Providers need a way to identify high-dollar procedures that may be impacting their bottom line and causing them to stand out to payers. By leveraging comparative data along with the practice’s internal practice management systems, the provider now has a checks and balances system to reduce the risk of denials.
Healthcare providers need a method to compare data to peers to improve business operations and prioritize initiatives. Using TITAN, practices can compare data to peers and identify areas needing improvement.
Leveraging comparative healthcare analytics, the provider created a report identifying all denials by payer for a specific time period. They were able to filter the denials by the CO4 adjustment code with modifiers 26 or 91.
Comparative analytics can help providers determine if they are consistently coding for
higher-level reimbursement than their peers, in turn reducing the risk of a Medicare audit.
TITAN's comparative analytics can help providers trend billed service lines billed to a specific payer, helping pinpoint and reduce spikes in billing and denials.