Accelerating Power BI Adoption in Healthcare

Ensuring 340B Program Compliance with Advanced Analytics 

A pharmacy executive at a large healthcare institution initiated an internal audit to assess compliance with the federal 340B program. This program provides eligible healthcare organizations with access to discounted medications but comes with stringent compliance requirements. 

The audit uncovered a critical issue: 

• Inconsistent Application of UD Modifiers: Charges for medications dispensed under the 340B program did not consistently include the required UD modifiers, potentially risking compliance. 

Empowering Data-Driven Decisions with Power BI at an Academic Hospital

An academic hospital, relying on Epic for clinical operations, faced inefficiencies in accessing critical quality metrics, patient flow statistics, and other operational data. Their process depended on third-party vendors for: 

• Benchmarking Insights: Data had to be extracted and sent to external platforms for processing. 

• Report Compilation: Analysts manually downloaded and recompiled reports into an executive report suite. 

This workflow was not only time-consuming but also led to: 

• Delays in Decision-Making: Extended processing times frustrated executives needing timely insights. 

• Resource Strain: Significant analyst time spent on manual data wrangling instead of strategic analysis. 

Accelerating Chart Closure to Enhance Revenue Cycle Efficiency

A hospital client faced significant challenges with physicians delaying the closure of patient charts after visits. Closing a chart, or encounter, signifies that the provider has completed documentation for a patient visit. The delays had multiple downstream implications: 

• Revenue Cycle Impact: Billing for services was delayed, affecting cash flow. 

• Increased Denials: Prolonged chart closures contributed to billing compliance risks and denials. 

• Compliance and Audit Risk: Open charts increased the hospital’s exposure to compliance issues.