ABSTRACT
This chapter is designed more as a reference and planning tool for the finance committee, and the utilization and quality committees. The task is to learn to understand how the numbers work and how to supervise physicians’ administrators to meet the goals and objectives of the organization. Nonphysician providers may find many of the reports useful as well to stimulate reports that mirror these but that are more germane to their areas of specialization. Most every one can be achieved using Microsoft Access® or another relational database software tied to a centralized data depository at an anagement Services Organization or similar venue. In conclusion, it is necessary to have the claims data flowing through a centralized repository to monitor all these items on a routine basis. It is also helpful to have a full-time nurse manager in the department who will run these reports and note any aberrances.
