Haisten Merchant Services

 

Focus on Managed Care

Take the guesswork out of managed care plan analysis.

Focus on Managed Care gives a physician or practice manager the hard facts they need for important business decisions: Should the practice remain contracted in a managed care plan? Should the practice join a new plan?

Decision makers use Focus on Managed Care to know when to accept new patients, renegotiate a contract or adjust fees. Reports and graphs in this Focus Pack  provide the analytical information needed for good business decisions.

Focus on Managed Care is part of Focus Reports Standard and Focus Reports Professional and includes these reports:

Note: If you have trouble viewing these sample reports, make this setting change in Internet Explorer: Click Tools > Internet Options, then click the Advanced tab. Scroll down the list of options to the Multimedia section. Uncheck Enable Automatic Image Resizing and click the Close button to save the setting change. Now you can click any report below and the sample report graphic will display in actual size.


Insurance Pay Analysis

Compares procedure charges, allowed amounts, payments and average days to pay. Major grouping by procedure, summary totals for each insurance carrier or plan. Use this report to analyze payment performance for a plan by comparing it to other plans.


Procedure Payment Analysis By Carrier

Analyzes all procedures billed to an insurance carrier or plan. Reports capitated and fee for service charges, payments and adjustments by carrier. This report gives an overview of a plan's overall financial performance.


Patient Census By Carrier

Reports on the patient count impact of a plan. Major data grouping by insurance plan, detail listing of each patient member of the plan. Use this report to see the effect of discontinuing participation in an insurance plan


Patient Census By Carrier, Provider

Adds provider subgroupings to the Patient Census By Carrier report.


Insurance Plan Profitability Analysis

Presents detailed information by carrier with billed procedures, payments, adjustments, patient payments and net profit based upon standard cost. Both fee for service and capitated plans are supported.


New Patients By Carrier Chart

Reports on plan membership of newly acquired patients. Use this report to see the source of a new practice's growth or changes in the trend of plan membership in a patient population.


Charges By Insurance Type Chart

Analyzes the distribution of a practice's fee for service charges by insurance carrier type.


New Patients By Month Chart

This chart analyzes new patient count by month. Revenue changes can now be tied to patient population growth.

 

To download and view or print the "Focus on Managed Care" sample reports, click here ManagedCare.zip.

You will need Acrobat Reader to view the reports


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MediSoft and NDCMedisoft are trademarks of NDCHealth. Focus Reports is a trademark of Inborne Technologies.