RevenueDashboard^® offers hospitals and systems the ability to evaluate and better manage their APC performance. By reviewing and analyzing the profitability of individual APCs across departmental lines, facilities can target areas for improvement and optimize appropriate reimbursement, while maintaining coding and billing compliance.

Examine Data and Discover Trends for Success

RevenueDashboard assists executive-level and departmental managers in monitoring and managing the performance of outpatient procedures by analyzing services provided and resources consumed, as well as cost data and current payment information.

RevenueDashboard helps increase revenue by:

• Providing costing information to help ensure services are priced appropriately 
• Identifying least profitable APCs 
• Providing national comparative claims data to identify potential charge capture opportunities

RevenueDashboard evaluates APC performance by:

• Drilling down to UB-92 line item detail to investigate APC performance by department and individual procedure 
• Allocating the costs of incidental services to the significant procedures with which they are associated in order to understand the true cost of the procedure 
• Assessing utilization of modifiers by department to ensure the hospital will be paid appropriately

RevenueDashboard assists in managing costs by:

• Distinguishing claims that have an unusually high cost or resource consumption 
• Identifying APCs with the widest cost variance for targeted correction 
• Uncovering clinical or coding practices that negatively impact cost

RevenueDashboard improves coding and billing compliance by:

• Evaluating utilization of modifiers 
• Identifying patterns of coding exceptions by department, APC and HCPCS 
• Distinguishing clinical or coding practices that may be inappropriately generating outlier payments 
• Investigating charging variances for the same HCPCS code 
• Allowing hospitals to develop audit criteria based on identified billing patterns
  

*HFMA staff and volunteers determined that this product
has met specific criteria developed under the HFMA Peer
Review Process. HFMA does not endorse or guaranty the
use of this product