Business Intelligence Reporting for Claims Data
Normalized Data
Drill Down Capabilities
Dashboard Views
EDI + Appealed Claims Data
Real-time Business Intelligence
Is your hospital or health system ready for
visualization of denial trends with drill down to root causes?comprehensive denial management analytics?
Discover actionable insights with Optics
Optics combines your claims and denial data with our clinical and technological expertise to deliver real-time business intelligence dashboards on claims trends that have been historically inaccessible. Access Optics analytics reporting from desktop or mobile to ensure you have the right data at your fingertips to make data-driven decisions to implement or improve a denial avoidance program.
3 KEY COMPONENTS OF OPTICS
Comprehensive Analytics & Data
Aggregates and normalizes holistic data from EDI X12 and appealed claims for real-time trend visualizations with drill down capabilities
Clinical Claims Expertise
Leverage our team’s expertise for reporting recommendations and minimizing internal implementation resources
Customizable Dashboards
Choose how to present your denial data trends to efficiently and effectively capitalize on actionable insights
Client Solutions Example
hospital claims data reporting
For a hospital facing an increase in coding inaccuracies, the revenue cycle management team can benefit from a dashboard of downcoding data by payer with drill down capabilities that is accessible in real-time – even from an app!
Check out this Optics example of a customized dashboard solution that this hospital’s finance staff can access and utilize in weekly departmental meetings. As users click into the claims data, it details:
Targeted codes
- Downcoding performed by specific payers
- DRGs targeted by specific payers
Appeal success per payer, place of service, or code assigned
HOW WE DO IT
Comprehensive Technology
Our technology is built on a centralized AWS supported data lake platform to combine real-time 835i/837i and appeal/denial data from all of your data sources. We integrate this data repository with our healthcare expertise to normalize the right data so your revenue cycle management teams can create accurate reports providing a visual landscape into your denial trends – empowering your team to make confident decisions regarding your claims management process.
What is a data lake?
A data lake is a centralized system of both structured and unstructured data that allows our team to aggregate claim appeal data from data streams (multiple data sources) and normalizes data into visual, customizable reports.
HOW WE DO IT
Healthcare Provider Expertise
We are not only a healthcare technology company but one who specializes in the claims management process. We’ve combined our years of health system and hospital denial management experience with the latest technologies to develop a comprehensive reporting solution for you – one that we utilize internally to manage our business.
Who is a
Business Solutions Architect (BSA)?
Learns your business, data sources, and reporting objectives
Liaises between your organization and our clinical coding SMEs
Delivers business intelligence reports in a framework of easy-to-navigate dashboards
Why Optics?
Customize this flexible, real-time reporting and analytics framework to fit your organization’s needs. Plus, benefit from:
- Applying best practices from experienced data and denial management teams
- Growing with scalability
- Getting started with minimal internal resources
HOW WE DO IT
Customized Reporting
Optics delivers customized reporting solutions that transforms all claim and appeal data sources into a single data source. End-users have the ability to tailor data information, data frequencies, and viewing styles to customize reporting trends into one intuitive dashboard. All of your claims/denial data can be aggregated, analyzed, and benchmarked to assess your organization’s performance, and identify areas of improvement.
