Practice Management Advanced Reporting. Presented By: Molly Endress

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1 Practice Management Advanced Reporting Presented By: Molly Endress

7 Session Pin Don t forget to collect your pin as you the leave the session. Clinical Financial Value Based Care Success Patient Engagement Technical Once you receive three pins from one track, stop by the ASSIST Desk to pick up your certificate of attendance.

8 Safe Harbor Provisions SAFE HARBOR PROVISIONS FOR FORWARD-LOOKING STATEMENTS: This presentation may contain forward-looking statements within the meaning of the federal securities laws. Statements regarding future events, developments, the Company's future performance, as well as management's expectations, beliefs, intentions, plans, estimates or projections relating to the future (including, without limitation, statements concerning revenue and net income), are forward-looking statements within the meaning of these laws and involve a number of risks and uncertainties. Management believes that these forward looking statements are reasonable and are based on reasonable assumptions and forecasts, however, undue reliance should not be placed on such statements that speak only as of the date hereof. Moreover, these forward-looking statements are subject to a number of risks and uncertainties, some of which are outlined below. As a result, actual results may vary materially from those anticipated by the forward-looking statements. Among the important factors that could cause actual results to differ materially from those indicated by such forward-looking statements are: the volume and timing of systems sales and installations; length of sales cycles and the installation process; the possibility that products will not achieve or sustain market acceptance; seasonal patterns of sales and customer buying behavior; impact of incentive payments under The American Recovery and Reinvestment Act on sales and the ability of the Company to meet continued certification requirements; the development by competitors of new or superior technologies; the timing, cost and success or failure of new product and service introductions, development and product upgrade releases; undetected errors or bugs in software; product liability; impact of internal and external privacy and security breaches; changing economic, political or regulatory influences in the health-care industry and changes to the regulatory framework applicable to our business; changes in product-pricing policies; availability of third-party products and components; competitive pressures including product offerings, pricing and promotional activities; the Company's ability or inability to attract and retain qualified personnel; uncertainties concerning threatened, pending and new litigation against the Company including related professional services fees; uncertainties concerning the amount and timing of professional fees incurred by the Company generally; changes of accounting estimates and assumptions used to prepare the prior periods' financial statements; general economic conditions; and the risk factors detailed from time to time in the Company s periodic reports and registration statements filed with the Securities and Exchange Commission.

9 Session Survey Please take a moment to complete a brief survey regarding this session. 1. Open your ONE UGM Mobile App (please note: you must have already logged in and accepted the Terms of Use to access this feature) 2. Click the Navigation Button at the top left of the screen 3. Select Sessions 4. Search for and select this session 5. From the sessions details screen, select Rate this Session 6. Remember to hit Submit once you have answered the questions

10 Session Agenda Recent Additions to Report Functionality Capitalizing on Subgroups Getting Other Critical Information for Decision Support Using Excel Tools

11 Recent Reporting Additions

12 Report Preferences Limit size of reports Apply report type security to reports menu only Prompt when report limited by preferred locations

13 Report Security by Location Set Up by User in System Administrator

14 Snapshots Unlike memorized reports that save filters, Snapshots save DATA.

15 Snapshots Naow the results using filters Name given to the Snapshot by the user Name of the report from which the Snapshot was taken

16 Snapshots Ctrl + Click to select multiple items Right click to select all or delete selected snapshots

17 Insurance Aging Analysis Original COB Logic (legacy) COB assigned based on first bucket with a balance not equal to zero

18 Insurance Aging Analysis - Responsible Balances COB assigned based a non-zero balance in ANY bucket If a charge has balances in both the insurance and patient buckets, this report separates them into separate lines

19 Insurance Aging Analysis - Responsible Balances Charge Amount and Line Item Amount values will not be accurate so they cannot be summed on the Totals filter.

20 Separating Bad Debt Adding the Section column and making it the Primary grouping option separates Bad Debt A/R and Regular A/R

21 Search Functionality Highlights all the text and provides additional options for finding text UD2

22 Bad Debt Preference UD2 Preference allows encounters to remain in Bad Debt status when they are paid in full.

23 Info Button UD3 Provides information on report logic, filtering, common uses, and balancing.

24 Info Button UD3

25 Info Button UD3

26 Info Button UD3 Available on the following reports in UD3 with more added in upcoming versions General: Patient Chart Demographics Accounts Receivable: Billed Encounters Unbilled Encounters Receivable Analysis reports (by Age, by Month, by Type) Collections > Account Summary Collections > Insurance Aging Analysis Scheduling: Appointment Listing Monthly: Service Item Summary Extended Amount and Transactions Transactions > by Encounter Transactions > by Line Item

27 Unapplied Credit Handling on Aging Reports Prior to 5.8 UD3 UD3

28 Unapplied Credits on Aging Reports As of 5.8 UD3 UD3

29 Percentage of Collections UD3 Percentage of collections added to the Receivable Analysis Reports Total Pmt: Total Adj: Total Ref: Total payments Total adjustments Total refunds % Pmts/Chgs: Gross payment percentage (payments divided by charges) % Adjs/Chgs: Gross adjustment percentage (adjustments divided by charges) % Refs/Pmts: Gross refund percentage (refunds divided by payments) Net Collections: Net collections (net payments divided by net charges)

30 Percentage of Collections UD3 Percentage of collections added to the Receivable Analysis Reports

31 More Reports with Month, Year, Month/Year Month, Year, and Month/Year combination added to Monthly > Transaction reports UD3

32 Exclude Voided Charges An option to include, exclude, or report on voided charges only has been added to the Service Item Summary reports UD3

payer, when no contract is linked the Contract Allowed Amount (Cont Alwd Amt) will default to the

33 Contractual Analysis Report UD3 New option to include payers without contracts Since Contract Allowed Amount, Contract Pay Amount, and Contract Adjustment Amount pull from the contract attached to the payer, when no contract is linked the Contract Allowed Amount (Cont Alwd Amt) will default to the charge amount. Contract Pay Amount (Cont Pay Amt) and Contract Adjustment Amount (Cont Adj Amt) will default to zero.

34 Capitalizing on Sub-Groups

35 Capitalizing on Sub-Groups Departments and Modalities

36 Capitalizing on Sub-Groups Location Sub-Group Options Clinic Hospital Nursing Home Ambulatory Surgery Centers and/or Alabama Tennessee Georgia and/or Primary Care Specialty Dental

37 Capitalizing on Sub-Groups Provider Sub-Group Options Primary Care Surgeons Mid-Levels Behavioral Health Ophthalmologists Optometrists and/or Partners Associates Employees and/or Part-Time Full-Time

38 Capitalizing on Sub-Groups Payer Sub-Group Options Contracted Government Non-Contracted Non-Government HMO PPO FFS

39 Capitalizing on Sub-Groups Reason Code Options Registration Errors Eligibility Coding Errors Charge Entry Errors Contractual Documentation Needed Patient Responsibility

Collections Front Desk Miscellaneous Patient Balances

40 Capitalizing on Sub-Groups Task Options Appointment Business Office/Claims Insurance Denials Patient Collections Front Desk Miscellaneous Patient Balances Transaction Approvals and/or Front Desk Registration Business Office

41 Effective Uses for Sub-Groups Accounts Receivable - A/R by Primary Care vs. Specialists - A/R by Clinic vs. Hospital Charges Financial Reports - Provider productivity by Part-Time vs. Full-time; or Physicians vs. Mid-levels - Average charges per Encounter by Location Type (Clinic vs. Hospital)

42 Effective Uses for Sub-Groups Denial Tracking - Authorizations by Location Type (Clinic vs. Hospital) Provider Evaluation and Comparison - Average Charges Per Encounter by Location Sub-Group - Average Charges Per Encounter by Provider Sub-Group

43 Getting Critical Information for Decision Support

44 Calculating Averages - Totals tab can be used to perform average calculations. - Averages are only calculated for subtotals. - Average calculations will include all services returned in the report. - In some reports, you can obtain averages for only services that have been paid using a Filter 2 option (payment amount less than zero); otherwise the $0 payments will be calculated into the average. - Rename the column to clarify value(s) reported.

45 Service Item Summary - Using Averages Average Charges, Payments and Adjustments Per CPT Code Number of line items returned for that item - controlled by the Count option on the Totals tab Number of units as entered in charge entry *This example includes services with no payments and therefore includes the zeros when performing the average calculations

46 Service Item Summary - Using Averages This example uses the Department filter to limit the results to E&M codes by Financial Class.

47 Evaluating Charges with Modifiers Evaluating charges with modifiers may require separate reports be run for the types of services you are evaluating - Surgery Services: Use Filter 2 setting of Mod 1 = Blank - Assistant Surgery or Secondary Surgery Services: Use Filter 2 setting of specific modifiers (e.g. Mod 1 = AS, -80, etc.) - Radiology Services: Varies depending on practice, but may need to evaluate -50, - TC, and/or -26 separately - Office Visits: Filter 2 can be used to isolate office visits with -25 modifiers to see if they differ in reimbursement; or you can group by modifier in that Department to look for variances

48 Total Patients by Provider - Add the Rendering to evaluate Patient totals for each provider - Use Totals Only to compare providers

49 Total Patients by Payer - Change Rendering to Payer/Financial Class evaluate Patient totals for each Payer/Financial Class

50 Patient Insurance Report - Looks at insurances actually used on Encounters, including COB

51 Identifying Highest Volume Codes - By charge amount - By units performed (count) - By paid amount - Break by provider - Break by location - Use departments and modalities for better comparisons

52 Multi-Period Reporting Columns for Month, Year, and Month/Year Fundamental Logic Differences: Monthly Changes in A/R All activity processed in the specified time period By Encounter Transactions track back to PRIMARY payer By Line Item Transactions track back to ACTUAL payer

53 Multi-Period Reporting Fundamental Logic Differences: Service Item Summary All financial activity tracked back to original charge and primary payer ( Net Collections ) Receivable Analysis by Month Financial activity attributed to that specific charges, with transactions tracked to actual payer

54 Monthly Changes in A/R Beginning A/R is determined by period used Ending A/R represents the total change in A/R for each month\ Changing the Sorting options allow you to compare months over multiple years Use Filter 2 to limit years that return on the report Use Averages for evaluations

55 Service Item Summary Balance amount here represents the total amount of A/R left outstanding for each month, WITHOUT unapplied credits Financial Class logic ties everything back to the primary payer

56 Receivable Analysis by Month Compare each Provider for each Month Compare Providers by Month

57 Average Financial Activity per Event

58 Maximizing the Contractual Analysis Report

59 Excel Pivot Tables

60 Formatting for Exporting to Excel Ensure all necessary columns are included Sorting doesn t matter, but No Grouping Once Exported delete empty columns, header rows and total row Allows data to be sorted and Filtered Advanced Sort allows multiple levels of sorting

61 Pivot Tables What s the Value? Pivot tables provide the ability to slice, dice and display data in a million ways with a click of a button! They allow the user to analyze the data in multiple ways without having to wait for the report to re-generate. Once extra rows and columns are removed, select Insert ribbon and create a Pivot Table in a new worksheet

62 Adding Graphs Use the Insert ribbon to add a graph

63 Session Survey Please take a moment to complete a brief survey regarding this session. 1. Open your ONE UGM Mobile App (please note: you must have already logged in and accepted the Terms of Use to access this feature) 2. Click the Navigation Button at the top left of the screen 3. Select Sessions 4. Search for and select this session 5. From the sessions details screen, select Rate this Session 6. Remember to hit Submit once you have answered the questions

64 Thank You

Topic Keep your Finger on the Pulse: Monitoring the Activity in your NextGen PM System Level Practice Management 300

Presenter(s): Stacy Stenger PM Corporate Trainer Topic Keep your Finger on the Pulse: Monitoring the Activity in your NextGen PM System Level Practice Management 300 Safe Harbor Provisions/Legal Disclaimer