Aetna Health care providers

Benchmark performance management helps toBilling Precision services for more than six months and
establish, Aetna Health care providersare more than two hundred claims in their current
, industry standards objective. Providers of medicalaccounts receivables.
services can use benchmarking to evaluate theUpdate billing cycle accurate updates its index on a
performance of their billing service and measure theirmonthly basis. Volume weighted BPI is volume
improvement over time. This article presents aweighted, which is important to manage the future
prototype for a rule-based index of chiropractic,growth of the information provided, the combinations
including its coverage definition,, Aetna Health careof index and sensitivity among the indices. The
providersinformation provided BPI calculates the percentage of
, update cycle, weight volume, and the informationclaims exceeding 120 days. Note that the national
provided.average in all medical specialties of percent of claims
Current (June 2006) Billing Precision Index (BPI) is 18,beyond 120 days is equal to 17.
which means that the average top ten taxpayers7%. Summary Medical Billing Performance Index helps
benefits of working with clients BPI have 18% of claimsthe development of industry standards for billing.
exceeding 120 days. This is a key feature of theProviders of medical services can use the index to
performance of billing, since it is a proxy of claims thatevaluate its performance billing and guide its
are never paid. Obviously, the lower the index theimprovement over time. Rule-based index definition
better the performance of billing. The following tableallows for the inclusion and the automatic exclusion of
also lists the top ten results of the taxpayers and theirpayers in the index based on payer attributes, such as
relative index as recorded in the billing systemthe number of claims processed, the accounts
Precision (BillingPrecision.com). Billing Precision Index 18receivables of the distribution, mix of some CPT
Benesight 5 Blue Cross Blue Shield Florida 5 Florida 7codes, or patient demographics.
Medicare United Health Care 8 Oxford 11 CignaIndex payer provides billing for management process
Medicare 13 New Jersey 17 Horizon 18 Aetna 21improvement. Yuval Lirov, PhD, author of "Mission
Texas 33 Blue Cross Blue Shield Insurance BPI isCritical Systems Management" (Prentice Hall, 1997),
based on rules, or participation in agency the secondinventor of multiple patents in artificial intelligence and
index, Aetna Health care providerscomputer security, billing and CEO Technologies.
, is defined by rules dynamically at the time ofVericle, Aetna Health care providers
calculation and not a static list of specific taxpayers., offers comprehensive practice workflow engine that
Therefore, any specific agency may start orintegrates patient scheduling, electronic medical records
discontinue participation index, dependent on(EMR), billing, transcription and compliance
satisfaction of the conditions of rule. Current selectionmanagement.
of payers for participation in the BPI is based on TopImprove billing performance and reduce the risk of
Fifty-volume, Aetna Health care providersaudit.
, providers in the United States that have received