Zynoviq Solutions
ZYNOVIQPROFITGUARD
🏥 Healthcare Analytics

Healthcare Analytics for Value-Based Care

Transform revenue cycle management, clinical cost optimization, and value-based care reporting for hospitals, health systems, and medical practices.

Start Free TrialHealthcare Case Study
$5.1M
Revenue Recovery
Average per health system
18%
Cost Reduction
Supply chain optimization
100%
Compliance
HIPAA audit readiness
6 weeks
Implementation Time
From setup to insights

Healthcare Challenges We Solve

Healthcare providers face unique financial, operational, and regulatory challenges that require specialized analytics solutions.

Revenue Cycle Management
15-20% revenue leakage
Complex billing, coding, and reimbursement processes with denials, underpayments, and revenue leakage.
Cost Center Visibility
$8.2M cost overruns annually
Lack of real-time visibility into departmental costs, supply chain expenses, and labor utilization across facilities.
HIPAA Compliance & Security
$5.5M average breach cost
Ensuring PHI protection, access controls, audit trails, and breach notification compliance.
Value-Based Care Reporting
40% of reimbursement at risk
Transitioning from fee-for-service to value-based care requires quality metrics, outcomes tracking, and risk adjustment.

Healthcare-Specific Solutions

Purpose-built analytics for healthcare revenue cycle, clinical operations, and compliance

Revenue Cycle Analytics
$5.1M revenue recovery annually
End-to-end visibility into revenue cycle performance from patient registration to final payment with denial management.

Key Capabilities:

  • Denial analysis & prevention
  • AR aging and collections
  • Payer mix analysis
  • Charge capture optimization

Performance Metrics:

Days in AR: 65 → 42Denial rate: 12% → 6%Clean claim rate: 88% → 96%
Clinical Cost Analytics
$3.2M cost reduction per hospital
Comprehensive cost analysis by procedure, physician, department, and DRG with supply chain and labor cost tracking.

Key Capabilities:

  • Cost per case analysis
  • Supply chain optimization
  • Labor utilization tracking
  • Physician profitability

Performance Metrics:

Supply costs: -18%Labor variance: -12%Case cost reduction: -15%
HIPAA Compliance Automation
Zero HIPAA violations (3 years)
Automated PHI access monitoring, audit trail management, breach detection, and compliance reporting.

Key Capabilities:

  • Real-time access monitoring
  • Automated audit logs
  • Breach detection alerts
  • Compliance dashboards

Performance Metrics:

Access reviews: automatedAudit readiness: 24/7Breach detection: real-time
Value-Based Care Dashboard
8.2% quality score improvement
Quality metrics, patient outcomes, risk stratification, and bundled payment analytics for VBC programs.

Key Capabilities:

  • Quality measure tracking
  • Risk-adjusted outcomes
  • Bundled payment modeling
  • ACO performance analytics

Performance Metrics:

HEDIS scores: +12%Readmissions: -18%Quality bonuses: +$2.4M
Departmental Insights

Analytics by Department

Specialized KPIs and financial metrics for each clinical department

Emergency Department

Operational KPIs:

  • Length of stay
  • Left without being seen (LWBS)
  • Door-to-provider time
  • Throughput

Financial Metrics:

  • Net revenue per visit
  • Cost per ED encounter
  • Observation conversion rate
Operating Room

Operational KPIs:

  • Block utilization
  • First case on-time starts
  • Turnover time
  • Case cancellations

Financial Metrics:

  • Revenue per OR hour
  • Implant cost variance
  • Staff productivity
Inpatient Units

Operational KPIs:

  • Length of stay (ALOS)
  • Case mix index
  • Occupancy rate
  • Nursing hours per patient day

Financial Metrics:

  • Cost per discharge
  • DRG profitability
  • Labor cost per patient day
Imaging & Lab

Operational KPIs:

  • Turnaround time
  • Exam volume
  • Equipment utilization
  • Quality metrics

Financial Metrics:

  • Revenue per exam
  • Supply cost per test
  • Productivity ratios
Compliance & Regulatory

Healthcare Compliance Built-In

Pre-configured for HIPAA, CMS quality programs, and healthcare regulations

HIPAA Privacy & Security
Protected Health Information (PHI) access controls and audit trails
  • Access monitoring and reviews
  • Audit trail management
  • Breach detection and notification
  • Business associate agreements
CMS Quality Programs
Quality reporting for Hospital VBP, HRRP, HAC, and MIPS
  • Hospital VBP metrics
  • HRRP readmissions
  • HAC reduction
  • MIPS quality measures
Joint Commission Accreditation
Data integrity, quality metrics, and performance improvement
  • Patient safety indicators
  • Quality improvement tracking
  • Performance dashboards
  • Accreditation reporting
Stark Law & Anti-Kickback
Physician arrangement monitoring and compliance tracking
  • Physician compensation analysis
  • Referral pattern monitoring
  • Fair market value validation
  • Compliance documentation

Solutions by Care Setting

Tailored analytics for different healthcare delivery models

Acute Care Hospitals

Common Challenges:

  • • High readmission rates
  • • Operating margin pressure
  • • Supply cost variability

Key Outcomes:

  • 18% readmission reduction
  • 4.2% margin improvement
  • $3.2M supply cost savings
Physician Practices

Common Challenges:

  • • RVU tracking
  • • Payer mix optimization
  • • Provider productivity

Key Outcomes:

  • Real-time RVU dashboards
  • 12% revenue improvement
  • Automated MIPS reporting
Ambulatory Surgery Centers

Common Challenges:

  • • Case costing
  • • Block time utilization
  • • Implant cost tracking

Key Outcomes:

  • Cost per case visibility
  • 92% OR utilization
  • 22% implant cost reduction
Health Systems

Common Challenges:

  • • Multi-facility consolidation
  • • Shared services allocation
  • • System-wide benchmarking

Key Outcomes:

  • Automated consolidation
  • Transparent cost allocation
  • Real-time benchmarking
Customer Success Story

Regional Healthcare Network

12 Hospitals • $2.4B Revenue

Challenge

Healthcare network lacked visibility into cost centers across 12 hospitals. Supply chain inefficiencies, contract leakage with medical suppliers, and manual reporting consumed 500 hours/month. Revenue cycle denials exceeded 12% of gross revenue.

Solution

Implemented ZYNOVIQ PROFITGUARD with Microsoft Dynamics 365 Finance + Supply Chain integration. Automated revenue cycle analytics, clinical cost tracking, and HIPAA-compliant reporting dashboards.

Results Achieved

$5.1M
Supply chain optimization savings
$3.1M
Revenue cycle recovery
500 hrs
Monthly reporting time saved
Zero
HIPAA violations (3 years)

Ready to Transform Your Healthcare Analytics?

Join leading healthcare providers that have optimized revenue cycle, clinical operations, and value-based care programs with ZYNOVIQ PROFITGUARD.

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