Practice Intel:

Introduction to Practice Intel

How to Navigate:

Use the Navigation Bar on the left hand side to choose which dashboard you would like to see.

Filters:

The user can see specific data by selecting filters to narrow focus. Filters are a powerful feature to allow the user to analyze the information however they’d like. 

Month / Week toggle:

Some screens may have the ability to show the graphs compared by months or weeks. Depending on your data refresh cadence, this option may not be displayed.

What is included:

In this section we’ll document each of the tabs in the platform, a basic description of what you’ll find, how it is measured, and the significance of each.

Home

• Insights: Quick information on trending data in their clinic/company.
  • This data is updated every time there is new data refreshed in the dashboard. You will be able to see trends that are improving and trends that need attention.
  • We designed this portion of the dashboard to allow for a quick glimpse of new data without having to comb the entire dashboard. This is helpful for busy Clinic Directors or Business Owners to know where to give their attention to make changes in their company or give kudos to their team
• Focused Snapshot: Aggregated information on an individual provider.
  • This data is pulled from multiple places in the dashboard and designed to show progress over time for the clinic or individual provider. Compliance information with Areas of Strength and Areas of Improvement as well as Operational information will be visible in this section of the dashboard.
  • This is an extremely valuable tool for leaders in your organization because it is designed to be provider facing and assist in giving objective data to your therapists and clinic managers to improve their compliance and operational performance.

Documentation Compliance

• Audit Score 
  • How is the Note Audit Score measured? The 0-100 numerical score provided to each therapist is an average of how well they are performing in terms of compliance on their documentation. The standards are based on a combination of Medicare requirements and APTA best practices. The score reflects what should be in a note to prove medical necessity. The score is calculated by our AI which analyzes each note, sentence by sentence, and labels the information in the sentence. Those labels are further categorized into 20+ component categories which are given weights and together comprise the final score.
  • This is extremely valuable to find areas of compliance risk for your company and take corrective action to reduce your risk of audits.
  • For a deeper dive into how the scoring system works click on this link.
• Detailed Provider Scores 
  • This data is represented in the same 0-100 score for each component of every note type.
  • This section allows for leadership to drill down to the area of risk for each individual therapist. 
• Copy Forward
  • Copy Forward is the percentage of words in a note a therapist copied from the previous note. In Practice Intel, this measurement excludes text carried through by default in the EMR, such as headers.
  • This is important because information copied forward can be an audit risk and is often missed by internal reviews. Additionally, those therapists that are copying forward information at a rate far below their peers may actually be doing more updating of their notes than is required to remain compliant.
• Over/Under-Documentation
  • Under-Documentation
    • Denotes the percentage of notes where a section of a therapist's documentation was missing necessary compliance information.
    • Inadequately documented notes can result in a compliance flag as well as claim denials.
  • Over-Documentation
    • Our AI analyzes this metric by comparing your documentation against a human validated set of compliant and concisely written notes
    • Denotes the percentage of notes where a section of a therapist's documentation had more information than was necessary.
    • Over-documentation can disprove medical necessity and wastes time for therapists that affects their ability to see additional patients and quality of life.

Practice Optimization

• General Practice Metrics 
  • This data is measured by using structured information such as number of visits, units/visits and other structured data points.
  • Our clients find this very valuable as they are able to analyze general metrics data in the same place as compliance, operational information and clinical excellence. These metrics are all vital to running a successful practice and Practice Intel provides a place to see them all on one platform.
• Charge Capture Diversity 
  • These insights are measured by pulling structured data from the documentation on what CPT codes (units and minutes) were billed.
  • This is extremely valuable as it gives visibility into CPT code diversification and use of higher paying codes vs lower paying codes. You will be able to identify clinics and therapists in need of coaching in proper use of CPT codes. Also, understand which clinics and therapists are over utilizing modalities relative to their peers as well as spending too much time on untimed codes.
• Payer Diversity
  • We show this data for the top 25 payers, but if exported as a CSV, you can see all the data for the entire list of payers. You can also filter on individual insurance plans.
  • This is valuable information, and many of our clients use this information to help with payer contract negotiations and ensuring their therapists are billing appropriate codes for individual payers
• Time to Sign Off 
  • This is measured by the time that the note was first signed off. Ex: if a PTA sees a patient and signs the note which then goes to the PT for co-signature - this data point measures the time the PTA signed the note.
  • This is valuable information as it provides insights into how quickly the billing cycle begins and if your therapists are following company expectations for sign off. Being able to identify therapists who are habitually signing notes very late at night allows practice management an opportunity to intervene before burnout sets in.

Clinical Excellence

• Number of Visits in Episodes of Care
  • This is a unique metric and different from visits/eval, because we do not take the simple calculation of number of visits divided by number of evals. We track the number of visits that are directly linked to a single episode of care. Ex: if a patient sees a PT (6 visits) and PTA (5 visits) during their episode of care, both therapists will have this episode as 11 visits per that episode of care. We also present this information per diagnosis, so there is visibility into the clinical performance of individual therapists.
  • This metric is valuable to understand how long the episodes of care are for patients but also to give visibility into where your therapists might need more clinical education. Clients that use this dashboard to help identify where to spend con-ed budgets.
• Evidence-Based Therapy: Lower Back Pain
  • Measured by analyzing unstructured data to determine if special tests for low back pain (filtered by diagnosis M54) are being used. We look for multiple different special tests in this section to determine the utilization rate across providers and clinics.
  • This dashboard is especially useful when looking at Initial Evaluations and Progress Notes and ensuring special tests were performed during those visit types.
  • A link to the specific tests we are measuring for is here.