IMPART EDR ™ Enhanced Data Reporting
Impart EDR™ provides users a comprehensive review for Revenue Integrity, Contract Compliance, Denial Management and RCM Performance.
- Practice Performance Report includes:
- Audit Summary Report – Shows the current consolidated status of payments as Valid, Disputed, or Denied.
- Contract Performance – This report includes both summary analysis and payer level detail about compliance to pricing rules and clinical edits.
- Contract Recovery – Displays underpayment recoveries and payer disputes.
- Denial History-Displays denial trends for the last 6 months, and graphically displays denied claim line data, denial reason code, and recovery opportunity.
- Denial Recovery – – Displays Denial recoveries and payer distribution.
- Medicare Comparison-Compares payer allowed to CY Medicare. Breakdown by CPT Groups.
- Payer Mix Report – Shows the breakdown of payers by Allowed Amount, Charge Amount, and Lines.
- Payment Lag – Calculates the length of time between the Payer’s claims received date and the EOB process date.
- Revenue Cycle – The length of time between the claim date of service and the Payor EOB process date.
- Submission Lag – Reports the number of days from the date of service to the date the claim was received at the payer.
- FEE SCHEDULE AUDIT TOOL Includes:
- High Level Fee schedule analysis by contract type, Provider NPI, Department and CMS Locality to identify primary cause of non-compliance.
- Deep Dive Audit identifies the cause for underperforming contracts including the need to optimize for rate changes or credentialing issues.
- Missing Fee Schedule and Missing Rate report.
- CHARGE ALERT REPORT includes:
- CPT charges that are Paid at 100% of billed charge, that are less than the payer allowed. Suggested charge provided.
- CPT codes are broken down by payer contracted rates.
- Zero charge or Penny charge revenue opportunities.
- BEHIND THE SCENES REPORTS include:
- Under Development
- DENIAL ANALYSIS TOOL includes:
- Under Development
