Overview
The Scrubbing Outcomes report allows you to drill into the data behind the Scrubbing Outcomes KPI providing a detailed breakdown of claims processed through the OneSpot claim scrubber. This report categorizes claims by 'Ready to File' or 'Needs Review', based on their status at the time the claim was first scrubbed. Only the initial instance of the scrubbed claim is included in the results, ensuring a consistent view of scrubbing outcomes without duplicate counts from subsequent reviews.
Report Details
The results include claims based on the selected 'Date Range,' 'Scrubbing Status,' and 'Payer' filter settings.
Calculation
# of Needs Review claims + # of Ready to File claims = Scrubbing Outcomes (total count of unique claims uploaded and processed by the scrubber)
- Total: The total number of unique claims processed by the scrubber during the selected date range. Each claim is counted only once, based on its status the first time it was scrubbed.
- Ready to File Count: The number of claims within the total that had an initial status of Ready to File (i.e., no issues were detected during the first scrubbing).
- Needs Review Count: The number of claims within the total that had an initial status of Needs Review (i.e., the scrubber detected one or more issues during the first scrubbing).
Report Filters
- Location: This filter will only display if he upload-by-location feature is enabled for your account. The report's results will update automatically and return results for the claims associated with that location. Select 'All Locations' if you want to see results for all locations.
- Note: The locations in the dropdown will include the locations assigned to the user in the 'Admin'>'Users' module. If a specific location does not appear in the menu, please ensure it has been assigned to your user profile. For more information on configuring location access, please refer to the Add and Manage Users documentation.
- Date Range: The default is set to the previous month. You can adjust this by selecting additional filtering options from the drop-down menu.
- Upload Status: By default, all upload statuses are selected. Use the drop-down menu to filter by specific statuses.
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Payer: By default, all payers are selected. Use the drop-down menu to filter by specific payers.
- The 'Payer' dropdown includes all 'Active' payers.
Generate Report
- Review/update the filter settings and select ‘Update’ to generate the report.
- Select ‘Reset’ to reset the filters to their default.
Results
The results grid will include the following information:
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Location
- This will only display if 'All Locations' is selected from the 'Location' filter.
- HCFA
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Upload Status
- The status of the work item when the claim was initially processed by the scrubber.
- Service Date
- External Claim #
- Payer
- Patient
- Balance
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Uploaded
- The date when the claim was first uploaded and processed by the scrubber.
Tip: Select any row from the results grid to view the claim and its details.
Show Chart
This button can be toggled between 'On' and 'Off' to control the display of the report. The graph view will update based on the results in the table.
Export Results
- Select the ‘Export Results’ button to export the data to a spreadsheet. Exporting from OneSpot requires external software such as Microsoft Excel, Google Sheets, or Open Office.
- Note: The report download will not include the 'Scrubbing Outcomes' chart.