Solutions

Analytics and Business Intelligence

Overview

Every organization is sitting on mountains of data – but few have the time and resources to turn their data into actionable intelligence. AGS Health analytics and business intelligence services track, measure, analyze, predict, and improve your revenue cycle performance. With healthcare providers being challenged to do more with less, AGS Health gives them unprecedented visibility into the performance of their revenue cycle.

As an analytics partner, we help providers:

  • Easily identify underpaid claims.
  • Analyze denials and identify the root cause.
  • Pinpoint scope for lost revenue recovery.
  • Experience a drastic reduction in claim errors and denials.

We will help you answer the critical questions of

Descriptive

We help you measure your business performance across key RCM areas (e.g., aged A/R, financial KPIs).

Diagnostic

Our deep-dive analysis tools help uncover the root causes leading to underperformance, such as root cause analyses of denials.

Predictive

AGS Health’s predictive analytics services offer projections and early warning signs to gauge and influence performance, including denials and underpayment predictions.

Prescriptive

Customized advisory services take the current performance, diagnostics, and future projections to provide actionable insights to address underperformance and maximize outcomes.

OUR CAPABILITIES

All global services customers benefit from a set of essential analytics and insights correlating to services rendered. Our analytics capabilities cover the full spectrum of revenue cycle management with analytical insights and advisory services for patient access, medical coding, and patient financial services. To identify problem areas, quantify impacts, and recommend improvement solutions, our data experts leverage a wide range of systems and tools, such as PowerBI, Tableau, SQL, Oracle, and more.

Quality Insights

Get insights into internal and external quality outcomes, including trends and error analysis.

Touch Analysis and Insights

Observe how many times accounts were touched, reasons for increased touches, and drill down features to explore patterns and trends.

Metrics View to Monitor KPIs

Monitor and track key performance indicators (KPIs) against your targets and analyze trends over time.

Production Insights

View production trends against targets, production by aging/payer grouping/disposition, and deep dives into production patterns and opportunities for improvement.

Open A/R Insights

See detailed metrics for open A/R segmented by aging categories, payers, and payer groupings. Drill down into data to identify areas for prioritization and immediate action.

Resolution Insights

View breakdowns on resolutions by payments and adjustments. Acquire insights into resolution trends by payers and financial class to uncover patterns with deep analytical views.

Interested in learning more?

In addition to the standard set of essential analytics and business intelligence, AGS Health offers an extensive suite of advanced analytics and business intelligence services to meet your unique analytics and reporting requirements. These optional services include:

Custom Reporting Services

Leveraging deep-dive analytics from SQL and BI tools, our analytics experts create custom reports to help you uncover the root causes of underperformance. Our advisory services expand on these insights to help you develop a plan for addressing these issues and maximizing results. Some examples of custom reporting services include:

  • End-of-month reporting
  • Financial dashboards
  • Payment analysis
  • Denial reporting

Payer Contracts and Underpayment Analytics