Revenue assurance and data · Melbourne, Australia

Data and insights

Nova Consulting turns finance, billing, payroll and activity data into reporting people trust: dashboards, analysis and reconciliations that show where money is made and lost, and what to fix. The team brings clinical, finance and payroll experience, so the reports answer the real question and the numbers reconcile to source.

The problem

  • Data sits in several systems that don't agree, and every report starts with a spreadsheet reconciliation.
  • Dashboards exist, but nobody trusts them, so decisions are still made on gut feel.
  • Cost-centre managers get reports they can't use, so finance answers the same questions every month.
  • Supplier invoices are paid on totals, so nobody can see whether prices and volumes match the contract.
  • A system change is coming, and nobody is confident the history, or the revenue, will survive it.
  • Reporting depends on one analyst, and it stops when they are away.

Four ways in

Dashboards and reporting people use

  • Board and committee dashboards that give a clear, timely view of financial performance.
  • A finance analysis and reporting tool for every cost-centre manager, so budget holders can see and own their numbers.
  • Project and operational reporting that gives managers more reliable information, faster.
  • Payroll compliance dashboards that keep pay monitored once a review is done. See Industrial and compliance review.
  • Built in Power BI or Qlik Sense, or in the platform you already use, with definitions everyone can read.

Revenue and billing analytics

  • Medicare Benefits Schedule (MBS) billing analytics (Australia): billing analysed by specialty and item, so genuine anomalies stand out from rule changes.
  • Revenue reconciliations: activity, charges, claims, funder remittances, cash and the general ledger reconciled, so variances show up as exceptions to work through rather than surprises at year end. See Health revenue assurance.
  • Private practice and special-purpose fund reporting: activity, revenue and distributions analysed and reported, so the people who rely on the funds get transparent, reliable information.
  • Funding claims analytics (New Zealand): Accident Compensation Corporation (ACC), General Medical Services (GMS) and immunisation activity matched against what was claimed and paid, using Nova IT's Datasimple platform. See Revenue maximisation on novaconsulting.co.nz.

Spend, invoice and procurement analytics

  • Line-level invoice analysis: supplier invoice data extracted automatically, line by line, then analysed for price, volume and compliance with the contract.
  • Spend dashboards that total spend per item, flag cost increases and variances, and show the best-value suppliers, built on the line-level data captured by Bill Simple. See Bill Simple on novait.co.nz.
  • Group-wide analysis: where a group owns several organisations or companies, their spend and finance data are brought together and analysed as one, comparing what each pays for the same goods and services.

Data migration and system change

Nova's staff have supported organisations through system changes like these:

  • Data migration and analysis for a national finance system implementation, including report building, system advice and troubleshooting through go-live.
  • Selecting, designing and implementing finance and payroll systems, and training staff to use them.
  • Reconciling historical data after a migration, to prove it matches the old system.
  • Checking revenue after go-live, so items that quietly stop billing are found early. Read Revenue leakage after a system go-live.

How Nova works with data

  1. Start with the decisionWhat the reporting must support, and who will use it, agreed first.
  2. Understand the dataSource systems, definitions and quality issues mapped and documented.
  3. Build the modelA data model that reconciles to source, with definitions everyone can read.
  4. Build the reportsDashboards and reports that are clear to the people using them, not just the people who built them.
  5. ValidateEvery number tested back to source before anyone relies on it.
  6. Hand overYour team trained and the model documented, so you aren't dependent on Nova. Ongoing support is optional.

Tools

Power BIQlik SenseSQLFileMakerIn-house AI

Health information is handled under the Privacy Act 1988 in Australia and the Health Information Privacy Code 2020 in New Zealand. Nova's in-house AI models can run onshore in Australia, matched to your data classification and policies.

Work Nova has done

Data migration for a national finance system implementation (New Zealand). Nova's staff supported a New Zealand district health board with data migration and analysis, report building, and system advice and troubleshooting, with clinical knowledge giving context to the data.
Revenue cycle analytics at an Australian health service. The whole revenue cycle, from referral to the revenue shared with specialists, tested with full-population data, with every finding traced to source. Read the summary
Board dashboard and finance systems for a not-for-profit sports organisation (New Zealand). New finance and payroll systems selected and implemented, a new budget process and project reporting, and a dashboard that gives the board and its committees a clear, timely view of financial performance.
Fund reporting restored at an Australian hospital. Sound accounting and regular reporting reinstated for its special-purpose funds, so their stakeholders now get transparent, reliable information. Read the case study

Case studies are anonymised and published with each client's agreement.

Frequently asked questions

Which tools do you use?

Mainly Power BI and Qlik Sense, with SQL, FileMaker and Nova's own processing tools for preparing and migrating data. If you already have a platform, the work is built in it.

Can you work with health data?

Yes. The team includes people with clinical, finance and payroll backgrounds who know health data definitions and funding rules. Health information is handled under the Privacy Act 1988 in Australia and the Health Information Privacy Code 2020 in New Zealand.

Where do the dashboards live?

Usually in your own Power BI or Qlik environment. Where a hosted solution is needed, Nova IT Solutions can build and host it.

Will our team be able to maintain it?

That is the aim. The model and its definitions are documented, and the people who will own the reporting are trained to run it.

How much does it cost?

It depends on the size of the organisation and what is in scope. Nova starts with an initial review of your needs, then provides a costed proposal before any work begins.

Do you offer this in New Zealand?

Yes. Data analytics and business intelligence are offered in New Zealand too: see Data Analytics and Business Intelligence on novaconsulting.co.nz.

Start with the decision you need to make

Tell the team what you're trying to decide and which systems the data lives in. You'll get a clear view of what the data can show, and what it would take.

Talk to the Australian team