ERA360

MEDICAL PRACTICE PAYMENT & DENIALS ANALYSIS 

  • Are you getting paid what you deserve?
  • How efficient is your billing staff?
  • What are the top reasons you're not getting paid?

CHC Executives require quality data and metrics to help them answer these seemingly simple questions and to make informed decisions. Introducing ERA360, the billing performance data every executive needs. We take your readily available data, with limited need for IT support, and produce an executive level analysis of your billing performance.

LEVERAGE DATA | CUT COSTS | MAXIMIZE CASH FLOW

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How it works:

ERA360 v2

 

 

 

 

 

Each ERA360 analysis includes: 

Core Performance

    • Touch Rate
    • Clean Claim Rate
    • Denial Rate
    • Payment Per Encounter
    • Denials Lost Revenue (e.g., filing limit)
    • Auto-Post Rate

 Billing Process Performance

    • Average Time to Adjudicate (by Payer)
    • Average Time to Pay (by Payer)

 Claim Performance

    • Claim Disposition Rates (Paid/ Unpaid/ Reversed)

Denial Measures

    • Top 10 Denials by Category
    • Top 10 Denials by Adjustment Code
    • Top 10 Denials by Procedure
    • Top 10 Denials by Payer 

 Procedure Analysis

    • CPT Utilization by Service Line
    • CPT Utilization by Service Group
    • Top 10 Procedures by Service Line
    • Office E&M Utilization
    • Average Procedure Count by Encounter