Number of records
Fiscal year Provider
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efficient workflow or those who need may need
some additional training or prompting. In Figure 1, you can see that the provider has a low
no payer rate compared to the agency average.
ZIP CODE-SPECIFIC RATES
BY PAYER GROUP
Payer mix can vary widely across a county;
there can be fluctuations even within a neighborhood. Zip codes provide the most readily
available source for geospatial analysis, however, with geocoded addresses we’re able to
drill down with more accurate data.
Understanding the payer mix documented
in correlation with data supplied by the United
States Census Bureau can help justify funding requests or support financial performance.
This can be crucial for a service that bids on
a 9-1-1 contract or an agency looking to
explore a potential new market entry and is
concerned about the patient population outside of a facility.
An area to consider for 9-1-1 providers is
the documented no payer rate compared to collection rate and the Census Bureau-reported
insured rate. This quick check will allow you
to see if further analysis is warranted.
Viewing provider-specific rates by payer group allows for easy identification of individuals who could give
insight into a more efficient workflow, or those who need may need some additional training.
Images courtesy Nathan Jung/Galveston EMS
Figure 1: Provider-specific rates by payer group for FY 2017 (all run types)