Provides insights into what needs to be prevented, corrected, and optimized.
Who can partner with Gistia Healthcare™?
Gistia Healthcare™ offers data analytics technology and services for individual and enterprise-wide healthcare organizations of any size. This includes, but is not limited to, hospitals, pathology and genetics laboratories, and physician groups. If you have a billing system, Gistia can interface with it to collect claims data and drive real revenue.
What is Gistia Predictive Analytics™?
Gistia Predictive Analytics™ is a cloud-based software platform that extracts and cleans raw data from your billing system. This data is enriched and made available to our Data, Predictive and App Engines to analyze, predict and present insights in meaningful and intuitive ways to make business decisions, monitor anomalies and behavior, predict cash flow, and perform root cause analysis.
What are the benefits of Gistia Predictive Analytics™?
Gistia Healthcare can help Revenue Cycle Management teams detect revenue leaks, analyze payer behavior, detect anomalies in compliance and KPI’s, predict claim payments, identify opportunities for improvement, identify potential sources of inaccuracy, and have a clear view of the revenue cycle process.
How does Gistia Predictive Analytics™ platform work?
Every day, the platform collects fresh data from your billing system, makes transformations and runs it through our data and predictive pipelines. Monitoring services detect anomalies and notifications are sent to users. Our Intelligence, Analytics, Monitoring and Claim modules provide elegant and intuitive dashboards and analysis tools.
Is Gistia Predictive Analytics™ HIPAA compliant?
The platform is cloud-based in secure and compliant environments. Although most of the information received in the platform does not include PHI, it is built to comply with all HIPAA laws and regulations to protect the security and privacy of the data we retrieve, store, and monitor. We aim to exceed government guidelines for handling of PHI. Protecting the security, integrity, and privacy of your data is our highest priority.
What’s the difference between traditional business intelligence software and Gistia Predictive Analytics™?
Gistia Predictive Analytics™ is unique because it utilizes medical and laboratory claims and remittance information, alongside other timely data sources, to provide a real-time view of your business. The platform flags potential issues early in the process using the most up-to-date information available. Proprietary predictive analytics provides insight to know if a claim will be paid and how much of it will be paid, before it is submitted to the payer.
How soon can I detect if there’s a problem with a payer using the platform?
Typically, an unusually high denial rate from a specific payer or low reimbursement rate will be flagged for further investigation within one to three days depending on the volume of your claims going to the payer.
Is client data stored independently of other data and is it de-identified?
Every client’s data is stored in its own separate environment. We store all data in an encrypted way to ensure the safety of all client data. The performance of our algorithms is partly dependent on the quantity of data provided by clients.
My IT department is busy, how much of their time will you need for implementation?
During the implementation phase, there are some questions that can arise which require IT assistance. This typically includes a few hours of discussion, worksheets, and interviews to understand the organization’s structure, quality, and processes of data collection, storage, maintenance, availability, and more.