axio puma final full 0513
DESCRIPTION
Description of the features of Axiomedics' PUMA, which helps insurers see how providers in their network perform relative to other providers, with case-mix adjustments to account for patient and case-load differences.TRANSCRIPT
Helping you make sense of your data to manage your business.
Data Analysis
Expertise in blending multiple, large datasets for statistical analyses, regressions and cost modeling
Clinical Expertise
Medical expertise in injury/claim interpretation, ICD-9 Codes,
Workers’ Comp, billing practices,Insurance administration and
Provider management
ARI
Founded by
Dr. Laura Gardner,
MPH, MD, Ph.D
SOFTWARE SERVICES
PUMA – Provider Evaluations
CATT – PredictiveClaim Triage
DYANI – DiagnosisGroupings
(since 2008)
CONSULTING SERVICES
Data CleansingCustom Analyses &
Data ReportsService Assessments
Problem IdentificationIndustry Comparisons
(since 1994)
RESEARCH INC.
Data Analysis
Expertise in blending multiple, large datasets for statistical analyses, regressions and cost modeling
Clinical Expertise
Medical expertise in injury/claim interpretation, ICD-9 Codes,
Workers’ Comp, billing practices,Insurance administration and
Provider management
ARI
Founded by
Dr. Laura Gardner,
MPH, MD, Ph.D
SOFTWARE SERVICES
PUMA – Provider Evaluations
CATT – PredictiveClaim Triage
DYANI – DiagnosisGroupings
CONSULTING SERVICES
Data CleansingCustom Analyses &
Data ReportsService Assessments
Problem IdentificationIndustry Comparisons
Large datasetanalyses
Data Analysis
Expertise in blending multiple, large datasets for statistical analyses, regressions and cost modeling
Clinical Expertise
Medical expertise in injury/claim interpretation, ICD-9 Codes,
Workers’ Comp, billing practices,Insurance administration and
Provider management
ARI
Founded by
Dr. Laura Gardner,
MPH, MD, Ph.D
SOFTWARE SERVICES
PUMA – Provider Evaluations
CATT – PredictiveClaim Triage
DYANI – DiagnosisGroupings
CONSULTING SERVICES
Data CleansingCustom Analyses &
Data ReportsService Assessments
Problem IdentificationIndustry Comparisons
Claims, Bills, & Benefit Law
Large datasetanalyses
Data Analysis
Expertise in blending multiple, large datasets for statistical analyses, regressions and cost modeling
Clinical Expertise
Medical expertise in injury/claim interpretation, ICD-9 Codes,
Workers’ Comp, billing practices,Insurance administration and
Provider management
ARI
Founded by
Dr. Laura Gardner,
MPH, MD, Ph.D
SOFTWARE SERVICES
PUMA – Provider Evaluations
CATT – PredictiveClaim Triage
DYANI – DiagnosisGroupings
CONSULTING SERVICES
Data CleansingCustom Analyses &
Data ReportsService Assessments
Problem IdentificationIndustry Comparisons
Claims, Bills, & Benefit Law
Medical Network
Management
Large datasetanalyses
Data Analysis
Expertise in blending multiple, large datasets for statistical analyses, regressions and cost modeling
Clinical Expertise
Medical expertise in injury/claim interpretation, ICD-9 Codes,
Workers’ Comp, billing practices,Insurance administration and
Provider management
ARI
Founded by
Dr. Laura Gardner,
MPH, MD, Ph.D
SOFTWARE SERVICES
PUMA – Provider Evaluations
CATT – PredictiveClaim Triage
DYANI – DiagnosisGroupings
CONSULTING SERVICES
Data CleansingCustom Analyses &
Data ReportsService Assessments
Problem IdentificationIndustry Comparisons
Claims, Bills, & Benefit Law
Medical Network
Management
Economies,Efficiency &
Costs
Large datasetanalyses
Data Analysis
Expertise in blending multiple, large datasets for statistical analyses, regressions and cost modeling
Clinical Expertise
Medical expertise in injury/claim interpretation, ICD-9 Codes,
Workers’ Comp, billing practices,Insurance administration and
Provider management
ARI
Founded by
Dr. Laura Gardner,
MPH, MD, Ph.D
SOFTWARE SERVICES
PUMA – Provider Evaluations
CATT – PredictiveClaim Triage
DYANI – DiagnosisGroupings(since 2008)
CONSULTING SERVICES
Data CleansingCustom Analyses &
Data ReportsService Assessments
Problem IdentificationIndustry Comparisons
(since 1994)
Axiomedics’ Prospectively helping workers’ compensation companies
maximize
Mission the clinical and economic effectiveness of their resources.
Workers’ Comp Consulting
(Research, models, evaluation andbenchmarking)
Dr. Gardner’s decades of medical industry and Workers’ Comp experience, combined with advanced statistical analytical expertise, are
embedded in both Axiomedics’ consulting and software services.
Analytical Accuracy
Complexity Reduction
Provider Performance
Clarity
Treatment Cost Comparisons
DYANIDiagnostic
Grouper™ &Predominant
Provider Finder
PUMA™(Provider
Utilization &ManagementAssessment)
CATT™ (Predictive
Claim Triage)
Workers’ Comp Consulting
(Research, models, evaluation andbenchmarking)
Dr. Gardner’s decades of medical industry and Workers’ Comp experience, combined with advanced statistical analytical expertise, are
embedded in both Axiomedics’ consulting and software services.
Analytical Accuracy
Complexity Reduction
Treatment Cost Comparisons
DYANIDiagnostic
Grouper™ &Predominant
Provider Finder
PUMA™(Provider
Utilization &ManagementAssessment)
CATT™ (Predictive
Claim Triage)
The Power of PUMA
Clarity into provider performance Provides meaningful evaluations Enables you to guide customers towards the top medical performers
Uses Dyanifor case-mix adjustment and “apples-to-apples”
comparisons
Determines “Predominant Provider” and “DxCat” unique diagnosis category
Provides users with custom drill down and reporting flexibility
Technology Features
Strategic Features
BETTER MANAGEMENT OF PROVIDERNETWORKS
BETTER MANAGEMENTOF PROVIDERNETWORKS
The Power of PUMA
Enables client referrals to top medical performers in specific fields Prioritizes effective medical care Access up-to-date reports
Build, evaluate and manage your provider networks with enhanced insight and assurance
Get early detection of network quality improvement opportunities
Provide feedback on performance with robust, defensible measures
Benefits to your business
Enhanced Clinical Outcomes
BETTER QUALITY OF CARE
Drill down to Claim or Bill Level Details
Sort and Search any Measure by any Dimension
Dyani Diagnosis Grouper
Consolidates over 15,000 ICD-9 codes into 500
diagnosis categories (DxCat)
PredominantProvider
IdentifiedFor each claim
Pre-Programmed or User Generated
Reports
PUMA AnalyticsComparison of actual to predicted costs and TD days
Measures of case load severityAssess compliance with access standards
Rankings generated with an array of descriptive data
Client Provides Data
CustomerProprietary
Data
Basic Data Cleansing
De-Identified Multi-Payer
Database(Clients may “opt-in” for
industry benchmarkAnalyses)
Axiomedics’BenchmarkingResearch and
Consulting
The Power of PUMA
Case-Mix Adjustment
Analysis that “levels the case load playing field.”
Axiomedics’ proprietaryAlgorithms & Datasets
PUMA’s REPORTSClients can customizeunlimited reports
Drill down to Claim or Bill Level Details
Sort and Search any Measure by any Dimension
Dyani Diagnosis Grouper
Consolidates over 15,000 ICD-9 codes into 500
diagnosis categories (DxCat)
PredominantProvider
IdentifiedFor each claim
Pre-Programmed or User Generated
Reports
PUMA AnalyticsComparison of actual to predicted costs and TD days
Measures of case load severityAssess compliance with access standards
Rankings generated with an array of descriptive data
Client Provides Data
CustomerProprietary
Data
Ready for PUMA
De-Identified Multi-Payer
Database(Clients may “opt-in” for
industry benchmarkAnalyses)
Axiomedics’BenchmarkingResearch and
Consulting
The Power of PUMA
Case-Mix Adjustment
Analysis that “levels the case load playing field.”
PUMA’s REPORTSClients can customizeunlimited reports
Drill down to Claim or Bill Level Details
Sort and Search any Measure by any Dimension
Dyani Diagnosis Grouper
Consolidates over 15,000 ICD-9 codes into 500
diagnosis categories (DxCat)
PredominantProvider
IdentifiedFor each claim
Pre-Programmed or User Generated
Reports
PUMA AnalyticsComparison of actual to predicted costs and TD days
Measures of case load severityAssess compliance with access standards
Rankings generated with an array of descriptive data
Client Provides Data
CustomerProprietary
Data
Ready for PUMA
De-Identified Multi-Payer
Database(Clients may “opt-in” for
industry benchmarkAnalyses)
Axiomedics’BenchmarkingResearch and
Consulting
The Power of PUMA
Case-Mix Adjustment
Analysis that “levels the case load playing field.”
Axiomedics’ proprietaryAlgorithms & Datasets
IT
SALES
SERVICE
MARKETING
all your teamsto meet the needs of
Customize provider reports
PUMA
The Power of PUMA
HR
MEDICAL
FINANCIAL
LEGAL