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Product (Medicaid Analytics (Financial (Total Cost of Care (Trend
Cost…
Product
Medicaid Analytics
Performance
SURS
Client Summary Field Indexes
Outlier Prescription Activity
Same Procedure Different Amounts
Targeted Case Management Paid Sum
Unreasonable Distance Between Member and Provider
Member
Members
Member Overview
Members by County
Members by Zip
Members by Eligibilty
Members by Age Band
Members by Tracked Condition
Operations
MARS
LOC History
Pending over 14 days
60 days or less until review
Aged/Audit Assessment over 14 working days
Transition Planning - Those who are 65 or will be within 3 months
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Financial
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Pharmacy
Pharmacy Cost and Use
Drugs by Therapeutic Class
High Cost Specialty Drugs
Top 25 Drugs
Maintenance Rx - Retail vs Mail
Rx Brand vs Generic
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Care Management
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Opiods
Opioid Behavior Dashboard
Opioid Abuse Summary
Opioid Provider Dashboard
Opioid Prescribing Patterns :red_flag:
Opioids Prescribed Outside a Hospital
Pregnancy
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Pregnancy Analysis
Low Birth Weight by Region
C-Sections by Region
C-Sections by Age Band
Early Elective Delivery by Region
Maternity Analysis
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Provider Analytics
Provider Comparison
Provider Comparison by Peer
Provider Specialty Comparison
Provider Cost by Procedure
Provider Cost Efficiency Dashboard
ER Analysis
ER Frequent Flyers by Year
ER Frequent Flyers by Quarter
ER Frequent Flyers by Month
Top 15 Providers by ER Paid
ER Use by Asthmatics :red_flag:
ER Use by County
Potentially Avoidable ER Visits by County
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Explore
Claim Lines Summary
Claim Lines Detail
Enrollment Summary
Enrollment Detail
Event Summary
Event Detail
Provider Detail
Reference
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Case Management
Case Management Detail
Case Management Summary
Overview
My Cases
All Cases
All Tasks
My Tasks
Create Case w/Claims
Create Case
Raw CVT Reports
Cvt Detail Reports
ClaimsDetailPharmacy
ClaimsDetailMedical
MembershipDetail
Provider
TPL
PriorAuthorization
GeneralMembershipinput_HEDIS
MembershipEnrollmentInput_HEDIS
Visitinput_HEDIS18
Pharmacy_HEDIS
ProviderInput_HEDIS18
ProviderHAI_HEDIS18
Lab_HEDIS
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VBPM
Patient Risk
Risk Stratification
Patient Risk Dashboard
Population Overview Dashboard
Med Adherence by Condition
Population Comparison by Facility
Dx Groups by RUB
Coordination Risk by RUB
Predicted Costs by Provider Group
Performance
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Pharmacy
Rx Brand vs Generic
Maintenance Rx - Retail vs Mail
High Cost Specialty Drugs
Top Non-Specialty Therapeutic Drug Classes
Patient Experience
Patient Experience Summary
% Top Box, NPS & Mean Scores
% Positive Comments
Patient Experience Detail
Quality
HEDIS
HEDIS Measures Dashboard
HPDI - Health Plan Descriptive Information
Utilization Measures Summary
Clinical Measures Summary
Risk-Adjusted Utilization Summary
Detail Reports
QHP - Sample Frame Layout for QHP Enrollee Survey
HPDI and TLM Detail
Utilization Measures Detail
Clinical Measures Detail
Risk Adjusted Utilization Detail
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Utilization Management
Utilization
Utilization Overview Dashboard
Utilization Trends
Cost and Use Summary
IP Diagnostic Categories
OP Diagnostic Categories
Prof Diagnostic Categories
Financial
Financial Overview Dashboard
Financial Yearly Trend
Financial Monthly Trend
IP Services Paid
OP Services Paid
Prof Services Paid
Medical Paid Lag
Network Analysis
Enrollment
Enrollment Overview Dashboard
Enrollment Summary
Age and Gender Trend
Relationship Trend
Contract Type Trend
Explore
Event Summary
Event Detail
Claim Line Summary
Claim Line Detail
Enrollment Summary
Enrollment Detail
Patient Risk Summary
Patient Risk Detail
Labs Detail
Immunization Detail
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Population Health
Financial
Cost and Utilization Dashboard
COST & UTILIZATION
Advanced Cost & Utilization
Medical Claims Utilization
Pharmacy Claims Utilization
Actuarial Cost Projections
Predicted Costs by Condition
Performance
INPATIENT
One Day Stays
Admission Analysis
30-Day Unplanned Readmits
HAC Analysis
PHARMACY
Top 25 Drugs by Paid Amount
Specialty Drugs Utilization and Analysis
Top 50 Therapeutic Class Paid
PROFESSIONAL
Top 25 Billing Providers
Professional Summary by Provider
EMERGENCY DEPARTMENT
Emergency Room Analysis
ED Summary :red_flag:
ER Frequent Fliers by Month :red_flag:
ER Frequent Fliers by Quarter
ER Frequent Fliers by Year
ER Potentially Avoidable Visits
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Population
Chronic Conditions Dashboard
Population Opportunities Dashboard
MEMBERSHIP
Membership Demographics
PMPM by Gender/Age
Membership by Chronic Condition
Population by Age and Morbidity
MEDICATION ANALYSIS
Med Adherence by Condition
RISK STRATIFICATION
EDC by Resource Utilization Bands
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Reference
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MS DRG
ICD 9 Diagnosis Codes :red_flag:
ICD 9 Procedure Codes :red_flag:
Revenue Codes
CPT / HCPCS Codes
CMS Hospital Acquired Conditions
Major Diagnostic Category (MDC)
ACG ADG :red_flag:
ACG Category
ACG EDC
ACG RXMG
Orange Book Codes
NDC-HCPCS Crosswalk
BOS
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Optimize Teams
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Reduce DNFB
DNFB Analysis
Time and Days to Post
Late Charges over time
Days to Bill Over Time
Days to Code Over Time
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Life Cycle :red_flag:
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Root Cause Analysis
Active Auth Denials with Incomplete Auth Task
Active Eligibility Denials with Incomplette Verify Insurance Task
Explore :red_flag:
ACCOUNTS
Account Analysis
Account Detail
TRANSACTIONS
Transaction Analysis
Transaction Detail
REMIT
Remit Detail
Adjustment Analysis
Adjustment Detail
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PAI
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Improve
Registration Console
Registration Dashboard
Staff Productivity
Collection Performance
Improve Indicators
Registrar Accountability
Overall Accountability
Explore
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Other
List of Dashboards
PA Director Dashboard
POS Account Secure % New UI
Registration Performance
Registration Summary Dashboard QA
Productivity Summary Dashboard QA
Error Summary Dashboard QA
QA Quality Summary Dashboard QA
QA Productivity Summary Dashboard QA
Dashboard Test QA
:red_flag:
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Cost & Ops
Labor
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Analysis
Skill Mix Opportunity
Staffing and Vacancy Dashboard
Overtime and Agency Dashboard
Actual and Earned FTEs
Wage Changes
Explore
PAYROLL AND VOLUME
Payroll & Volume Summary
Payroll Detail
HR
HR Summary
HR Detail
KPIS
KPI Summary
KPI Detail
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Surgical Throughput
Dashboards
Leadership Dashboard
Surg : Last Week
OR Dashboard
Surgeon Scorecard
Turnover Dashboard
Pass Dashboard
Patient Map
Analysis
Room Utilization
Appropriate Scheduling
Physician Variation
Load by Day of Week
Delays
Case Duration
Cancellations
Explore
CASE
Case Summary
Case Detail
Panel Detail
TURNOVER
Turnover Summary
Turnover Detail
CENSUS
Census Summary
Census Detail
BLOCK AND ROOM
Room Availability Detail
Block Utilization Detail
Block Utilization by Case Detail
Block Utilization Summary
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Emergency Throughput
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Explore
VISIT
Visit Summary
Visit Detail
CENSUS
Census Summary
Census Detail
PHYSICIAN ORDER
Physician Order Summary
Physician Order Detail
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Supply Chain
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Explore
SPEND :red_flag:
Spend Summary Report
Purchase Order Ad Hoc Report
Invoices Ad Hoc Report
PO Detail
Invoice Detail
Receipt Detail
Budget Detail
Reference :red_flag:
Account
Add On Cost
Account Unit
Accounting Unit Category
Supply Chain User
Company
Manufacturer
Item Master
Vendor
Location
Request Location
UOM
Stock UOM :red_flag:
Service Line
Dashboards
Leadership Dashboard
Changes in Patient Mix
Physician Scorecard
Practice Variation
Profitability Dashboard
Cost Explorer
Zip Codes Dashboard :red_flag:
Physician Income Statement
Explore
SUMMARY REPORTS
Service Line Analytics
PB Charges Summary
PB Charges-Costs
HB Charges_Costs
DETAIL REPORTS
Account Detail
Charges Detail
Cost Detail
PB Charges Detail
PB Costs Detail
PB Charges Costs Detail
HB Charges Costs Detail
Import Data
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References
Charge
Facility
Place of Service
Admit Date
Admit Source
Physicians
Department / Location
Insurance Plan
Procedure CPT / HCPCS
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RI
Identify
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Revenue Risk
Risk Target Dashboard
Claims with Risk
PEPPER Benchmarking
PROFESSIONAL
Prof Risk Target Dashboard
Top Prof Revenue Risks
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Explore
CLAIMS
Claim Analysis
Claim Detail
CHARGES
Charge Analysis
Charge Detail
ACCOUNTS
Account Analysis
Account Detail
REMITS
Remit Detail
Adjustment Analysis
Adjustment Detail
PROFESSIONAL
Line Item Analysis
Line Item Detail
AUDITS
Audit Analysis
Audit Detail
RISK
Claims with Risk
Charges with Risk
Libraries :red_flag:
Risk Target Library
Professional Risk Target Library
Reason Codes
Remark Codes
CODE CONCEPTS
Diagnosis Codes
Procedure Codes
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EPM
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Reports
Saved Reports
Subscriptions
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Plan Reports
Metric Reports
Enterprise Reports
User Reports
Extract Reports
Custom Reports
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