What is PDS?
PDS is a web-based revenue benchmarking tool used by hospitals to optimize revenue. This database of paid claims delivers the market intelligence hospitals need for effective managed care contract negotiation, accurate forecasting of business development opportunities, and data driven strategic planning.
Do any Arkansas hospitals currently use PDS?
Yes. Roughly 1 out of every 4 hospitals in Arkansas is already participating. PDS is also used by over 60 hospitals in California.
How does it work?
Every month, hospitals submit their paid claims information to a centralized database. Users at any participating hospital can log into the PDS website and view their reports.
How much data entry is required each month?
How do hospitals provide the data to PDS?
Each month, your IT or decision support person would run a query that extracts the claims information from your patient accounting system. Once that file has been created, it is uploaded to the PDS website. This can be done in a matter of minutes (see testimonial from Ozark Health) and can even be automated.
How much effort is required to write the data extraction query?
What if I don’t have one of those common patient accounting systems? Do I have to write the query from scratch?
Not necessarily. Writing the query yourself is one option but you can also consider the options below. Please note that there is NO extra charge for either service. It is included with your implementation fee.
What else do I need to do each month? How long does that take?
When the data is received, it is preloaded and validation reports are created. These reports include check totals such as total charges, total payments, payer mix, top 10 DRGs, etc. Someone at your hospital needs to review the validation report each month to confirm that the numbers accurately reflect hospital operations. Participating hospitals have told us that once they identified how they would go about the validation; it rarely takes more than a few hours each month to complete the validation effort.
Are any other resources required during implementation?
You will need to provide us with a one-time download of your insurance master. PDS will map the codes in your master to PDS ‘standardized payer names’ to allow for cross-hospital comparison. We need a resource at the hospital to spend a few hours to review these mappings and notify us of any edits which may be needed.
Testimonial from Ozark Health regarding data submission
To learn more, contact:
Tina Creel, Vice President
AHA Services, Inc.
501-224-7878 ext. 131 office
Leslie Gold, Vice President
Professional Data Services
Hospital Association of Southern California