Credentialing Performance Metrics Dashboard

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This page allows you to view your practice's performance against important metrics for the athenahealth Credentialing Service. The Credentialing Performance Metrics Dashboard displays athenahealth operations performance, your practice's performance, and the outcomes of credentialing your providers with payers.

Note: The athenahealth Credentialing Service is no longer available for purchase. Only organizations that purchased the Credentialing Service before 2016 can use the service. The Credentialing Service is for Self-Service use only. athenahealth does not assist in the provider credentialing process.

 

On the Main Menu, click Settings >Billing. In the left menu, under Practice Links — Credentialing, click Credentialing Performance Metrics

 

 

 

To access this page, your practice must use the Credentialing Service, and you must have the Practice Credentialing Manager role.

 

 

  1. Display the Credentialing Performance Metrics Dashboard page: On the Main Menu, click Settings >Billing. In the left menu, under Practice Links — Credentialing, click Credentialing Performance Metrics.
    The Dashboard tab appears by default, with all metrics displayed.
  2. To see details for one metric, click the metric on the dashboard.
    The Metric Detail page for the credentialing performance metric appears.
    Note: You can also click Metric Detail at the top of the page and then select the metric from the menu.
  3. To filter the metric by medical group, click the plus sign next to Filter on the left side of the page and click Medical Group.
    The list of medical groups appears.
  4. From the list of medical group, select the medical groups whose performance metrics you want to display.
  5. Click Apply.
    Note: To remove a medical group from the filter list, click the delete icon to the right of the medical group name.

 

 

 

The Credentialing Performance Metrics Dashboard page provides the following metrics. The supporting data behind each metric is refreshed on a monthly basis.

  • athenahealth Turnaround Time — Average number of days it takes for athenahealth to complete an assigned task.
  • Client Quick-Response Rate — Percentage of tasks that you take action on within 2 weeks of assignment.
  • Credentialing-Related A/R Written off This Month —Amount of A/R written off due to credentialing issues through athenahealth. This metric is usually related to claims with dates of service prior to the provider's effective date set by the payer.
  • Effective Dates Prior to Start Dates Rate — Percentage of applications completed in the last month for which the payer issued an effective date prior to the provider start date.
  • First-Pass Payer Acceptance Rate — Percentage of applications within the last month accepted by payers without rejection or additional information requests.
  • Percentage of A/R Related to Credentialing — Percentage of your total practice A/R that is athenahealth credentialing-related. This metric includes rule holds and denials.
  • Providers on Credentialing — Number of providers employed by your practice for whom athenahealth is responsible for credentialing.
  • Total Credentialing-Related A/R — Total dollar amount holding or denied due to credentialing being completed through athenahealth.
  • Total Cycle Time — Average time it took for applications completed in the last month to be completed, starting from when the provider was first added to the Credentialing Service.
  • Welcome Packet Turnaround Time — Average number of days it takes for athenahealth to receive providers' completed Welcome Packet, starting from the day it was sent out.

 

 

The Credentialing Performance Metrics Dashboard page displays all credentialing metrics pertinent to your practice based on your configuration and the athenahealth services that you use. When you open the Credentialing Performance Metrics Dashboard page, you can display the metrics on these tabs:

  • Dashboard tab
  • Metric Detail tab

The default tab that appears when you open the Credentialing Performance Metrics Dashboard page is the Dashboard tab.

 

 

On the Dashboard tab of the Credentialing Performance Metrics Dashboard page, all metrics appear within a "card." Each card represents your practice-level performance with no applied filters or sorting features. Each graph shows the previous 365-day trend, depending on how long your practice has been live with each service.

Note: If your practice has been live with an athenahealth service for less than 1 year, the displayed 365-day trend goes back to the date when data collection started.

 

You can view the following information within the cards:

  • Name of each metric.
  • Scale measured in the unit pertinent to each metric.
  • 365-day trend (blue line), which shows performance peaks and valleys over the timeline.
  • 30-day average.

Click individual metric cards to obtain greater detail about your performance on the Metric Detail tab for each metric.

 

 

 

The Metric Detail tab provides additional options for viewing the performance data of an individual metric. You can download the data to a .csv file (Microsoft Excel) using the Export button. The export feature respects any filters applied to the data and exports the Trend or Breakout view of the data, depending on which view you select.

 

The unfiltered metric visualization provides two view options:

  • Trend — This view is selected by default and provides the following information:
    • 365-day trend of the selected metric.
    • Performance at each timeline increment. You can hover the cursor over points on the line graph to display more information. The current month is a month-to-date value.
  • Breakout — This view allows you to view your performance over the last 30 days as a horizontal bar graph broken out by medical group.

The Breakout view highlights the contrast between the good and poor performers in your practice.

 

The Trend and Breakout views can both be displayed in graphical or tabular form:

  • Graph — The initial view selected by default. In the Trend view, the graph shows the 365-day trend; in the Breakout view, the graph shows a bar chart of the selected filter.
  • Table — This view allows you to see the numerical values supporting the metric visualization.

You can export the data from the Graph display or the Table display.

 

 

 

 

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