Columbus, OH (PRWEB) August 26, 2013
Health Data Intelligence (HDI) is pleased to announce the introduction of a brand new dashboard in its premier CarePlan Dashboard Suite: The Medicare Provider Charges and Payments Dashboard. The new dashboard consists of both inpatient and outpatient provider charges and the resulting Medicare reimbursement for those charges. The resulting analyses will shed light on a number of important hospital-specific financial indicators, including, the percent of average charges submitted by hospitals that are actually paid by Medicare and what the dollar amount differences are between what’s billed and what’s paid for both inpatient and outpatient.
The Inpatient tab displays the Inpatient Prospective Payment System (IPPS) provider-level charges and the corresponding Medicare payments for the Top 100 Diagnosis-Related Groups (DRG) based on recently released data from the Centers for Medicare and Medicaid Services (CMS). The primary data source for these reports is the Medicare Provider Analysis and Review (MEDPAR) inpatient data which contains discharge information for all Medicare fee-for-service providers across the United States. Some of the metrics and analyses provided include average covered charges, average total payments, delta charges to payments, percent of average covered charges paid, and discharges volume for all Medicare participating hospitals and health systems.
The Outpatient tab displays the Outpatient Prospective Payment System (OPPS) provider-level estimated submitted charges and the corresponding Medicare payments for 30 Selected Ambulatory Payment Classification (APC) groups. The primary data source is CMS Medicare claims for hospital outpatient services contained in the Medicare National Claims History which contains claim information on fee-for-service hospitals providing outpatient services across the United States (excluding Maryland) who bill Medicare for the 30 selected APCs. Some of the metrics and analyses on this tab include average estimated submitted charges, average total payments, delta charges to payments, percent of average submitted charges paid, and volume of outpatient services for all Medicare participating hospitals and health systems.
Available for benchmarking on the Medicare Provider Charges and Payments Dashboard are state averages and the national average for charges and payments as well as each hospital’s own internal targets or organizational performance goals. Hospitals, health systems, and media organizations are invited to test drive the new HDI dashboard with a free 7-day preview. To learn more about this new analytic package and to download detailed product data sheets, please visit the Health Data Intelligence corporate website.