NEW!!  Compliance Analysis:  Hospitals are every bit as concerned about identifying billing errors as any regulatory agency performing retrospective reviews.  This multi-function analysis feature permits maximum daily units or charges (or both) to be pre-set into an AllPayor table.  Now RAC targeted items can be identified and corrected well before they become issues.  

AllPayor also identifies MUE exceptions.  The CMS developed Medically Unlikely Edits (MUEs) to reduce the paid claims error rate for Part B claims. An MUE for a HCPCS/CPT code is the maximum units of service that a provider would report under most circumstances for a single beneficiary on a single date of service.

Select options such as "Average Units", or "Average Units plus 1 standard deviation, 2 standard deviations or even 3 standard deviations" to identify patterns early.  Select and report by HCPCS/CPT codes or revenue codes.  With AllPayor, issues on the edge of tolerance limits can be identified well before they may be brought forward by regulators.

NEW!! Facility Access Control: Our multi-hospital clients can now assign facility access control at the individual user level. This feature permits access to both data and reports at the facility, regional or enterprise-wide level so 'responsibility' and need-to-know preferences are client defined. Users at an individual facility can be granted access to only that facility's data, while regional executives can be granted access to multiple facilities and corporate executives may access data for the entire organization. This powerful tool is also the perfect answer for owned and managed physician practices as well.

Scorecard - Return on Investment:  This feature is updated daily and provides users with cumulative ROI amounts by plan, by facility, or by product line for whatever period specified.  Allows users to quantify the effectiveness of the AnalyTXs AllPayor System and their staff in managing and recouping underpayments from primary payors.

Payment Verification Alert - Financial managers can choose to be notified automatically by email anytime an individual claim is underpaid or overpaid by a specific, user-defined amount.  In addtion, managers can elect to be notified by email anytime aggregrate underpayments or overpayments or both exceed specified amounts.  Why wait to tackle these bottom-line surprises until they actually hit the bottom-line? 

Contract Renegotiation Notification:  Managed Care directors and staff can choose to automatically receive count-down style email notifications of impending contract term expiration.  Never again let the terms expire for any of your major or minor payor contracts.  Stay on top of hundreds of contracts with the AnalyTXs AllPayor System.

Multiple Calculations:  Have you ever wondered how a particular claim would have been paid under Medicare rules, or under the terms of a contracted payor's alternative HMO, or PPO, or Traditional plan?  The AnalyTXs AllPayor system creates multiple calculations of the Plan Benefit as each claim is loaded into the system and these multiple calculation reside inside the detail claim display.  So your follow-up team can quickly identify the source of payment differences from silent PPOs.

In Development

Report Favorites: Select your report content using unlimited choices from the data base. Then, when you get it just right, give it a name and save it in your catalog of reports. User specific report catalogs are like having a personal assistant ready to hand you exactly what you need when you need it.