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Balance Billing Databases Analysis

Balance Billing Databases Analysis

Description

Please submit an Excel file with the following parameters using the data set “Balance-Billing- Data Set”:

Your file should consist of 3 worksheets (you can also leave or hide the lookup sheets, its up to you) after applying the following modifications:

Data Set-

1. Using V-lookups, add in all of the fields/variables found within the Code Lookup and Region Lookup worksheets
2. Once all fields have been pulled in, add in the following calculated fields

Large Dollar Amount– if Median Allowed Amount is greater than 500, or Median Billed Amount is greater than 1,000, then “Yes”, else “No”

Large Dollar and Claims– if Median Allowed Amount is greater than 500 and Number of Claims is greater than 500, then “Yes”, else “No”

Large Before or After Inflation– if Median Allowed Amount is greater than 500 AND Median Allowed Amount (CPI Adjustment for 2021) is greater than 500, OR, Median Billed Amount is greater than 1,000 AND Median Billed Amount (CPI Adjustment for 2021) is greater than 1,000, then “Yes”, else “No” (remember you can use IF/OR and IF/AND statements together like IF(OR(AND())) or IF(AND(OR())) )

3. Apply Conditional Formatting on the Median Allowed Amount field with the following rules- if under 500 then green icon, if 500-1500 then yellow icon, over 1500 then red icon

  1. 4. Apply a multi layer sort  on the data set based on the following variable order- Geographic Area (ascending), Service Category (descending), Type of Claim (ascending)

Pivot Table-

  1. 1. Break out each geographic area by service category

2. Filter on just Northern and Eastern geographic areas

  1. 3. Your values should consist of the following variables (all should be formatted with a thousands separator and 2 decimal places):

Claims per 1,000 Population– Number of Claims/ (Region Population/1,000)

Average Billed Inflation–  (Median Billed Amount (CPI Adjustment for 2021)- Median Billed Amount) / Median Billed Amount

Median Allowed Amount (Max)

4. Group together the following Service Categories into “Service Category Special Group”- Surgery, Radiology, Inpatient

Chart-

1. Insert a chart on a new worksheet to illustrate the difference/ distribution of population by Geographic Area (hint you can probably use one of the lookup tables). What type chart you choose is up to you but think through which type may best and what elements the chart needs to most effectively relay your data

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