Provider Power Rankings
We did an education session for a group out in Nashville, Tennessee. We put a team of their providers through the power ranking system, and they saw where they were ranked.
The guys that were up on the top of the provider power ranking list, were showing off their scores. They were absolutely stoked cheering the name of their medical group. They were excited about it.
And then the guys at the bottom, they can click in the software and see where they fall so, they can say “Out of the 35 providers, I'm ranked 30th.” Their low ranking is going to upset them, and they'll enroll in education courses.
They will see what's going on. They know what's wrong. They can go ask for rebuttals on there. They can talk to the auditors back and forth.
They can get better. Then it can be on them to go out and do things to get better, which is awesome.
the ability to log in and look at that and to see where you're ranked is powerful because, for a lot of these providers, those are RVU’s they mean dollars, they mean bonuses. And it's a significant amount of money.
This power ranking system gives your medical service provider the path to increase their performance and get paid for the work that they're doing.
One of the most frustrating things for providers is doing all this work and then spending tremendous time documenting and it's for pennies essentially. This allows Providers to get paid for the work they’re doing.
One thing I've always loved about the Provider Power Rankings is if you get a provider that is on the bottom half of that ranking, they're all in. They want to get educated, they want to come to their sessions, and they want to learn how they can be better at documenting and coding and doing these things the right way so that things can be better in the future.
(CQ) Code Quick Score | Optimize Your Medical Revenue Cycle.
If I were to define the CQ score, it's a letter grade and a number grade just like we all had in school. If it's failing, there might be some compliance issues or some revenue leakages. Other tiles are in the software to help you in other areas, but the Code Quick Score shows you overall, "How are we doing."
I don't think I fully understood the complexity behind it because I've just been so ingrained in the idea of it being an accuracy score. It is way more than that. A lot of times we meet with medical industry executives who don't know a whole lot about coding or how that impacts revenue other than just the bottom line. All they want is a summary.
“Just let me know how we're doing.”
The answer is your CQ score. If I'm an executive for a hospital or medical group and I want to know how my organization is doing, I can look at the CQ score and immediately see trends.
"Why did we dip here? Why are we trending down or going in the wrong direction?"
Through the power of the CQ score, you can instantly determine if your organization is leaving too much money on the table or if you are falling off on your bell curves. It’s the fastest way to have crucial information that gives you a quick way to know how your organization is performing.
Trends are everything. If you don't know where you've been or where you are headed what do you really have? It's not just for your organization. You're going to have trends and a CQ score for each medical department all the way down to each provider.
It gives hospital executives and revenue management a simple visualization of what is going wrong and the corrections to fix it. There's nothing I love more than seeing somebody's quality score take a dip and suddenly, the following month you see new progress based on current data.