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Example of a Clinical KPI Dashboard

What is a Clinical KPI Dashboard?

Clinical Dashboards are considered operational analysis tools and are used by hospital executives to track important patient management metrics. Some of the main functionality in this type of dashboard is that it provides analysis from these six perspectives: 1) Number of admissions per Diagnostic Related Group (DRG), 2) Number of readmissions by DRG, 3) Average charge by DRG, 4) Monthly trend in admissions and readmissions, 5) Average length of stay (ALOS), and 6) Count by patient type. You find an example of this type of dashboard below.

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Purpose of Clinical Dashboards

Healthcare organizations use Clinical Dashboards to monitor essential patient statists and metrics. When used as part of good business practices in executive departments, an organization can improve its efficiency and patient-related improvement strategies, and it can reduce the chances that leaders miss key trends or anomalies, resulting in sub-par decision-making.

Example of a Clinical KPI Dashboard

Here is an example of a Clinical Dashboard for healthcare providers.

Health – Clinical Dashboard

You can find hundreds of additional examples here

Who Uses This Type of Dashboard?

The typical users of this type of dashboard are: Chief physician, CEOs, CFOs, management.

Other Reports Often Used in Conjunction with Clinical Dashboards

Progressive executive departments sometimes use several different Clinical Dashboards, along with financial statements, claims reports, claims dashboards, executive dashboards, clinical reports and other management and control tools.

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Where Does the Data for Analysis Originate From?

The Actual (historical transactions) data typically comes from patient systems and enterprise resource planning (ERP) systems like: Microsoft Dynamics 365 (D365) Finance, Microsoft Dynamics 365 Business Central (D365 BC), Microsoft Dynamics AX, Microsoft Dynamics NAV, Microsoft Dynamics GP, Microsoft Dynamics SL, Sage Intacct, Sage 100, Sage 300, Sage 500, Sage X3, SAP Business One, SAP ByDesign, Acumatica, Netsuite and others.

In analyses where budgets or forecasts are used, the planning data most often originates from in-house Excel spreadsheet models or from professional corporate performance management (CPM/EPM) solutions.

What Tools are Typically used for Reporting, Planning and Dashboards?

Examples of business software used with the data and ERPs mentioned above are:

  • Native ERP report writers and query tools
  • Spreadsheets (for example Microsoft Excel)
  • Corporate Performance Management (CPM) tools (for example Solver)
  • Dashboards (for example Microsoft Power BI and Tableau)

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Example of a Claims Dashboard for Healthcare Providers

What is a Claims Dashboard?

Claims Dashboards are considered operational analysis tools and are used by CFOs and claims managers to monitor claims metrics. Some of the main functionality in this type of dashboard is that it provides claims analysis from these six perspectives: 1) Number of claims versus claims paid per payor, 2) Claims rejections by payor, 3) Top payors ranked by reimbursement, 4) Number of claims versus claims paid – monthly trend, 5) Accounts receivable – monthly trend, and 6) Top physicians ranked by percent of claims paid. You find an example of this type of dashboard below.

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Purpose of Healthcare Claims Dashboards

Healthcare organizations use Claims Dashboards to analyze how-, by whom- when- and if their billings get paid. When used as part of good business practices in Financial Planning & Analysis (FP&A) departments, an organization can improve its strategies to claims payments and reimbursements, and it can reduce the chances that managers miss important factors affecting claims with resulting lost revenues.

Example of a Healthcare Claims Dashboard

Here is an example of a Claims Dashboard for healthcare providers with trends and comparisons.

Example of a Claims Dashboard for Healthcare Providers

Example of a Claims Dashboard for Healthcare Providers

You can find hundreds of additional examples here

Who Uses This Type of Dashboard?

The typical users of this type of dashboard are: Executives, CFOs, analysts, claims managers, receivables and collections managers.

Other Reports Often Used in Conjunction with Healthcare Claims Dashboards

Progressive Financial Planning & Analysis (FP&A) departments sometimes use several different Healthcare Claims Dashboards, along with AR reports, claims reports, billing reports, cash flow reports, profit & loss reports, balance sheets and other management and control tools.

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Where Does the Data for Analysis Originate From?

The Actual (historical transactions) data typically comes from enterprise resource planning (ERP) systems like: Microsoft Dynamics 365 (D365) Finance, Microsoft Dynamics 365 Business Central (D365 BC), Microsoft Dynamics AX, Microsoft Dynamics NAV, Microsoft Dynamics GP, Microsoft Dynamics SL, Sage Intacct, Sage 100, Sage 300, Sage 500, Sage X3, SAP Business One, SAP ByDesign, Acumatica, Netsuite and others.

In analyses where budgets or forecasts are used, the planning data most often originates from in-house Excel spreadsheet models or from professional corporate performance management (CPM/EPM) solutions.

What Tools are Typically used for Reporting, Planning and Dashboards?

Examples of business software used with the data and ERPs mentioned above are:

  • Native ERP report writers and query tools
  • Spreadsheets (for example Microsoft Excel)
  • Corporate Performance Management (CPM) tools (for example Solver)
  • Dashboards (for example Microsoft Power BI and Tableau)

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Corporate Performance Management (CPM) Cloud Solutions and More Examples

Example of a Revenue Dashboard for Healthcare Providers

What is a Revenue Dashboard?

Revenue Dashboards for healthcare providers are considered performance analysis tools and are used by Executives and CFOs to monitor revenues metrics. Some of the main functionality in this type of dashboard is that it gives users a very easy and clean interface to review: 1) Revenue by patient type, 2) Revenue by facility, and 3) Monthly revenue trend with actual and budget comparison. The filters enable users to slice the visuals into more granular data. You find an example of this type of dashboard below.

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Purpose of Revenue Dashboards for Healthcare Providers

Healthcare organizations use Revenue Dashboards to analyze trends and comparisons of income by patient type and from different facilities. When used as part of good business practices in a Financial Planning & Analysis (FP&A) department, an organization can improve its revenue generating strategies, and it can reduce the chances that important trends are missed with resulting impact on margins and surplus/deficit.

Example of a Revenue Dashboard for a Healthcare Provider

Here is an example of a Revenue Dashboard for healthcare providers with trends and budget comparison.

Example of a Revenue Dashboard for Healthcare Providers

Example of a Revenue Dashboard for Healthcare Providers

You can find hundreds of additional examples here

Who Uses This Type of Dashboard?

The typical users of this type of dashboard are: Executives, CFOs, analysts.

Other Reports Often Used in Conjunction with Revenue Dashboards

Progressive Financial Planning & Analysis (FP&A) departments sometimes use several different Revenue Dashboards, along with profit & loss reports, balance sheets, cash flow statements, annual budgets and forecasts, billing dashboards, detailed revenue reports and other management and control tools.

Solver for Healthcare Providers

Where Does the Data for Analysis Originate From?

The Actual (historical transactions) data typically comes from enterprise resource planning (ERP) systems like: Microsoft Dynamics 365 (D365) Finance, Microsoft Dynamics 365 Business Central (D365 BC), Microsoft Dynamics AX, Microsoft Dynamics NAV, Microsoft Dynamics GP, Microsoft Dynamics SL, Sage Intacct, Sage 100, Sage 300, Sage 500, Sage X3, SAP Business One, SAP ByDesign, Acumatica, Netsuite and others.

In analyses where budgets or forecasts are used, the planning data most often originates from in-house Excel spreadsheet models or from professional corporate performance management (CPM/EPM) solutions.

What Tools are Typically used for Reporting, Planning and Dashboards?

Examples of business software used with the data and ERPs mentioned above are:

  • Native ERP report writers and query tools
  • Spreadsheets (for example Microsoft Excel)
  • Corporate Performance Management (CPM) tools (for example Solver)
  • Dashboards (for example Microsoft Power BI and Tableau)

Automate Your Healthcare Operations

Corporate Performance Management (CPM) Cloud Solutions and More Examples

Example of a CFO Dashboard for Healthcare Providers

What is a CFO Dashboard for Healthcare Providers?

CFO Dashboards are considered financial analysis tools and are used by CFOs and analysts to monitor key financial metrics. Some of the main functionality in this dashboard is that it provides analysis from eight different perspectives, including: 1) Actual and budgeted revenues by GL account, 2) Top 5 expenses – actual and budget, 3) Revenue by facility – actual and budget, 4) Accounts receivable (AR) – monthly trend, 5) Revenues – monthly trend with actual and budget comparison, 6) Expenses – monthly trend with actual and budget comparison, 7) Actual and budgeted expenses by facility, and 8) Bad debt – monthly trend. The user can filter on month and year on the top of the dashboard. You find an example of this type of dashboard below.

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Purpose of Healthcare CFO Dashboards

Healthcare organizations use Healthcare CFO Dashboards to track financial trends and budget variances. When used as part of good business practices in Financial Planning & Analysis (FP&A) departments, an organization can improve its decision-making speed, and it can reduce the chances that key financial issues goes undetected longer then necessary.

Example of a Healthcare CFO Dashboard

Here is an example of a CFO Dashboard for healthcare providers with financial trends and budget comparisons.

Example of a CFO Dashboard for Healthcare Providers

Example of a CFO Dashboard for Healthcare Providers

You can find hundreds of additional examples here

Who Uses This Type of Dashboard?

The typical users of this type of dashboard are: Executives, CFOs, analysts, controllers.

Other Reports Often Used in Conjunction with Healthcare CFO Dashboards

Progressive Financial Planning & Analysis (FP&A) departments sometimes use several different Healthcare CFO Dashboards, along with profit & loss reports, balance sheets, cash flow statements, annual budgets and forecasts, AR aging reports, bad debt reports and other management and control tools.

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Where Does the Data for Analysis Originate From?

The Actual (historical transactions) data typically comes from enterprise resource planning (ERP) systems like: Microsoft Dynamics 365 (D365) Finance, Microsoft Dynamics 365 Business Central (D365 BC), Microsoft Dynamics AX, Microsoft Dynamics NAV, Microsoft Dynamics GP, Microsoft Dynamics SL, Sage Intacct, Sage 100, Sage 300, Sage 500, Sage X3, SAP Business One, SAP ByDesign, Acumatica, Netsuite and others.

In analyses where budgets or forecasts are used, the planning data most often originates from in-house Excel spreadsheet models or from professional corporate performance management (CPM/EPM) solutions.

What Tools are Typically used for Reporting, Planning and Dashboards?

Examples of business software used with the data and ERPs mentioned above are:

  • Native ERP report writers and query tools
  • Spreadsheets (for example Microsoft Excel)
  • Corporate Performance Management (CPM) tools (for example Solver)
  • Dashboards (for example Microsoft Power BI and Tableau)

Automate Your Healthcare Operations

Corporate Performance Management (CPM) Cloud Solutions and More Examples

Example of a CEO Dashboard for Healthcare Providers

What is a CEO Dashboard for Healthcare Providers?

CEO Dashboards are considered executive business monitoring tools and are used by CEOs and other leaders to keep an eye on top level key performance indicators (KPIs). Some of the main functionality in this type of dashboard is that it provides analysis from eight different perspectives, including: 1) Actual and budgeted revenues by GL account, 2) Monthly trend in number of claims versus claims paid, 3) Patient population by type, 4) Patient satisfaction by facility (clinic or hospital), 5) Monthly revenue trend with actual and budget comparison, 6) Monthly expense trend with actual and budget comparison, 7) Average length of stay (ALOS) – monthly trend, and 8) Monthly supplier quality trend. The user can filter on month and year on the top of the dashboard. You find an example of this type of dashboard below.

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Purpose of Healthcare CEO Dashboards

Healthcare providers use CEO Dashboards to give executives an easy and interactive way to analyze the organization’s performance. When used as part of good business practices in Financial Planning & Analysis (FP&A) and executive departments, an organization can improve its strategic decisions, and it can reduce the chances that leaders lack important and real-time insights.

Example of a Healthcare CEO Dashboard

Here is an example of a CEO Dashboard for healthcare providers with KPI trends and variance analysis.

Example of a CEO Dashboard for Healthcare Providers

Example of a CEO Dashboard for Healthcare Providers

You can find hundreds of additional examples here

Who Uses This Type of Dashboard?

The typical users of this type of dashboard are: Executives, CEOs, CFOs, analysts, board members.

Other Reports Often Used in Conjunction with Healthcare CEO Dashboards

Progressive Financial Planning & Analysis (FP&A) and executive departments sometimes use several different Healthcare CEO Dashboards, along with profit & loss reports, balance sheets, cash flow statements, annual budgets and forecasts, revenue dashboards, scorecards and other management and control tools.

Solver for Healthcare Providers

Where Does the Data for Analysis Originate From?

The Actual (historical transactions) data typically comes from enterprise resource planning (ERP) systems like: Microsoft Dynamics 365 (D365) Finance, Microsoft Dynamics 365 Business Central (D365 BC), Microsoft Dynamics AX, Microsoft Dynamics NAV, Microsoft Dynamics GP, Microsoft Dynamics SL, Sage Intacct, Sage 100, Sage 300, Sage 500, Sage X3, SAP Business One, SAP ByDesign, Acumatica, Netsuite and others.

In analyses where budgets or forecasts are used, the planning data most often originates from in-house Excel spreadsheet models or from professional corporate performance management (CPM/EPM) solutions.

What Tools are Typically used for Reporting, Planning and Dashboards?

Examples of business software used with the data and ERPs mentioned above are:

  • Native ERP report writers and query tools
  • Spreadsheets (for example Microsoft Excel)
  • Corporate Performance Management (CPM) tools (for example Solver)
  • Dashboards (for example Microsoft Power BI and Tableau)

Automate Your Healthcare Operations

Corporate Performance Management (CPM) Cloud Solutions and More Examples

Example of a Payroll Budget Report by Department for a Healthcare Provider

What is a Payroll Budget Report by Department?

Payroll budget reports are considered powerful budget analysis and staff planning tools and are used by Budget Managers and CFOs to review total budgeted compensation and headcount. Some of the main functionality in this type of personnel report is that it displays all employees and a breakdown of their budgeted compensation. The employees are grouped by department with sub-totals and a grand total for the organization. The columns display the base salary as well as additional compensation for shifts, weekend, overtime, etc. You find an example of this type of personnel report below.

Purpose of Detailed Payroll Budget Reports

Healthcare providers use Detailed Payroll Budget Reports to perform in-depth analysis of personnel expenses at the end of a budget process. When used as part of good business practices in Budgeting and  FP&A departments, an organization can improve its budget approval process and staff-related planning as well as reduce the chances that budgets are not accurate due to oversights in the planning process.

Detailed Payroll Budget Report Example

Here is an example of a Payroll Budget Report with employees and their compensation expenses grouped by department.

Example of a Payroll Budget Report by Department for a Healthcare Provider

Example of a Payroll Budget Report by Department for a Healthcare Provider

You can find hundreds of additional examples here

Who Uses This Type of Personnel Report?

The typical users of this type of personnel report are: Budget managers, CFOs, analysts, department heads.

Other Personnel Reports Often Used in Conjunction with Detailed Payroll Budget Reports

Progressive Budgeting & FP&A departments sometimes use several different Detailed Payroll Budget Reports, along with financial statements with summary budgets, actual payroll reports, staffing plans, budget dashboards and other management and control tools.

Where Does the Data for Analysis Originate From?

The Actual (historical transactions) data typically comes from management systems or enterprise resource planning (ERP) systems like: Microsoft Dynamics 365 (D365) Finance, Microsoft Dynamics 365 Business Central (D365 BC), Microsoft Dynamics AX, Microsoft Dynamics NAV, Microsoft Dynamics GP, Microsoft Dynamics SL, Sage Intacct, Sage 100, Sage 300, Sage 500, Sage X3, SAP Business One, SAP ByDesign, Acumatica, Netsuite and others.

In analyses where budgets or forecasts are used, the planning data most often originates from in-house Excel spreadsheet models or from professional corporate performance management (CPM/EPM) solutions.

What Tools are Typically used for Reporting, Planning and Dashboards?

Examples of business software used with the data and ERPs mentioned above are:

  • Native ERP report writers and query tools
  • Spreadsheets (for example Microsoft Excel)
  • Corporate Performance Management (CPM) tools (for example Solver)
  • Dashboards (for example Microsoft Power BI and Tableau)

Corporate Performance Management (CPM) Cloud Solutions and More Examples

Example of a Profit & Loss Report with KPIs for a Healthcare Provider

What is a Profit & Loss Report with KPIs?

Profit & Loss (P&L) reports with KPIs are considered powerful monthly management analysis tools and are used by CFOs and other executives to analyze both financial and operational performance in a single view. Some of the main functionality in this type of dashboard report is that it uses parameters so the user can run it for any month and one or many facilities. The top section shows two KPIs: 1) Total admits and 2) Average patient charge. The middle section shows summary P&L rows and each row can be expanded to see the underlying general ledger (GL) accounts and amounts. The bottom of the report displays additional KPIs for Discharges and RVUs, as well as two charts for graphical analysis. You find an example of this type of dashboard report below.

Purpose of P&L Report with KPIs

Healthcare providers use P&L Report with KPIs to provide executives with an easy to read format that offers essential performance information. When used as part of good business practices in a Financial Planning & Analysis (FP&A) department, an organization can improve its decision-making capabilities as well as reduce the chances that managers miss the big picture with too many detailed reports being put in front of them every month.

P&L Report with KPI Example

Here is an example of a Monthly Profit & Loss Financial Report that includes KPIs for the current month and year-to-date.

Example of a Profit & Loss Report with KPIs for a Healthcare Provider

Example of a Profit & Loss Report with KPIs for a Healthcare Provider

You can find hundreds of additional examples here

Who Uses This Type of Dashboard report?

The typical users of this type of dashboard report are: Boards, CFOs, COOs, group controllers and analysts.

Other Reports Often Used in Conjunction with P&L Report with KPIs

Progressive Financial Planning & Analysis (FP&A) departments sometimes use several different P&L Reports with KPIs, along with Financial dashboards, trend reports, balance sheets, cash flow statements and other management and control tools.

Where Does the Data for Analysis Originate From?

The Actual (historical transactions) data comes from management systems or enterprise resource planning (ERP) systems like: Microsoft Dynamics 365 (D365) Finance, Microsoft Dynamics 365 Business Central (D365 BC), Microsoft Dynamics AX, Microsoft Dynamics NAV, Microsoft Dynamics GP, Microsoft Dynamics SL, Sage Intacct, Sage 100, Sage 300, Sage 500, Sage X3, SAP Business One, SAP ByDesign, Acumatica, Netsuite and others.

In analyses where budgets or forecasts are used, the planning data most often originates from in-house Excel spreadsheet models or from professional corporate performance management (CPM/EPM) solutions.

What Tools are Typically used for Reporting, Planning and Dashboards?

Examples of business software used with the data and ERPs mentioned above are:

  • Native ERP report writers and query tools
  • Spreadsheets (for example Microsoft Excel)
  • Corporate Performance Management (CPM) tools (for example Solver)
  • Dashboards (for example Microsoft Power BI and Tableau)

Corporate Performance Management (CPM) Cloud Solutions and More Examples

Consolidated Profit & Loss Report for a Healthcare Provider

What is a Consolidated Profit & Loss Report ?

Consolidated profit & loss (P&L) reports are considered essential monthly reports for healthcare groups and are used by Boards, CFOs and Controllers to review monthly aggregate results. Some of the main functionality in this type of financial report is that it is parameter driven and the user can run it for divisions as well as the top consolidated level in the organization. The individual clinics/locations will dynamically expand across the columns with a consolidated total on the far right. The rows are organized in a typical P&L layout, showing revenues, expenses, margins and net profit (loss). You find an example of this type of financial report below.

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Purpose of Consolidated Profit & Loss Reports

Healthcare providers use Consolidated Profit & Loss Reports to provide healthcare executives at the group level with a clear view of consolidated results while at the same time seeing how each clinic individually is contributing. When used as part of good business practices in a Financial Planning & Analysis (FP&A) department, an organization can improve its profitability and financial performance communication as well as reduce the chances that executives make slower or sub-optimal decisions because they don’t easily see each location’s contribution to consolidated results.

Consolidated Profit & Loss Report Example

Here is an example of a Consolidated Profit & Loss Report for a healthcare provider group and it’s clinics.

Consolidated Profit & Loss Report for a Healthcare Provider

Consolidated Profit & Loss Report for a Healthcare Provider

 

You can find hundreds of additional examples here

Who Uses This Type of Financial report?

The typical users of this type of financial report are: Boards, CFOs, group controllers.

Other Financial Reports Often Used in Conjunction with Consolidated Profit & Loss Reports

Progressive Financial Planning & Analysis (FP&A) departments sometimes use several different Consolidated Profit & Loss Reports, along with KPI and financial dashboards, variance and trend reports, balance sheets, cash flow statements and other management and control tools.

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Where Does the Data for Analysis Originate From?

The Actual (historical transactions) data comes from enterprise resource planning (ERP) systems like: Microsoft Dynamics 365 (D365) Finance, Microsoft Dynamics 365 Business Central (D365 BC), Microsoft Dynamics AX, Microsoft Dynamics NAV, Microsoft Dynamics GP, Microsoft Dynamics SL, Sage Intacct, Sage 100, Sage 300, Sage 500, Sage X3, SAP Business One, SAP ByDesign, Acumatica, Netsuite and others.

In analyses where budgets or forecasts are used, the planning data most often originates from in-house Excel spreadsheet models or from professional corporate performance management (CPM/EPM) solutions.

What Tools are Typically used for Reporting, Planning and Dashboards?

Examples of business software used with the data and ERPs mentioned above are:

  • Native ERP report writers and query tools
  • Spreadsheets (for example Microsoft Excel)
  • Corporate Performance Management (CPM) tools (for example Solver)
  • Dashboards (for example Microsoft Power BI and Tableau)

Automate Your Healthcare Operations

Corporate Performance Management (CPM) Cloud Solutions and More Examples

Statement of Operations Report Example for a Healthcare Provider

What is a Statement of Operations?

Statement of Operations reports with multi-year KPIs are considered powerful monthly management reports and are used by Boards, CFOs and other executives to see a current Profit & Loss overview along with a three year picture of key performance indicators (KPIs). Some of the main functionality in this type of innovative monthly report is that it uses parameters that provide on-demand choices of period and organizational units to include. Across the columns it dynamically lists each month of the year up to the current period. The far right shows the total year-to-date (YTD) figures as well as the average monthly performance. The top portion of the rows shows two metrics: Patient volume and Average patient charge. Following that you see a typical Profit & Loss layout with revenues, expenses and net income. At the bottom of the report there are KPI sections for the current year as well as the two prior years. You find an example of this type of innovative monthly report below.

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Purpose of Statement of Operations Reports

Healthcare providers use Statement of Operations Reports to offer managers a single tool to make it easy to analyze monthly financial results along with multi-year KPI performance. When used as part of good business practices in a Financial Planning & Analysis (FP&A) department, an organization can improve its strategies and decision-making as well as reduce the chances that executives don’t easily see the big, multi-year picture while analyzing current year and monthly results.

Statement of Operations Report Example

Here is an example of a Statement of Operations with financial results for current year periods as well as three years of monthly and YTD KPIs.

Statement of Operations Report Example for a Healthcare Provider

Statement of Operations Report Example for a Healthcare Provider

You can find hundreds of additional examples here

Who Uses This Type of Monthly Report?

The typical users of this type of innovative monthly report are: Boards, CFOs, COOs, group controllers and analysts.

Other Monthly Reports Often Used in Conjunction with Statement of Operations Reports

Progressive Financial Planning & Analysis (FP&A) departments sometimes use several different Statement of Operations Reports, along with KPI and financial dashboards, variance reports, balance sheets, cash flow statements and other management and control tools.

Solver for Healthcare Providers

Where Does the Data for Analysis Originate From?

The Actual (historical transactions) data typically comes from management systems and enterprise resource planning (ERP) systems like: Microsoft Dynamics 365 (D365) Finance, Microsoft Dynamics 365 Business Central (D365 BC), Microsoft Dynamics AX, Microsoft Dynamics NAV, Microsoft Dynamics GP, Microsoft Dynamics SL, Sage Intacct, Sage 100, Sage 300, Sage 500, Sage X3, SAP Business One, SAP ByDesign, Acumatica, Netsuite and others.

In analyses where budgets or forecasts are used, the planning data most often originates from in-house Excel spreadsheet models or from professional corporate performance management (CPM/EPM) solutions.

What Tools are Typically used for Reporting, Planning and Dashboards?

Examples of business software used with the data and ERPs mentioned above are:

  • Native ERP report writers and query tools
  • Spreadsheets (for example Microsoft Excel)
  • Corporate Performance Management (CPM) tools (for example Solver)
  • Dashboards (for example Microsoft Power BI and Tableau)

Automate Your Healthcare Operations

Corporate Performance Management (CPM) Cloud Solutions and More Examples

Claims by Payor Report Example for a Healthcare Provider

What is a Claims by Payor Report?

Claims by payor reports are considered operational reports and are used by CFOs, accountants and claims managers to analyze claims statistics and related charges and reimbursements. Some of the main functionality in this type of report is that it shows claims-related information by employee and insurance provider (payor). The metrics include charges, reimbursements, # of claims, # of claims paid, and % of claims paid. All figures roll up to totals by payor. You find an example of this type of report below.

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Purpose of Claims by Payor Reports

Healthcare providers use Claims by Payor Reports to provide managers with a clear understanding of how many claims are paid and how much of their charges are reimbursed. When used as part of good business practices in a Financial Planning & Analysis (FP&A) department, a healthcare organization can improve its revenues and claims processes as well as reduce the chances that financial results suffer as a result of poor insight to claims metrics.

Claims by Payor Report Example

Here is an example of a Claims by Payor Report with charges, reimbursements and claims metrics.

Claims by Payor Report Example for a Healthcare Provider

Claims by Payor Report Example for a Healthcare Provider

You can find hundreds of additional examples here

Who Uses This Type of Report?

The typical users of this type of report are: CFOs, revenue officers, collections managers, analysts, accountants, claims managers.

Other Reports Often Used in Conjunction with Claims by Payor Reports

Progressive Financial Planning & Analysis (FP&A) departments sometimes use several different Claims by Payor Reports, along with claims dashboards, detailed claims reports and other management and control tools.

Solver for Healthcare Providers

Where Does the Data for Analysis Originate From?

The Actual (historical transactions) data typically comes from specialized claims systems or enterprise resource planning (ERP) systems like: Microsoft Dynamics 365 (D365) Finance, Microsoft Dynamics 365 Business Central (D365 BC), Microsoft Dynamics AX, Microsoft Dynamics NAV, Microsoft Dynamics GP, Microsoft Dynamics SL, Sage Intacct, Sage 100, Sage 300, Sage 500, Sage X3, SAP Business One, SAP ByDesign, Acumatica, Netsuite and others.

In analyses where budgets or forecasts are used, the planning data most often originates from in-house Excel spreadsheet models or from professional corporate performance management (CPM/EPM) solutions.

What Tools are Typically used for Reporting, Planning and Dashboards?

Examples of business software used with the data and ERPs mentioned above are:

  • Native ERP report writers and query tools
  • Spreadsheets (for example Microsoft Excel)
  • Corporate Performance Management (CPM) tools (for example Solver)
  • Dashboards (for example Microsoft Power BI and Tableau)

Automate Your Healthcare Operations

Corporate Performance Management (CPM) Cloud Solutions and More Examples