the percentage of charge transactions with admit codes with “Observation” as a Service Site header value (% Obs Admits), the ratio of charge transactions with discharge codes to charge transactions with follow-up codes in the included data (F/up to DC Ratio), the percentage of charge transactions with discharge codes that were initially created before 12PM (if a single visit has more than one charge transaction with a discharge code, the one created first is used) (% DC before noon), and the percentage of charge transactions with discharge codes where it was indicated that PCP was called, based on the PCP Called charge transaction header (% PCP called at DC)
Quick Views: Year, Year-Month, Department, Billing Provider, Shift (if Shift is used as a charge transaction header).
Drill-downs: Click on a Year-Month row to drill down to the view below. (After drilling down, there is a link to go back to the previous view.)
Encounter Statistics by Day (table): Shows the same columns as the Encounter Statistics By Month view above, except that data in the first column (Year-Month) is replaced with actual service dates (Date of Service) for the month to which you drilled down. Each row in the table represents a single service date.
By Provider/Month: This sub-page contains the Encounter Statistics by Provider and Month view (table). It shows the same columns as the Encounter Statistics By Month view above (Year-Month, Total Encounters, Avg Daily Encounters, Avg Daily Admits, Avg Daily DC, %Obs Admits, F/up to DC Ratio, %DC before noon, %PCP Called at DC), with an additional column added on the far left for Billing Provider. Each row represents a provider’s information for a given year-month.
Quick Views: Year, Year-Month, Department, Billing Provider, Shift (if Shift is used as a charge transaction header).
Drill-downs: Click on a Year-Month row to drill down to the view below. (After drilling down, there is a link to go back to the previous view.)
Encounter Statistics by Day (table): Shows the same columns as the Encounter Statistics By Provider and Month view above, except that data in the first and second columns (Billing Provider and Year-Month) are replaced with a single column for the actual service dates (Date of Service) for the provider and year-month to which you drilled down. Each row in the table represents a provider’s information for a single service date.
Graphs: This sub-page contains the three line graphs below. You will note that these same three data items are also listed as columns on the Encounter Statistics by Month and Encounter Statistics By Provider and Month views. Each line graph contains two lines: the first line is for the current year to date, and the second line is for the last year to date.
Total Encounters (line graph): The total number of unique visits with charge transactions.
Average Daily Admits (line graph): The average number of unique visits with charge transactions with admit codes for a single day, based on service date.
% Observation Admits (line graph): The percentage of charge transactions with admit codes with “Observation” as a Service Site header value.
Quick Views: Department, Billing Provider, Shift (if Shift is used as a charge transaction header).
Drill-downs: None.
RVU and Code Distribution: This page contains four views that show the total WRVU (work relative value units) for a given set of charge transactions. To switch between the four views, you can use either the buttons at the top of the screen (WRVU By Month, WRVU By Shift, WRVU Graphs, and Code Distribution), or the menu options (of the same names) in the left sidebar.
WRVU by Month: This sub-page contains the WRVU by Month and by Billing Provider view (table). It shows the total WRVU for a given set of charge transactions, over a selected time period and for specific provider(s). The view has a row for each Billing Provider, with that provider’s total WRVU for each Year-Month, and then a grand Total of WRVU for the entire selected time period.
WRVU by Shift: This sub-page contains the WRVU by Billing Provider by Shift view (table). It shows the total WRVU for a given set of charge transactions, over a selected time period and for specific provider(s). The view has a row for each Billing Provider, with that provider’s total WRVU for each Shift (if Shift is used as a charge transaction header), and then a grand Total of WRVU for the entire selected time period.
WRVU Graphs: This sub-page contains the WRVU YTD vs LYTD view (line graph). It shows the total WRVU for the selected Department or Billing Provider. There is a line for the current year to date and another for the last year to date.
Quick Views: Department, Billing Provider, Shift.
Drill-downs: None.
Code Distribution: This sub-page contains the E & M Distribution by CPT Code (Billing Provider and Dept v Benchmark) view (bar chart). It shows how the charge codes for the selected Department and Billing Provider within the selected time period are distributed across the charge codes for a given E & M (Evaluation and Management) category, such as Inpatient Initial or Inpatient Subsequent-Discharge. This same report is also found on the Physician Reports > Code Distribution page. The only difference is that this version has additional Quick Views for Department and Shift. See Physician Reports Tab.
LoS: This page contains two bar charts on the average length of stay for a given set of visits, based on the selected criteria. Length of stay is the time between the creation date/time of a charge transaction with an admit code and the creation date/time of a charge transaction with a discharge code. If there is more than one transaction with an admit or a discharge code for a visit, the first one submitted is used. Please note that the criteria used to calculate length of stay on this view is different than the criteria used on the Visits/LoS tab (see Visits/LoS Tab).
There are some Quick Views at the top that affect both views: Department, Billing Provider, Shift (if Shift is used as a charge transaction header), Service Site.There is also a LoS Unit toggle at the top that affects both views: Select Hours or Days, to show the length of stay in hours or days, respectively.
Average LoS by Provider (bar chart): Shows the average length of stay for the selected departments/providers/shifts/service sites, for the selected time frame. There is a bar for each provider, representing the average length of stay for visits with charge transactions where that provider is the Billing Provider on a transaction that contains a discharge code.
Quick Views: Year, Year-Month.
Drill-downs: None.
Average LoS [days or hours] YTD versus LYTD (bar chart): Shows the average length of stay for the selected departments/providers/shifts/visit types. For each month there are two bars: the first bar represents the average length of stay for that month in the current year, while the second bar represents the average length of stay for the same month in the last year.
Quick Views: None.
Drill-downs: None.
PQRS: This page contains a singe view:
Response Data for Individual Measures (pie chart): (Note that this same view is also available on the PQRS tab, as a drill-down under the Eligible Cases Reported by Measure view.) For each quality measure that was deemed eligible for PQRS reporting (based on the patient information, charges, and diagnosis), this view shows you a quality measure question, all of the possible responses, and a pie chart that illustrates the percentage of times each response was selected. It also includes the percentage of times the measure was submitted with no response chosen. This is an unlikely scenario, but may be possible if a measure is configured to have no required questions. For reference, it also displays the CPT II code and modifier that is associated with each response. For measures with multiple questions, a separate pie chart is displayed for each question.
Percentage of Shifts Covered by 1099 Physicians (stacked bar chart): Shows the percentage of charge transactions entered for a specific shift where the billing provider is a 1099 physician. There is a separate bar for each shift, with one segment for the total number of charge transactions where that shift is entered as a charge transaction header, and another segment for the percentage of transactions where the billing provider is a 1099 physician. This view relies on both the Shift and an indication of whether the billing provider is a 1099 Physician being entered via a charge transaction header.
Quick Views: Year, Year-Month, Department, Service Site.
Using the Report Library on the Administrator Dashboard
The Report Library is another tab on the Administrator dashboard. Data is presented as predefined tabular reports. From this page, you can select any report and open it as an Excel spreadsheet (XLS) or as a PDF.From the Report Library tab, you can also launch NetDiver, where you can create custom Dive Reports. See Creating Your Own Analytics Reports.To use the Report Library, follow these steps:
Log in to Commure Pro and click the Analytics tab.
Click the Report Library tab.
On the Application drop-down list near the top right, be sure that Direct is selected.
Click a report from the list on the left.
Reports can include Charge & RVU Volume, Charge Lag, CPT Codes, Visits, Referrings, RVU, PQRS, and Productivity Reports. (The available reports for your institution may be different.)
Click an option from the list on the right.
Each report has a set of options. Many reports include an option for “by Year” or “by Year-Dept” to allow you to easily move to a more consolidated view of data.The report is displayed in tabular format on the Report Library tab.
Creating a PDF or Excel Version of a Report in the Report Library
From the Report Library tab, you can create a PDF version of a NetDiver report that you can review, attach to an e-mail, or print. You can also open the report in Excel so that you can format it differently or otherwise work with the data.To create a PDF of the report, follow these steps:
From the Analytics Dashboard, click the Report Library tab.
From the Application drop-down list, select Direct.
Select a report from the left side, and a reporting option on the right.
The report is displayed in tabular format on the Report Library tab.
Take any of the following actions:
Click any of Quick View filters (if available) at the top of the report to change the parameters of the report.
Click [ Back ] to go back to previous screen and choose a different report.
Click [ Download as PDF ] to display, save, or print a PDF version of the report.
Click [ Open in Excel ] to open the report in Excel. From there you can format the report differently or otherwise work with the data.
Click [ Open in NetDiver ] to open the report in NetDiver. From there you can perform a variety of actions, such as diving deeper into the data or changing the format of the report.
Charge Analytics can make it easier for you to compare and analyze data. From your data analysis, you can make more informed decisions. Here are some examples of using Charge Analytics to improve an institution’s performance.
If you have already implemented Charge Capture, you can compare department results. For example, the Percentage of Charges by Department pie chart on the Charges > Volume page shows the number of charges by department, as a percentage of the total. If you see that certain departments have a low number of charges, you can set up additional training on Charge Capture.
A look at the LoS (length of stay) at your institution shows a range of inpatient stays. What diagnoses are triggering your longest stays? You can use this information as a starting point to see if the longer stays are because of expertise in the field. If you find that certain diagnoses are covered frequently, this could be an opportunity to become a center of excellence for your institution.
With Charge Analytics, you can see any negative trends with data comparison by month or by comparing data year-over-year. For example, you might see an uncommon number of high cost diagnoses. Or, maybe there are a high number of primary diagnoses that are a result of poor care, such as uncontrolled diabetes.Another example of a negative trend is poor coding practices. If I10 essential hypertension is showing up as the primary diagnosis for Average Length of Stay for Visits Discharged in a Year (Top 10 by Number of Diagnoses) for General Medicine, some training sessions might be required to assist with more focused coding.
Are long lag times for billing patient charges an issue at your institution? If so, you want to be able to pinpoint where such lags occur. Is there a long lag time for the providers where the charges are slow to be submitted? Or, is the delay with the billing administrators?The Average Lag over Last 12 Weeks (Total v Provider v Admin) summary on the Charges > Charge Lag page is a line graph that compares the Admin Lag with the Provider Lag.You can drill down into the data and see the lag by Department, or even down to a summary table of individual providers. You can then see whether the lag time is consistently high, or is the result of some spikes that can be accounted for.Another view on the same page (Billing Provider Charge Lag) shows you individual lag ties per Billing Provider. You can compare the Admin Lag and Provider Lag for each provider. A provider might have a very low number, but a long lag time by the administrator makes the total lag time much longer (or vice versa).
One advantage of Charge Analytics is that you can get the level of detail that you want. In some cases, a high-level overview may be sufficient information for a query. In other cases, you want reports that are more detailed. For example, physicians might want to compare their individual results for referrals or RVUs to other physicians in the organization, or to a national baseline.
