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Utilization Reports
The Utilization reports throughout the application allow the provider to examine ICD-9/CPT-4 crosswalk coding patterns. For comparative purposes, Peer Utilization Analysis is also made available for the same specialty as the provider. Patterns of Care tracks the provider's usage of specific codes and presents them for review in graphic form and custom reports.
The sample below shows the Most Frequent ICD-9 Report.
Key Benefits
*Ability to specify the ICD-9/CPT-4 code to analyze
*Identify possible up-coding/down-coding
*Percent of code usage
*Identify coding outliers
*Evaluate peer utilization
*Ability to track patterns of care
*Case specification reports
List of Utilization Reports
| Report Name |
Description |
|
Most Frequent ICD-9 |
A graphical analysis of the physician's or peer's most frequently utilized diagnoses and the associated procedures. In addition, the data can be viewed in spreadsheet form, which identifies usage variances for both the provider and peer view. |
|
CPT-4 Utilization
Per ICD-9 |
The CPT-4 Utilization Per ICD-9 report provides a graphical and numerical comparison of multiple CPT-4 codes for a selected ICD-9 code for the specified provider. |
|
Most Frequent CPT-4 |
A graphical analysis of the physician's or peer's most frequently utilized procedures the associated diagnoses. In addition, the data can be viewed in spreadsheet form, which identifies usage variances for both the provider and peer data. |
|
ICD-9 Utilization
Per CPT-4 |
The ICD-9 Utilization Per CPT-4 report provides a graphical and numerical comparison of multiple ICD-9 codes for a selected CPT-4 code for the specified provider. |
|
E & M (CPT-4)
Utilization |
A review of evaluation and management procedures (E&M codes) and the associated diagnosis codes, represented both graphically and in spreadsheet form. |
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