Spark360
Payer Dashboard
Data-Driven Payer Comparison
The Spark360 Payer Dashboard equips your healthcare organization with comprehensive, up-to-date insights into payer performance, enabling informed decision-making and operational efficiency.
Our Dashboard
The Spark360 Payer Dashboard comprehensively evaluates payer performance, providing an in-depth view of each/835 payment received. It offers crucial insights into payer behavior, enabling organizations to identify trends and effectively prioritize operational strategies.
Gaining Insight into Payer Performance
Navigating the complexities of payer performance requires precise insights and actionable intelligence. Those insights are nearly impossible to obtain and rarely timely enough to be actionable. Without insight into this information, it can be challenging for stakeholders to make well-informed decisions and enhance operational efficiency.
A Closer Look at the Data
The Spark360 Payer Dashboard provides comprehensive insights into payer performance through detailed analyses of 835 data, facilitating intuitive navigation, comparative analysis, and operational decision making across various tabs, including Payer Overview, Remit Overview, GCR, Timeliness, Denials, CARC Overview, and Remit Line Detail, and Charge Line Detail.
Payer Overview
The Payer Overview tab focuses on 835-specific data, including total charges, payments, adjustments, patient responsibility, GCR, Days to Adjudicate, and denial rate by payer. Color coded stop light indicators are included to tell you if each payer is performing within the optimal targets allowing for easy comparison of these indicators, such as gross collection and denial rates across all of your payers.
Remit Overview
The Remit Overview tab dives into 835 specific details, encompassing total remit charges, and the distribution of remits by the payer and common DRG/Procedure Codes. This brings visibility into payer trends for specific codes along with monthly remit payment totals by payer for the last 12 months.
Gross Collection Rate (GCR)
The GCR tab provides a detailed view of reimbursement rates categorized by Inpatient (IP) and Outpatient (OP) settings. It features dynamic visualizations and an exportable table, allowing users to easily explore data points such as billing entities, DRG Codes, and Procedure Codes.
Timeliness
The Timeliness tab tracks the adjudication timeline from 837 claim transmissions to 835 receipts. It offers insights by billing entity, DRG Code, and Procedure Code. Its interactive capabilities mirror the GCR tab, fostering a comprehensive understanding of payer efficiency.
Denials
The Denials tab illuminates the frequency of claim denials across Inpatient (IP) and Outpatient (OP) categories, complemented by visualizations for billing entities, DRG Codes, and Procedure Codes. Its layout and functionality maintain consistency with the GCR and Timeliness tabs for a seamless user experience.
CARCs
The CARCs (Claim Adjustment Reason Codes) tab explores frequent procedure code and CARC combinations, offering insights into line-level and claim-level denial distributions across Inpatient vs. Outpatient (IP/OP) settings. It also provides CARC Group information to allow you to see denial trends such as authorization denials at the category level to trend across your payers and provides breakdowns by charge and payment amounts by payer for comprehensive analysis.
Remit Level Detail
The Remit Level Detail tab empowers users with a comprehensive view of all remit detail allowing you to filter into any of the data fields within the 835 remittances across all of you payers. It allows for seamless data exports, serving as a versatile tool for integrating dashboard insights into operational workflows. It facilitates tailored analysis across all metrics and datasets available within the Spark360 Payer Dashboard.
Charge Level Detail
The Charge Level Detail tab allows you to see all charge level details including the charge procedure code along with all corresponding CARC and RARC level denial codes and CARC denial group categories. This allows for in-depth analysis of your denials with the ability to filter into any data point and export for shared reporting and analysis.
Why Choose the Spark360 Payer Dashboard?
The Spark360 Payer Dashboard meets and exceeds the challenges of understanding and optimizing payer performance through robust analytics and user-centric design. Meet information challenges head-on by gaining actionable insights into a powerful set of data that sheds light on crucial aspects of payer performance by providing detailed payer comparison and trending across all of your payers. Through advanced 835 data analytics, this dashboard empowers stakeholders with the data to drive efficiency and accountability with their payers.