Cost and Profitability Reporting

Within the Revenue Cycle module in the RAPID application are four Charge vs. Cost Analysis reports covering per Bar Procedure, by Attending Provider, by Surgical Provider and by CPT Procedure. Advantages of these reports are speed, flexibility, and ease of use. Report run times are measured in seconds as opposed to hours and the user has the flexibility to quickly summarize data output by different criteria such as Charge Group and Charge Subgroup (UB Charge Category).

These types of reports are useful not only for Financial leaders in the organization but also for department heads keeping up with charge/cost volumes relating to services their departments provide. Two examples are included below, one for a Radiology department breakdown by modality and another for a breakdown by Surgical Providers where the output shows charges/cost per provider broken down by the different functional areas of the hospital.

Once the end user is at the BAR Procedure level of the report output, drilldown from the number of billable transactions to a list of patients that had that charge as part of their record is available, including charge reversals.

The driving reason for generating cost of BAR Procedures into the system is to be able to calculate profitability at various levels. There are three Profitability reports in RAPID for doing so. Two of those reports allow the user to drill down to patient level information regardless of Patient Status (Views). One of these two reports is target to inpatients. The user can create report output that summarizes inpatient profitability by Attending Provider and DRG. The other report can be used for any patient status, i.e. by Emergency Room Providers.