Revenue Dashboard Wireframe v0.3

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Overall Revenue Summary

AR Aging Analysis

Payor Mix Summary

Provider Summary

Location Summary

Detailed Trend Analysis

Actuals vs. Fee Schedule

Revenue Dashboard vs. CMD


Overall Revenue Cycle Summary

Entity Job Class Parent Company Line of


Payor Type CPT Code
Location Modifier Class Insurance Company Business

Revenue Breakdown Revenue Bridge


12
Charges 10
8
6
4
Adjustments 2
0
Jun'22 Jul'22 Aug'22 Sept'22

Payment Adjustment
Expected Revenue Refunds Outstanding Amt.

Revenue KPI Summary


Metric MTD Last MTD MTD MTD vs. QTD QTD QTD vs. YTD Trendline
Payments Month vs. LM PY MTD PY PY QTD PY%
% %

Charges
Refunds Expected Revenue

Adjustments

Payments
AR
Refunds
AR Aging Analysis - I

Entity Job Class Parent Company Line of


Payor Type CPT Code
Location Modifier Class Primary Insurance Business

DSO Trend Monthly Collection Trend


$/%

5
DSO
4
3
Avg. days to reimburse 2

Avg. days for Service to first 0


submission Jun'22 Jul'22 Aug'22 Sept'22

ER ER1(Apr’22) ER2(May’22) ER3(Jun’22`) ER4(Jul’22) ER5(Aug’22) ER6()Sept’22


Current AR by Top N Parent Company,
Avg. days for Service to first payment Insurance Company
AR by Aging Days
6
Insurance 5
5
Collection Efficiency % Insurance 4 4
Insurance 3 3
Insurance 2 2
Outstanding Amount %
Insurance 1 1
0 100 200 300 400 500 600
0
0-30 days 30-60 days 60-90 days 90-180 days >180 days
AR Aging Analysis - II

Entity Job Class Parent Company Line of


Payor Type CPT Code
Location Modifier Class Primary Insurance Business

AR YoY Trend AR Aging by Insurance Company


Parent- <30 31-60 61-90 90-120 >120 Payment Expected Collection
6 Insurance days days days days days Revenue Efficiency %

4
Ins 1
3

1 Ins 2

0
May'22 Jun'22 Jul'22 Aug'22 Sept'22

Ins 3
Expected Revenue Breakdown

Ins 4

Ins 5

<30 days 31-60 days 61-90 days 91-120 days >120 days Outstanding
Payor Mix Summary - DRAFT(1/2)

GL Account – Entity Job Class Parent Company Line of


Payor Type CPT Code
Desc. Location Modifier Class Primary Insurance Business

{ER / Payment Received/Outstanding Amt} by Parent


{ER / Payment Received} Trend
Company, Insurance Company
35
30
25
20
15
10
5
0
May'22 Jun'22 Jul'22 Aug'22 Sept'22
Insurance 1 Insurance 2

{ER/Payment Received/Outstanding Amt.} by Payor Type {ER / Payment Received} by Payor

Parent Insurance May’22 Jun’22 Jul’22 Aug’22 Sept’22


Company Company

Payor Type 1 Payor Type 2 Payor Type 3


Payor Mix Summary – DRAFT(2/2)

GL Account – Entity Job Class Parent Company Line of


Payor Type CPT Code
Desc. Location Modifier Class Primary Insurance Business

{ER / Payment Received/Outstanding Amt} by Parent {ER / Payment Received} Trend


Company, Insurance Company
35
30
25
20
15
10
5
0
May'22 Jun'22 Jul'22 Aug'22 Sept'22
Insurance 1 Insurance 2

{ER/Payment Received/Outstanding Amt.} by Payor Type

Payor Type 1 Payor Type 2 Payor Type 3


Provider Summary

Entity Job Class Parent Company Line of


Provider Payor Type CPT Code
Location Modifier Class Primary Insurance Business

ER, Payment, Billable Unit Trend {ER/Charges} by Job Class, Modifier Class
ER per Billable Unit
80,000

60,000
ER per Provider
40,000

20,000
{ER/Charges} by CPT Code 0
Jun'22 Jul'22 Aug'22 Sept'22
CPT 9
ER Payment Billable Units
CPT 8
{ER / Charges } by Provider
CPT 7
CPT 6
Job Class Apr’22 May’22 Jun’22 Jul’22 Aug’22 Sept’22 Total
Modifier Class
Provider Name
CPT 5
CPT 4 Provider 1
CPT 3
Provider 2
CPT 2
Provider 3
CPT 1
Provider 4
0 200 400 600 800 1000
Location Summary

Entity Job Class Parent Company Line of


Payor Type CPT Code
Location Modifier Class Primary Insurance Business

Collection Efficiency % by Location & Payor {ER/Payment} by Line of Business, Location


Revenue Breakdown by Location
12
10
8
6
4
2
0
Loc1 Loc2 Loc3 Loc4

Payment Adjustment
Refunds Outstanding Amt.

Expected Revenue by Location & Payor Collection Process Efficiency


Entity Outstanding Collection Avg. days to Avg. days for Avg. days for DSO
Location Amount % Efficiency reimburse Service to first Service to first
% submission payment

Location 1

Location 2

Location 3

Location 4

Sept’22
Detailed Trend Analysis

GL Account – Entity Job Class Parent Company Line of


Provider Payor Type CPT Code
Desc. Location Modifier Class Primary Insurance Business

{Metric Selected} YoY Trend by {Dimension}


6

5 Metric Selection :
Charges
4 Payment
Adjustment
3 Refund
Outstanding
2
DSO
….
1

0
May'22 Jun'22 Jul'22 Aug'22 Sept'22

{Metric Selected} by {Dimension}


Entity Apr’22 May’22 Jun’22 Jul’22 Aug’22 Sept’22 Dimension:
Location Payor Type
Parent Company
Location 1
Primary Insurance
Entity
Location 2 Location
Job Class
Modifier Class
Location 3 Line of Business
CPT Code
Provider
Location 4
GL Account
Actuals vs. Fee Schedule

Entity Job Class Parent Company Line of


Payor Type CPT Code
Location Modifier Class Primary Insurance Business

Comparison of Expected Revenue ( Valant TJ vs. FS Mapping)


Parent Company Insurance CPT Code – Modifier FS Charge FS Adjustment FS Rate Avg. Actual Rate FS Rate vs. Avg.
Company Procedure Code (Expected Rev) Actual Rate Var %
Code
Transaction Journal vs. Charge Payroll Detail

Entity Job Class Parent Company Line of


Payor Type CPT Code
Location Modifier Class Primary Insurance Business

Comparison of Expected Revenue (Transaction Journal vs. Charge Payroll Detail)

Parent Insurance CPT Code – Modifier Avg. Avg. Charge Avg Charge Avg ER (TJ) Avg ER Avg ER Avg Adj AvgAdj Adj
Company Company Procedure Code Charge (TJ) (CPD) TJ vs. CPD % (CPD) TJ vs. CPD % (TJ) (CPD) TJ vs. CPD %
Code
KPI Cards

Charges
(Posting Date / DOS)
Expected Revenue Outstanding Amount %

Expected Collection Amount


(Posting Date / DOS)
Payment Collection Efficiency %

Insurance
Patient(15%)
(85%)
Avg. days to reimburse
Charges
Payment
(Posting Date / DOS)
Realization Rate = Payment / ER
Refunds 4 Category is possible here based on
Adjustment
Annual Contract Value

Reimbursement Ratio = Insurance


Current AR Payments per day Payment/ Insurance Expected
Collection Amount

Avg. days for Service to first


Current AR submission Self-pay

DSO Avg. days for Service to first payment Co-pay

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