Intellect™
SAMPLE MANAGEMENT ANALYSIS UTILIZATION REPORTS
Please note the following:
Occurrence = A count of how many times a procedure was performed. Intellect counts 1 per occurrence (how many times it is posted to the reported item). For example:
| 1. Occurrence 1 date of service (DOS) | = 1 |
| 2. Occurrence for 2 DOS | = 2 |
| Total Occurrence | = 3 |
Patient Count = The number of unique patients.
*Visit = How many times a patient came in during a period.
Scenario A: One patient came in once in January and receives an injection J2001. The occurrence = 1.
Occurrence = 1
Patient Count = 1
Visit = 1
Scenario B: One patient comes in twice in January and receives 2 injections the first visit and 1 injection the second visit.
Occurrence = 3
Patient Count = 1
Visit = 2
* Depending on the grouping on the report, the same visit may fall under multiple groups.
If we add the Visit column, it will be higher than the 'actual' visits. For example, if a Utilization by Procedure Category Report is run, if a patient came in for the following:
100 - Office Visit, the Visit column =1
200 - Lab Work, the Visit column =1
300 - X-ray, the Visit column = 1
So, each visit # in the Visit column is unique to each row; however, under the Total Visits at the bottom of the report, Total Visits would = 1 and not 3 for the patient, because only one patient was seen but charges were posted for the different procedure categories.
The column totals are unique to the report and the Totals at the bottom are unique to the report.
The reports purposefully do not total up the Visit column and the Patient Count. The "real totals" are at the end of the report.
Version 9.12.08 New Column - A column titled Average has been added to all the Utilization reports, with the exception of Report Code W – Diagnosis by Clinic or Single Provider.
The column calculates how long, on average, it has been from the Date of Service to the most recent payment or adjustment posted.
Scroll through the report samples (in order by the <Report Code> drop-down list), OR click on the alphabetized report titles below:
Applicant Attorney - Effective version 15.04.28
Billing Doctor Utilization Chart - Effective version 12.12.06
Board Report - Effective version 15.04.28
Category Utilization by Clinic
Category Utilization by Provider
Category Utilization Chart - Effective version 12.12.06
Claimant Attorney - Effective version 15.04.28
Collection Analysis Chart - Effective version 13.04.10
Collection Analysis Report - Effective version 13.04.10
Defense Attorney - Effective version 15.04.28
DEU Report - Effective version 15.04.28
Diagnosis Utilization - Effective Version 17.06.09 - the ICD9 column heading was changed to ICD10
Employer Utilization by Clinic
Employer Utilization by Provider
Facility Utilization by Clinic
Facility Utilization by Provider
Facility Utilization Chart - Effective version 12.12.06
Insurance Utilization by Clinic
Insurance Utilization by Provider
Monthly Utilization by Provider
Monthly Utilization Chart (ex. Accrual) - Effective version 12.12.06
Panel Utilization by Clinic - Effective version 9.12.12
Panel Utilization by Provider - Effective version 9.12.12
Pay Plan Utilization by Clinic
Pay Plan Utilization by Provider
Procedure Category Utilization by Clinic
Procedure Category Utilization by Provider
Procedure Category Chart (ex. Cash) - Effective version 12.12.06
Procedure/Modifier Utilization by Clinic - Effective version 15.08.06
Procedure/Modifier Utilization by Provider - Effective version 15.08.06
Procedure Utilization by Clinic
Procedure Utilization by Provider
Provider Utilization Chart (ex. Individual Provider & Accrual) - Effective version 12.12.06
Referring Utilization by Clinic
Referring Utilization by Provider
Referring Utilization Chart - Effective version 12.12.06
Utilization Report (ex. by Facility) - Effective version 14.11.19
Utilization Report (ex. by Provider) - Effective version 14.11.19
Yearly Utilization by Provider
Yearly Utilization Chart (ex. Accrual) - Effective version 12.12.06
For information on requesting reports and selecting/filtering data, see:
• Management --►Analysis --►Utilization Report
• Management --►Analysis --►Utilization Report - Field Summary
Effective Version 17.06.09 - the ICD9 column heading was changed to ICD10
Note: The ‘Unknown’ entry indicates there are 257 Worker's Compensation patients with a blank <Applicant Attorney> field on the Worker Insurance screen. In order to not be lumped into the ‘Unknown’ category, the <Applicant Attorney> field has to be filled prior to posting charges.
Note: The ‘Unknown’ entry indicates there are 258 Worker's Compensation patients with a blank <Claimant Attorney> field on the Worker Insurance screen. In order to not be lumped into the ‘Unknown’ category, the <Claimant Attorney> field has to be filled prior to posting charges.
Note: The ‘Unknown’ entry indicates there are 259 Worker's Compensation patients with a blank <Board> field on the Worker Insurance screen. In order to not be lumped into the ‘Unknown’ category, the <Board> field has to be filled prior to posting charges.
Note: The ‘Unknown’ entry indicates there are 261 Worker's Compensation patients with a blank <DEU> field on the Worker Insurance screen. In order to not be lumped into the ‘Unknown’ category, the <DEU> field has to be filled prior to posting charges.
Note: The ‘Unknown’ entry indicates there are 257 Worker's Compensation patients with a blank <Defense Attorney> field on the Worker Insurance screen. In order to not be lumped into the ‘Unknown’ category, the <Defense Attorney> field has to be filled prior to posting charges.