ProviderView™ is a streamlined way to find prospects for the services your healthcare organization offers. ProviderView™ transforms data from the U.S. Centers for Medicare and Medicaid Services (CMS) into visualizations that you can dial in with filters to discover the areas of greatest opportunity. The data is presented in 2 tabs: Individuals and Organizations.

ProviderView is a separate subscription from hc1 CRM, if you are interested in adding either ProviderView or hc1 CRM to your hc1 environment, contact a Director of Sales Accounts at info@hc1.com.

To open ProviderView:

  1. Sign in to your hc1 environment.
  2. Click  and click  ProviderView.

Each ProviderView tab has a Dashboard and List:

  • The Dashboard is where you apply filters to narrow down data.
  • The List is where you view details about individual providers and organizations and export information to hc1 CRM.

The global metrics across the top of both tabs highlight the number of providers or organizations, specialties, public medical claims, and post acute care Medicare referrals that are in your current Search Results list on the List. These numbers are the result of all the filters you have applied on the Dashboard.

To see the filters in action, watch the ProviderView video.

The Individuals Dashboard has these main sections:

  • The Provider Breakdown section includes the Providers Distribution drill-through heat map, Top 5 Specialties bar chart comparison, and a Years of Experience pie chart. The source for this data is the NPPES NPI Directory. The data is approximately 1 month old and is updated on a monthly basis.
  • The PAC Medicare Referral Claims section includes visualizations for Top Referral Source Breakdown, Top Quarter over Quarter Trends in Referrals, and Bottom Quarter over Quarter Trends in Referrals. This data is approximately 6-9 months old and is updated on a quarterly basis. This includes nationwide details for all Medicare Part A claims and is claim-based (not person-based). This data is essential for referral use cases in Post-Acute Care because it contains patient origin and destination data. Click the Referral Data Analysis control to see providers that match the filters you apply in this section.
  • The Public Medical Claims section includes visualizations for Top 5 Specialties by Payment, Top 5 HCPCS by Unique Patients, and Top 5 HCPCS by Payment. The source for this data is CMS Summary Claims Data, which is approximately two years old and is updated annually by the Centers for Medicare and Medicaid Services. Click the Referral Data Analysis control to see providers that match the filters you apply in this section.
  • The Public Rx Claims section includes bar charts for the Top 10 Prescriptions, Top 10 Drugs by Cost, and Top 10 Prescribing Providers. The source for this data is public Medicare Part D Prescriber data, which is approximately two years old and is updated by the federal Centers for Medicare and Medicaid Services. Click the Prescriptions Analysis control to see providers that match the filters you apply in this section.

The Organizations Dashboard has two sections:

  • The Organization Breakdown section includes the Organizations Distribution drill-through heat map and the Top 5 Specialties and Top 5 Sub Specialties bar chart comparisons. You can filter this information by facility name, specialty, NPI number, city, state, county, and ZIP code. The source for this data is the NPPES NPI Directory. The data is approximately 1 month old and is updated on a monthly basis.
  • The PAC Medicare Referral Claims section includes visualizations for Top Referral Source Breakdown, Top Quarter over Quarter Trends in Referrals, Bottom Quarter over Quarter Trends in Referrals, Top Admissions Breakdown, Top Admissions versus Star Ratings, and Bottom Admissions versus Star Ratings. You can filter this information by referral source information, referral destination information, general patient information, diagnosis codes, line of business, and time period. This data is approximately 6 to 9 months old and is updated on a quarterly basis. This includes nationwide details for all Medicare Part A claims and is claim-based (not person-based). This data is essential for referral use cases in post-acute care because it contains patient origin and destination data. Click the Referral Data Analysis control to see organizations that match the filters you apply in this section.
To access Online Help from ProviderView, click .
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