Clinical Reporting/data Clinical Reporting Name(Required) First Last Email(Required) Is this request associated with a:(Required) Clinical Reporting Query Billing/Coding Query Comp Plan Tourchbase Meeting Request Mid=Cycle & PTR Data Request Clinical Report Query Reports can be created using the Business Objects (BO) data system and prompted with a variety of parameters depending on the data being sought. BO is a dynamic tool that can provide clinical data at a high level of specificity. Examples of clinical data that can be made available includes: Number of billed CPT Codes by provider and clinic location, patient demographic information by diagnosis code and zip code, number of new and return visits by month, average earned RVUs by day of the week, average net collections by CPT code, and many other arrangements. o Text Prompt: Please provide the timeframe for the requested report (e.g. July 1st 2023 – June 30th 2024, last 12 months, calendar years 2022-2024). o Text Prompt: Please describe the desired report, being as specific as possible, and including any relevant parameters. o Text Prompt: Please briefly describe why you are requesting this report (e.g. exploratory research question, RVU productivity check, needed for admin role, etc.). Please describe the desired report, being as specific as possible, and including any relevant parameters.(Required)Please briefly describe why you are requesting this report (e.g. exploratory research question, RVU producitvity chek needed for admin role etc.).(Required)Do you anticipate needing this report on a recuring basis?(Required) Yes No Please indicate the reporitng cadence(Required) Weekly Monthly B-Monthly Quarterly Bi-Annually Annually Billing/Coding Query Accurate and predictable billing and coding processes can be crucial not only for Departmental finances, but also for provider RVU generation. Please fill out the request below if you have any questions regarding your billing and coding. In doing so, the Department’s administrative team can deploy a several strategies to investigate your question such as running billing reports and working with the Billing / Accounts Receivable department (B/AR). What is the approximate scope of your request?(Required) Individual provider Multiple providers Division specific Entire Department Which area of focus best aligns with your reuquest?(Required) CPT Code(s) Diagnosis-specific Service line Specialty Clinic Please list the relevant CPT Codes Please list the relevant diagnosis If applicable, please provide at least 2-3 examples of patient encounters that are relevant to your inquiry. Please include the Date of Service and Patient Name and/or MRN.Please describe your inquiry, being as specific as possible.(Required)Please briefly describe why you are requesting inquiry into billing / coding(Required)FileMax. file size: 125 MB.Comp Plan Touchbase Meeting Request The College of Medicine Compensation Plan uses a system based on FTE and salary percentiles to determine how much Earned Variable Compensation (EVC) a provider may earn due to clinical RVU production. Monthly reports are generated by the College of Medicine and routed to individual providers on a monthly basis. Please complete this intake form if you would like to request a meeting with a member of the Neurology Admin Team to review and/or discuss your compensation plan. Please indicate the option that best aligns with your reason for inquiry(Required) Introductory meeting General questions Walkthrough of comp plan calculations EVC generation RVU generation What-if-compensation plan modeling Other Please briefly describe the scenario you would like to see modeled.(Required) Please describe your inquiry.(Required) Please list a few upcoming days and times that work for your schedule:(Required) Mid-Cycle & PTR Data Request Faculty who are up for promotion will require data representing key aspects of their career growth. For faculty who are going up for promotion, the Department of Neurology Admin team can provide: (1) RVU targets and actuals and (2) Press-Ganey Please provide the timeframe needed for your RVU data.(Required) Please provide the timeframe needed for your Press Ganey data.(Required) Please provide the date you need to receive the data.(Required) Please indicate any additional data you may need for your packet.(Required)
