Other Report sections
Additional PPE Reporting sections include:
- All Procedures analysis
- Payer Mix analysis
- Principal Procedure analysis
- Summary analysis
- Top DRG analysis
All Procedures analysis
The All Procedures Analysis section lists the top 20 procedures performed by the Report Physician. This section is similar to the Top Principal Procedures section, but lists all procedures (not just Principal Procedures). Use the section to obtain physician procedure counts for tracking and reporting.
When you add the section to your Report tab, no options for customization are available.
When viewing the report, the top 20 Procedure Codes, Procedure Descriptions, and Number of Cases are displayed with each Procedure Code.
| Column | Description |
|---|---|
| Procedure Code | The International Classification of Disease (ICD) Procedure Codes from ICD-9 and ICD-10 classifications, Healthcare Common Procedure Coding System (HCPCS) codes, or Current Procedural Terminology (CPT) standard codes. |
| Procedure Description | A detailed description of the procedure. These codes come from ICD-9, ICD-10, HCPCS, or CPT standard codes. |
| Number of Cases | The number of encounters with the specific procedure code associated with the Report Physician during the reporting period. |
Payer Mix analysis
The Payer Mix Analysis section lists the top 20 payers that were used by the physician's patients during the report period, including the number and percentage of encounters for each payer.
The 21st row displays the number of encounters for all other payers, and the last row displays the totals for each column.
| Column | Description |
|---|---|
| Payer Name | Name of the paying organization |
| Number of Cases | Number of the Report Physician's encounters that organization paid for |
| Percent of Cases | Percent of the Report Physician's encounters using that payer |
| Hospital Percent of Cases | Hospital-wide percent of encounters using that payer |
Principal Procedure analysis
The Principal Procedure Analysis section lists the top 20 principal procedures that were performed among the physician’s patients.
The first 20 entries in the table are the top 20 procedures that the physician performed during the report period. The 21st row includes all other procedures, and the last row shows the total number of encounters that the physician saw during the report period.
| Column | Description |
|---|---|
| Principal Procedure Code | The ICD-9 or ICD-10 numerical codes, HCPCS codes, or CPT standard codes. |
| Procedure Description | A detailed description of the procedure. These codes are from ICD-9, ICD-10, HCPCS, or CPT standard codes. |
| Number of Cases | Number of encounters with the principal procedure code associated with the Report Physician during the reporting period. |
Summary analysis
The Summary Analysis section provides a summary of several different measures, including:
-
Case Mix Index (CMI)
-
Average Length of Stay (LOS)
-
Percent Intensive Care Unit (ICU) Days
-
Average Charges
- Readmissions
-
Mortality Rate
This section gives a broad summary of the physician’s monthly (or quarterly) performance and is helpful for identifying trends or major changes in performance.
| Column | Description |
|---|---|
| Monthly (or Quarterly) | Lists the month (or quarter) for the data in the row. |
| Number of Cases | Number of encounters the Report Physician saw during the month/quarter. |
| CMI | Average Case Mix Index for the encounters discharged during the month/quarter. |
| Average LOS | Average Length of Stay for the encounters discharged during the month/quarter. |
| Percent ICU | Percentage of ICU days, calculated as the total number of ICU days divided by the total LOS days. |
| Average Charges | Average charges per encounter that were discharged during the month/quarter |
| Readmission | 30-day, forward-looking patient readmission rate for discharges during the month/quarter. |
| Mortality Rate | Percent of patients discharged expired divided by total discharges during the month/quarter. |
Top Diagnosis-Related Group (DRG) analysis
The Top DRGs Analysis by APR-DRG/MS-DRG section lists the top 20 observed DRGs among the physician’s patients. The section lists either APR-DRGs or MS-DRGs.
The first 20 entries in the table are the top 20 DRGs that the physician saw during the reporting period. The 21st row shows the number of encounters for all other DRGs, and the last row shows the total number of encounters that the physician saw during the report period.
| Column | Description |
|---|---|
| DRG Code | Numerical DRG code; APR-DRG codes are from 3M specifications and MS-DRG codes come from Centers for Medicare & Medicaid Services (CMS) specifications. |
| DRG Description | Detailed description of the DRG Code; APR-DRG code descriptions come from 3M specifications and MS-DRG code descriptions come from CMS specifications. |
| Volume - # of Encounters | Number of encounters with the specific DRG associated with the Report Physician and time period. |
