Financial Analytics (PA): CPT Analysis

 

Version 21.3
Path: Tools tab > Reporting button > Financial Analytics > CPT Analysis

When to Use this Report

Use this dashboard to review Charges, Payments, and Adjustments at the CPT level. You can see your Gross Collection Rate and Net Collection Rate for the CPT Category or individual CPT codes. You can compare your E&M CPT codes against all your CPT codes used.

Qualifications/Best Practices

CPT Codes must be tied to a Category. If you don't see a commonly used CPT code in this report, check that it is assigned to a Category.

About CPT Analysis

CPT Category Details List

This dashboard shows the Total Charges, Amount Paid, Amount Adjusted, GCR and NCR for the CPT Category and for each individual CPT Code.

Number

Section Description
1
Location Use this filter to select the Location(s) where the services were performed.
2
Payer Use this filter to select the Payer(s) associated with the claim.
3
Provider Use this filter to select the Provider(s) who performed the service for the appointments.
a
CPT Category This column lists the CPT Category for the codes. Expand or minimize each section by clicking the plus or minus sign next to each category.
b
CPT Code This column shows the CPT codes within the category, with a line for the Totals at the bottom of each CPT Category section.
c
Total CPT Count This column shows the total number of the specified CPT code included in the report.
d
Total Charges This column shows the total charges associated with the specified CPT code.
e
Amount Paid This column shows the total amount paid for the CPT Code.
f
Amount Adjusted This column shows the total amount adjusted for the CPT Code.
g
GCR
h
NCR

CPT Analysis Overview

Each tile is defaulted to show the last 3 months (default filter selected above). You can click the filter icon within each tile to filter differently, or change the dashboard view by selecting the filters at the top of the report.

Amount by CPT Category
Type of report: Line graph
Displays: The volume of the charges, payments, and adjustments by CPT Category
Details: Hover over each point on the graph to see the CPT Category, and the total Charges, Payments, Adjustments and CPT code.

Views: View by CPT Category, CPT Code, Location, Provider or Payer.

Monthly E&M Percentage Analysis Top 10 CPT Codes in Last 6 Months
Type of report: Bar-graph
Displays: Compare your E&M CPT Codes against all your CPT codes.
Details: Hover over each section to see the specific amount per CPT Code for that month.
Type of report: Bar-graph
Displays: Shows the top 10 used CPT Codes.