Healthcare Key Performance Indicator Consulting

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Healthcare Key Performance Indicator Consulting
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Enhance reimbursement and quality through data
driven, actionable insights. ezDITM analysts and
consultants perform in-depth analysis of a
hospitals KPIs, including Case Mix Index (CMI),
Coder and CDI Productivity, Denials and a host of
other metrics. Contact Us
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Case Mix Index
Case Mix Index (CMI) is the average of DRG
weights of all inpatients.

• CMI Consulting
• Improve CMI by analysing high-impact MS-DRG
  pairs
• Identifying reasons for any increase or
  decrease in CMI
• Comparison of a Hospitals CMI against
  National, State and
• Regional Peer group.
• Identification of the top 10 MS-DRGs within a
  fiscal year.
• Comparison of the Geometric Mean Length of Stay
  
• (GMLOS) to the Actual Length of Stay (ALOS)
  for the top 10
• MS-DRGs, with impact and opportunity
  assessment.
• Tracking of trends in patient mix (total cases,
  
• medical/surgical cases).

Did You Know? 14-site hospital system
lost 3M in reimbursement in a year from an
unspecified code (F32.9), where more specific
code (F32.3) could have been assigned.
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Coder/CDIS Productivity
Coder Productivity is defined as the time
required to code a patient record.
Did You Know? 271-bed hospital identified 25
increase in coder productivity level, and thus
savings of 276K with analytics driven case
allocation. This was in addition to 47 increase
with CAC adoption.

• Coder/CDIS Productivity Consulting
• Benchmark productivity levels to determine the
  
• gaps
• Productivity level analysis by individual
• Coder/CDIS
• AI-based optimization modeling on past data
• designed to
• enhance current Coder/CDIS productivity and
• accuracy l levels
• Coder Productivity by service lines, LOS, DRGs

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Denials
Denial is the refusal by payor to honor a request
of a provider to pay for healthcare services.
Did You Know? Approximately 9 (262 billion) of
hospital charges in 2016 were initially claim
denials. However, roughly 165B of denied claims
were recoverable.

• Denials Consulting
• Manage denials by knowing potential at risk
  MS-DRGs in
• advance
• Uncover and eliminate root causes for Denials
• List of denied claims that are likely to be
  appealed based
• on higher rate of approval
• Denials analysis by service line/MDCs, CDS,
  coder,
• physician, top 10 DRGs

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Miscellaneous
Did You Know? A 271 beds hospital enhanced its
cashflow by 2.3M by decreasing its DNFC from 7.6
days to 4.7 days (38 drop)

• Detailed analysis will be conducted on following
  KPIs and shared with the provider in order to
  achieve efficiencies and prevent any revenue
  leakage in the existing processes
• DNFC days
• LOS Variance
• 30- day Readmission cases

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Contact us
Visit Our Website- https//www.ezdi.com/ Address
- 12806 Townepark Way, Louisville, Kentucky 40243