Overview
Take the Guesswork Out of Your Revenue Cycle.
Every organization is sitting on mountains of data – but few have the time and resources to turn their data into actionable intelligence. AGS Health analytics and business intelligence services track, measure, analyze, predict, and improve your revenue cycle performance. With healthcare providers being challenged to do more with less, AGS Health gives them unprecedented visibility into the performance of their revenue cycle.
As an analytics partner, we help providers:
- Easily identify underpaid claims.
- Analyze denials and identify the root cause.
- Pinpoint scope for lost revenue recovery.
- Experience a drastic reduction in claim errors and denials.
We will help you answer the critical questions of
Descriptive
We help you measure your business performance across key RCM areas (e.g., aged A/R, financial KPIs).
Diagnostic
Our deep-dive analysis tools help uncover the root causes leading to underperformance, such as root cause analyses of denials.
Predictive
AGS Health’s predictive analytics services offer projections and early warning signs to gauge and influence performance, including denials and underpayment predictions.
Prescriptive
Customized advisory services take the current performance, diagnostics, and future projections to provide actionable insights to address underperformance and maximize outcomes.
OUR CAPABILITIES
Essential Analytics and Business Intelligence
All global services customers benefit from a set of essential analytics and insights correlating to services rendered. Our analytics capabilities cover the full spectrum of revenue cycle management with analytical insights and advisory services for patient access, medical coding, and patient financial services. To identify problem areas, quantify impacts, and recommend improvement solutions, our data experts leverage a wide range of systems and tools, such as PowerBI, Tableau, SQL, Oracle, and more.
Quality Insights
Get insights into internal and external quality outcomes, including trends and error analysis.
Touch Analysis and Insights
Observe how many times accounts were touched, reasons for increased touches, and drill down features to explore patterns and trends.
Metrics View to Monitor KPIs
Monitor and track key performance indicators (KPIs) against your targets and analyze trends over time.
Production Insights
View production trends against targets, production by aging/payer grouping/disposition, and deep dives into production patterns and opportunities for improvement.
Open A/R Insights
See detailed metrics for open A/R segmented by aging categories, payers, and payer groupings. Drill down into data to identify areas for prioritization and immediate action.
Resolution Insights
View breakdowns on resolutions by payments and adjustments. Acquire insights into resolution trends by payers and financial class to uncover patterns with deep analytical views.
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Advanced Analytics and Business Intelligence Services
In addition to the standard set of essential analytics and business intelligence, AGS Health offers an extensive suite of advanced analytics and business intelligence services to meet your unique analytics and reporting requirements. These optional services include:
Custom Reporting Services
Leveraging deep-dive analytics from SQL and BI tools, our analytics experts create custom reports to help you uncover the root causes of underperformance. Our advisory services expand on these insights to help you develop a plan for addressing these issues and maximizing results. Some examples of custom reporting services include:
- End-of-month reporting
- Financial dashboards
- Payment analysis
- Denial reporting
Payer Contracts and Underpayment Analytics
Our contract management team will study your payer contracts, determine reimbursement methodologies, and identify carve-outs. All rate impact conditions will be applied to determine the expected amount allowed and then compared against the EOD to identify underpaid accounts.
Custom BI Dashboards
In addition to the standard reporting dashboards, our team of experts can develop highly customized insights and views that cater to customer needs. Some examples of custom insights include:
- Inventory movement analysis
- Denial analysis and denial root cause analysis
- Performance monitoring against SLAs and priorities
Prescriptive Analytics
Our team of data and domain experts conducts a detailed evaluation of your current performance, diagnostics, and future projections. Customized recommendations for addressing underperformance and maximizing outcomes are delivered to you based on their findings.
Predictive Analytics
AGS Health’s predictive analytics services enable you to better predict denials, anticipate underpayments, forecast payments, and more. Using these insights, our customers can proactively correct claims before submission thereby improving clean claim rates and cash flow. Simulations and projections for customized “what-if” scenarios can be constructed to understand the impacts associated with interdependent metrics.
We help each client solve their unique RCM challenges.
Resources
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More Solutions
For each of your unique challenges,
we have a configurable solution.
AGS takes a unique approach with every healthcare customer. We understand that no two customer are exactly alike. Each presents a unique set of challenges that may change over time. We’ll work closely with you at every step to maximize your revenue.
Patient Access
Start your revenue cycle strong by ensuring that critical, and accurate, patient information is in place before patient visits begin.
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Let’s transform your revenue cycle today
When you create a high-performance revenue cycle, you’re finally free to invest your full resources into what matters most: the care of your patients.
