Picking Up Where the ETG Grouper Leaves Off

ProfSoft Episode^TM converts ETG-grouped data into information that addresses the critical business issues facing health plans, employer groups, and providers. ProfSoftEpisode^TM is an information-rich product that provides comprehensive efficiency measurement, integrated quality scoring, and comprehensive drill-down analysis. ProfSoftEpisode^TM delivers a wider range of actionable information than competing products. For example, ProfSoftEpisode^TM

• Measures PCP’s and specialists
• Integrates ETG-based quality measures with cost-efficiency measures
• Shows variations in coding practices
• Helps identify potentially fraudulent activity
• Provides benefits utilization comparisons for employers that are risk-adjusted
• Identifies how specific procedures impact the cost of treating specific diseases

Highlights:

• Easy to use reporting software tightly integrated into Microsoft Excel.
• Customizable reports let you see just the information you need.
• Widespread use of statistical testing adds credibility and confidence.
• Drill-down from summary information to claims detail quickly and easily.
• Fully documented methodology provides transparency.
• Links evidence-based quality measures with efficiency calculations to quantify “value”.
• Flexible Analysis Engine adapts to your data and business needs.
• Case-mix adjustment goes beyond cost to include coding, benefit categories, budget categories, and more.
• Ability to identify subspecialties, e.g., invasive and diagnostic cardiologist, creates more meaningful peer groups of profiling.
• Advanced provider profiling that compares PCPs and specialists to a true peer group.
• Customizable provider report card utility that allows you create report cards that fit your organizations standards for terminology, look and feel.
• Knowledgeable support team helps you understand and interpret reports.