
Using predictive pricing analytics to model various revenue scenarios is the only proven way to forecast future net revenue accurately.
Our PinPoint algorithm uses predictive pricing analytics to accomplish this, giving CFO’s a powerful statistical tool at budget time or any time of the year.
This will enable you to hit financial targets, starting with preserving existing net revenue and growing net dollars strategically in select service lines where brand and profitability are strong.
Some say the charge master is no longer relevant, yet industry experts agree it still matters how you set charges since payments for thousands of items are still tied to the charge master. Thus, ignoring the hospital’s charge-based payer revenue stream will leave significant dollars on the table.
Net revenue from the charge-based book of business can be as much as 20% of overall net revenue and typically is more than 1% of total gross revenue.
We’ll help you create an optimum revenue budget that takes this into consideration and delivers more net dollars while also achieving your designated financial goals.
Despite expectations, the transition from traditional FFS reimbursement to the new paradigm of value is still in its infancy with less than 10% of all hospital contracts now based on patient outcomes. This transition likely will take several more years.
There is no need to guess at the statistical relationship among volumes, service line profitability, payer reimbursement, and different utilization and acuity projections when PinPoint will enable you to model different adjustments to individual service line charges easily and quickly.
We’ll help you create an optimum revenue budget that sets-up a new pathway to greater financial strength.
PinPoint’s incisive ongoing financial reporting summaries deliver actionable intelligence, thus helping you avoid the impact of adverse financial events because of changes in utilization, acuity, or even a change in physician Best Practices.
What do we need to get started?
Let’s schedule an initial telephone call to discuss the broad strokes of your budgetary needs and strategic objectives. Then, send us a revenue usage report for the last fiscal year and one with year-to-date charge and payer data.
We’ll generate a complimentary analysis of hospital data by General Medical Category, including the projected net revenue impact for Diagnostics, Therapeutic, Clinical, Surgical, and Other (that includes Pharmacy, Laboratory, and Supplies).
We’ll review our analysis with you in detail and then model specific scenarios by service line to create a net revenue budget that meets your needs. This typically takes a few iterations to fine-tune charges by service line because of the many different variables.
We’ll even provide a replacement charge master file for easy upload after finalizing your new budget or mid-cycle tweak.
Please note we do not need to interface with your financial IT platform unless you prefer daily financial reporting based on your custom KPI’s. (In that case, we’ll need a standard HL7 interface). Simply, we will generate detailed monthly financial summaries after receiving your raw data from IT.
PinPoint’s powerful predictive pricing analytics will enable you to right-size charges for optimum positioning, grow revenue where brand and profitability are strong, reduce contractual allowances strategically, hit all financial targets, and satisfy strategic financial objectives.
What could be better!!