Revenue Cycle Analytics

Use your data for immediate revenue results

Certus Beacon™ revenue integrity analytics, combined with industry-leading physician advisory services and revenue cycle staffing, help hospitals identify, recover, and retain earned revenue. Align the right resources to capture opportunities and quantify the value of the work being performed. With limited IT lift, your organization will have access to unparalleled data to rapidly affect change impacting revenue quality and compliance.

Our strategic approach to clinical documentation integrity (CDI) tackles revenue reimbursement, mitigates risk and streamlines operations, including appropriate staffing. A single unallocated resource may deprive your organization of significant revenue opportunity. Knowing where to deploy critical resources is paramount to driving ROI.

When data identified a negative observation trend in Medicare Advantage payors at a 1,000-bed Level 1 Trauma and Academic Medical Center, Brundage Group worked with hospital leadership to course-correct compliant level of care through a combination of process focus and incremental staffing—preserving over $1.68 million in net revenue in just over 6 weeks.

When data identified a negative observation trend in Medicare Advantage payors at a 1,000-bed Level 1 Trauma and Academic Medical Center, Brundage Group worked with hospital leadership to course-correct compliant level of care through a combination of process focus and incremental staffing—preserving over $1.68 million in net revenue in just over 6 weeks.

At Brundage Group, we believe a comprehensive understanding of revenue cycle analytics is crucial for optimizing healthcare organizations’ financial operations. Our expertise in revenue cycle management analytics enables us to empower hospitals with actionable insights, helping them navigate the complex landscape of revenue cycle. Through our data-driven approach and commitment to excellence, we support healthcare organizations in compliantly capturing earned revenue while delivering high-quality care to their communities.

Utilization Management Dashboard & Insights

Use data-driven metrics to identify utilization and revenue opportunities.

Our UM dashboard gives hospitals insight to identify trends, improve utilization and make decisions that positively impact revenue. View level of care and payor trends by attending physician, MS-DRG and diagnosis.

Get what you need, when you need it, with these insights and more:

Identify opportunities to improve length of stay/continued stay metrics

Uncover potential compliance issues
Identify provider education opportunities for targeted medical necessity education
Analyze payor denial patterns to guide contract negotiation

Leverage Brundage Group utilization review nurses, side-by-side with our analytics

Metrics That Matter

Measure KPIs based on inpatient and observation metrics. Analyze the data from multiple perspectives, including global, physician, diagnosis and DRG views.

INPATIENT

  • Inpatient rate globally and by payor
  • Volumes
  • Length of Stay
  • ALOS/GLOS
  • Excess Days
  • Medicare Two-Midnight Trends
  • Chargers
  • Payments
  • Case Mix Index
  • DRG and Diagnosis Analysis
  • CC/MCC Capture

OBSERVATION

  • Observation Rate globally & by payor Rate
  • Length of Stay
  • Diagnoses Capture
  • Charges
  • Payments

CDI/DRG Management Dashboard & Insights

Use data-driven metrics to identify financial and quality opportunities.

Our CDI/DRG dashboard gives hospitals insights to positively impact revenue and public reporting of quality metrics. View trends by case mix, MS-DRGs, physician, provider group and secondary diagnosis.

Get instant visuals of areas that need focus, with these insights and more:

Understand drivers of case mix index

Increase awareness of provider documentation practices impacting revenue capture and quality reporting

Benchmark and compare your health system against peer groups to drive change

Leverage Brundage Group CDI specialists in lockstep with our analytics platform for maximum impact

Metrics That Matter

Measure KPIs based on inpatient and observation metrics. Analyze the data from multiple perspectives, including case mix analysis, physician, DRG, diagnosis and CDI views.

INPATIENT

  • Volumes
  • Length of Stay
  • Medicare 2 Midnights
  • ALOS/GLOS
  • Excess Days
  • Charges
  • Payments
  • Case Mix Index
  • MS-DRGs
  • CC/MCC Capture
  • Principal Diagnoses
    • Appropriate Selections
    • Signs/Symptoms Usage
  • Secondary Diagnoses
    • Specificity
    • Missed Documentation Opportunities
  • Risk Adjustment Optimization

Solutions Tailored to Your Needs

At Brundage Group, we understand that each healthcare organization has unique challenges and goals. That’s why our revenue cycle management and educational services are tailored to meet your specific needs. We collaborate closely with your team to develop customized analytics solutions that align with your revenue cycle management objectives. Our experienced physician advisors provide guidance and support throughout the implementation process, ensuring a seamless integration of our analytics platform into your existing systems and workflows.

Unravel the Power of Revenue Cycle Analytics

Revenue cycle analytics, a cornerstone of our services, harnesses the power of advanced data analysis techniques to gain valuable insights into a healthcare organization’s revenue cycle. By collecting, organizing, and interpreting vast amounts of data, revenue cycle analytics helps uncover trends, patterns, and areas of improvement, enabling healthcare organizations to make informed decisions around utilization of resources.

At Brundage Group, we have developed Certus Beacon, a proprietary technology platform for revenue cycle analytics that encompasses the following key components.

Data Aggregation

We gather and integrate relevant utilization data from multiple sources that serves as the foundation for our analytics engine.

Advanced Analytics Techniques

Our team of skilled revenue cycle analysts extract meaningful insights from the data. By uncovering trends, patterns and correlations, we provide our clients with a deeper understanding of their revenue cycle performance.

Actionable Insights

We translate complex data into clear and actionable insights. Through intuitive dashboards, reports, and visualizations, we empower healthcare organizations to identify key performance indicators and take to improve utilization of resources and optimize their revenue cycle.

Customized Solutions

We understand that every healthcare organization has unique challenges and objectives. That’s why our revenue cycle analytics solutions are tailored to meet your specific needs. Whether you require assistance with denial management, reimbursement optimization, or workflow enhancement, we collaborate closely with your team to develop customized solutions that align with your goals.

Unlock the Benefits of Revenue Cycle Analytics

By embracing revenue cycle analytics, healthcare organizations can unlock a multitude of benefits, including:

Denial Management

Revenue cycle analytics enables hospitals to identify denial patterns and root causes, leading to targeted coding, documentation, and utilization process improvements. This proactive approach helps reduce denial rates and optimize earned revenue.

Performance Optimization

Through benchmarking and comparative analysis, revenue cycle analytics helps healthcare providers evaluate their performance against industry standards. Organizations can enhance their revenue cycle efficiency and effectiveness by identifying improvement areas.

Revenue Leakage Prevention

Revenue cycle analytics highlights potential revenue leakage points. By addressing these issues, healthcare providers can safeguard their operating margins and increase earned revenue capture.

Workflow Efficiency

Analytics-driven insights provide visibility into operational bottlenecks and inefficiencies within the revenue cycle. With this knowledge, organizations can streamline processes, allocate resources effectively, and improve overall workflow efficiency.

Continuous Improvement

Revenue cycle analytics enables healthcare organizations to track performance trends over time. By monitoring key metrics and identifying fluctuations, organizations can implement proactive measures to sustain and improve revenue cycle outcomes.

 

Frequently Asked Questions

How long does it take to implement revenue cycle analytics solutions?

The implementation timeline depends on the complexity of your organization’s infrastructure and data sources. Our team works diligently to expedite the process while ensuring a smooth transition. Typically, the implementation requires minimal intervention from internal IT resources.

Will revenue cycle analytics disrupt our existing workflows?

Our goal is to enhance your existing workflows and provide actionable insights to optimize your revenue cycle. We work closely with your team to understand your processes and integrate our analytics seamlessly. The result is improved efficiency and performance without significant disruption.

Is revenue cycle analytics compatible with different electronic health record (EHR) systems?

Yes, our revenue cycle analytics solutions are designed to be compatible with a wide range of EHR systems and billing platforms. We work with your existing technology infrastructure to ensure smooth integration and maximize the value of your data.

Can revenue cycle analytics help us reduce denials and improve earned revenue capture?

Absolutely. By leveraging revenue cycle analytics, you gain a deep understanding of denial patterns and root causes, allowing you to implement targeted improvements and optimize your revenue cycle processes. Our data-driven insights empower you to proactively address denial issues and enhance earned revenue capture.

How can revenue cycle analytics help healthcare organizations improve cash flow management?

Revenue cycle analytics plays a crucial role in operational margins for healthcare organizations. With our insights, organizations can implement strategies to compliantly capture earned revenue.

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