January 28th, 2014 by Kareo
A medical practice is one of the few businesses where income is generated by few people. We just finished the holidays during which time some of your providers may have taken time off. If you reduced your patient load to accommodate this time off, in the next 20 days you will see a reduction of income. All the other staff continued to work and to take their paycheck, but the actual income stopped due to provider time off. This is when you begin to really see how important each provider is to the practice.
There is a better way to understand the value of your providers, and it is the Productivity Report in Kareo. This report can be a wonderful tool for the practice and for the provider. For the provider, it can demonstrate to the practice how much work you actually do. This report can show how many patients you see and the levels of service along with the procedures you perform. You could take this data and graph it per month to demonstrate your growth as a provider in the practice. This is also a great practice management tool as it demonstrates the providers who perform at the highest level. This might be helpful if the providers are paid for performance or it could just be a great tool to see how they are doing.
One of my practices began to see a reduction in income. They went straight to billing thinking we might not be doing our job. However, we ran the productivity report for each provider by month for one year. We then graphed the information for the practice to see the performance of each provider and how they equated to each month. It was an awakening for the practice. They saw that one of their providers was barely earning their own salary much less making money for the practice or even providing for the medical assistant that worked with the doctor. Whereas the data was useful, the graph really helped them to have a visual of that data.
Another way to use this tool is to see how many of your providers bill out a high level of service. Recently, I had an account that got a letter from one of their payers stating that they might be an outlier for the utilization of 99205 and 99215. The practice manager stated that they rarely use this code. So, as their auditor I went to the system and to their documentation to make certain they matched with the encounter form. I ran a report of productivity and showed the practice who was billing the level 5s and how often. We then audited the level 5 visits to make certain they were truly defendable. This was extremely helpful to the practice as we also educated the provider on documentation and better coding skills. Another report I used for this full process was the Payment by Procedure report and then I customized this per provider and per code.
The customization of the reports in Kareo is a great way for you to gather the data in order to provide you with the information you need. The Providers Productivity report may not appear to have a lot of customization, but you can run the report by procedure, location, or provider. Them you can take the information and cross reference it to other reports. Once you do that, you will have awesome tools at your disposal to help you improve and polish your medical practice.
About the Author
Kathleen Young is the CEO and co-founder of Resolutions Billing & Consulting, Inc., which was founded in 2003. Kathleen is also the owner of Healthcare Chart Audits, which offers auditing to physicians and attorneys. Kathleen has been in healthcare since 1989 and has worked for physicians, large corporations and three billing companies. Kathleen is a CPC and a CPMA with the American Academy of Professional Coders and speaks to many groups on coding, billing, and auditing.