A new transaction ? called Population Management Tools ? will be available
later this month through the NaviNet web portal and allows IBC-participating
primary care physicians in the Pennsylvania five-county service area access to
the new Comparative Procedure Costs tool.
This tool provides network cost ranges and provider-specific relative cost
rankings for a menu of treatment categories. These rankings, which are
displayed at the facility level, are based on the historical total cost of each
encounter based on the contracted facility and professional costs.
[
]Using the Comparative Procedure Costs tool[
]
To get started, select Population Management Tools from the Plan Transactions
menu. You will then be prompted to select your office from a drop-down menu.
When finished, click Submit.
In order to access the Comparative Procedure Costs tool, you must first read
and agree to the Terms and Conditions. This page also contains a link to the
methodology used to determine the cost rankings that are displayed, as well as
links to quality information you can use when making care decisions for IBC
members.
Once you have read and agreed to the Terms and Conditions, select the
Comparative Procedures Costs Tool link to enter the tool.
Select your search criteria by choosing from the various drop-down menus. Once
complete, select the Get results button.
The results will display all of the facilities that have a ranking for the
criteria selected, as well as a typical cost range for the selected treatment
category. Use the arrows at the bottom of the page to scroll through all of the
results or to change your display options.
Results are automatically sorted by the Comparative Cost Ranking of either $,
$$, or $$$. You have the ability to sort by provider name or the distance from
the ZIP code. There is also an option to create a PDF of your search results
that you can either save or print for future reference. You can change your
search criteria at any point and select Get results to refresh the page and
display the new search results. Future enhancements to this tool will include
additional treatment categories.
If you have questions regarding this new tool, please call the eBusiness
Provider Hotline at [
]215-640-7410[]. Your office
location was required to register for NaviNet by April 1, 2013. If you have not
done so, please visit [
]NaviNet[] and
select Sign Up from the top right.
Note: Cost data is refreshed twice a year.
[
]NaviNet[]?[] is a registered trademark of
NaviNet, Inc., an independent company.[
]