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is a new compliance report offered by HMS Associates to provide you with
your own data and a penetrating analysis of your ambulatory surgery practice
patterns, and your significance to your hospitals, communities and payers.
Using authoritative data from licensed facilities, HMS extracts information
relevant to your practice, and provides unique and useful insights specific
to you. Physician Analytics provides data on admissions, procedures,
physicians, and other indicators for your individual practice and offers
a comparison with other physicians at your ambulatory surgery center, in
your region, and across the state. Demand analyses provide data and norms
for assessing the potential for growth and identifying underutilized services.
Compliance Reports utilizes ambulatory surgery data on operating or performing
physicians covering all payers and all licensed facilities in selected states.
The Compliance Report is an improvement over many existing systems that
provide data and analyses only on a particular hospital, payer or practitioner.
Compliance benchmarks are based upon a more extensive and comprehensive
set of data, over 1 million records per year in selected states, and hence
less subject to bias and standard error. The Compliance Report can be used
to demonstrate your practice's:
1. Importance to your health system or hospital
both as an admitter and revenue generator
2. Efficiency relative to your use of resources
as measured by the number of secondary procedures by procedure for ambulatory
3. Importance to your community as a source of
4. Principal geographic market, market share, and
competitors or colleagues
5. Emerging and potentially saturated geographic
6. Quality of care as measured by volume thresholds
7. Importance of payers and their relative importance
to your practice
8. Data in statewide databases.
Predictably, physicians' own records are often
at variance with the data in the state database. Yet, many of the analyses
have relevance by providing benchmarks from which you can review your own
performance. For example, "norms" on number of secondary procedures
and charges by DRG or procedure by hospital, county and region, unmet demand
by procedure and market share provide insights on your practice and may
help you negotiate better with hospitals, payers, better manage your practice
and better plan for expansion of services.
In addition, the source data set is becoming more
accessible to the general public. In these days of health related data explosion,
we strongly believe that physicians need their own capacity to verify or
refute what's being said about them.
can provide valuable insights for physicians, and especially physician groups,
practicing at licensed ambulatory surgery centers who need a timely, and
cost efficient review of data on their ambulatory surgery practice patterns.
This profile will help you see and understand both
the absolute and relative magnitude of your ambulatory surgery practice
in terms of all patient stays and stays for your principal procedures. This
report pinpoints your standing among all ambulatory surgeons and similar
specialists at the ambulatory surgery center.
This profile examines efficiency through a comparison
of principal procedure "norms" for other physicians in your center,
physicians in the county in which your center is located, and for physicians
throughout your state. This report can be used to document your efficiency
or surgical intensity and may point to areas where improvements may be warranted.
It will be useful in discussions with hospitals and payers.
This profile identifies your service area and your
corresponding market share through a compilation of patient ZIP codes. You
will see your market share for high frequency principal procedures by ZIP
code in both actual numbers and percentages. A listing and ranking by volume
of other physicians performing similar procedures in the communities you
serve is also provided.
This profile will be useful in discussions with
providers and payers to demonstrate the significance of your practice to
communities they may treat or seek to enroll. It is also useful for assessing
the market position of practitioners with which you currently partner or
are contemplating partnering with.
This profile compares age / sex adjusted utilization
levels in your principal market area with other market areas. It identifies
degrees of potential "overservice" or "underservice"
and thereby helps you to identify the potential for growth of your practice
and assess claims of overutilization by payers.
This profile will help you understand the payer
mix of your population. It provides data for all of your stays by payer
compared with payer mix data for other physicians in the center where you
practice, and in your county. This report can show if you either over-serve
or under-serve patients in particular payer groups and may suggest areas
in which you may wish to expand or reduce emphasis.
This profile lists data from selected fields on
each patient for whom you were the operating or performing physician. It
provides the basis for your own audit of data on records about your practice
availble under Freedonm of Information (FOI)..
Sample Listing of Ambulatory Surgery Fields for
1. Stay Number
3. Admit Year
4. Admit Month
5. Admit Hour
6. Procedure Year
7. Procedure Month
8. Discharge Hour
9. Patient County
10. Patient ZIP Code
11. Patient Sex
12. DOB Year
13. DOB Month
14. Calculated Age
15. Princ. Diag. Code & Desc.-ICD-9
16. Other Diag. 1 Code & Desc.-ICD-9
17. Other Diag. 2 Code & Desc.-ICD-9
18. Other Diag. 3 Code & Desc.-ICD-9
19. Other Diag. 4 Code & Desc.-ICD-9
20. Prin. Proc. Code & Desc.-ICD-9
21. Other Proc. 1 Code & Desc.-ICD-9
22. Other Proc. 2 Code & Desc.-ICD-9
23. Other Proc. 3 Code & Desc.-ICD-9
24. Other Proc. 4 Code & Desc.-ICD-9
25. Proc. 1 Code & Desc.-HCPCS/CPT4
26. Proc. 2 Code & Desc.-HCPCS/CPT4
27. Proc. 3 Code & Desc.-HCPCS/CPT4
28. Proc. 4 Code & Desc.-HCPCS/CPT4
29. Method of Anesthesia
30. Patient Disposition
31. Type of Bill
32. Principal Reimbursement
33. OR Time or Charge
34. Operating Physician License
Actual listings vary by state.
will give you a year to year comparison across all the indicators tracked.
Use this data to access your changing market position, spot trends in utilization
or reimbursement, or evaluate the impact in changes in your practice such
as new office locations or affiliations. Reports for 1997, 1998 and 1999
will be available with subsequent years to follow. Each new year's report
gives you a clearer perspective on key trends. More current quarterly reports
also will be available. Profile content and availability may vary by state
fees range from $549.95 for an annual Compliance Report which includes all
6 profiles, to $1,149.95 for two consecutive annual Compliance Reports and
Trend Analyses. Reports are available for individual physicians and groups
of physicians. Discounted rates are available for group purchases. Individual
profiles are also available.
saves you time and money. A rapid scan provides relevant information at
a fraction of the cost of acquiring and analyzing the data yourself.
HMS Associates, a Buffalo New York-based health
care consulting firm was established in 1990. HMS Associates has conducted
numerous analytical studies for health care institutions, practitioners,
academia, and branches of local, state and federal government. Gregory Bonk,
founder of HMS Associates, has been a clinical instructor at the State University
of New York at Buffalo, School of Medicine and Biomedical Sciences since
1989 and has authored a variety of publications.
Information sources for Physician Analytics
are hospital reports in state databases. Although not warranted or guaranteed
by HMS Associates, this data set is among the most authoritative information
available on ambulatory surgery utilization. Physician Analytics
Compliance Reports for inpatient service are also available.
Compliance Reports are ready references on your practice patterns which
will give you:
also comes with a money- back guarantee. If you are not satisfied with the
report, return it within 30 days of receipt and receive a full refund.
HMS AssociatesSuite B, Box 3742280 Millersport HighwayGetzville, NY 14068
Tel. (716) 688 - 8448Fax (716) 688 - 0395Toll Free (877)
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