“If you can’t measure it, you can’t improve it” – Drucker
Have you ever tried managing something you are not measuring? Maybe that’s how it is with your UR process. For example, can you pinpoint your denial rates by review type, diagnosis, or insurance provider? Do you know how well documentation deadlines are being met? Do you have the fact base to make informed improvements?
What if on-demand insights through KPI reports could help you answer these questions and improve outcomes? We can help!
Measure It!
Management insight KPIs bring into focus your successes and areas where you can improve. KPIs provide the proof you need to make better decisions. For example, your facility has contracts with multiple payor sources. You may suspect some insurance companies approve longer lengths of stay (LOS) than others. But how can you know for sure?
BHCC generates LOS approval and denial rates by diagnosis and insurer. These reports provide information to address with specific insurers, such as the average LOS for alcohol detox an insurer approves compared to their peers.
How BHCC Provides Value!
What if software could help your patients get clinically indicated care with less stress about insurance denials? With BHCC, behavioral health facilities can expect the following results:
- Maximized insurance reimbursement through reduced denials.
- Increased UR success with UR call readiness.
- Voluminous patient data summarized with instant access to relevant documentation.
- Leadership insight through KPI reports.
- Improved staff retention with reduced burn-out.
Improve Evidence-Based Decisions!
BHCC provides 21 on-demand KPI reports for point-in-time and trending insight. BHCC presents metrics in easy-to-understand formats to help you get the answers you need.
UR Performance: These KPIs shed light on the efficiency and effectiveness of your UR process, focusing on denial rates. Optimizing insurance approvals and reducing unnecessary denials requires understanding these metrics to ensure smoother operations and enhanced patient care
Quality: These KPIs report on metrics such as documentation completion rates related to length of stay. By monitoring these KPIs, your facility can ensure compliance with healthcare standards, improve patient care outcomes, and streamline operations.
Clinical Performance: These KPIs provide insights into areas requiring additional training or process enhancement, promoting a culture of continuous improvement in patient care.
Ready to learn more?
Would you like to see more? Feel free to contact us to schedule a live demo or receive additional information
