How Jiro Attributes Data To Your Practice
- Overview
- How Claims Attribution Works
- Patient Identification & Deduplication
- What Gets Counted & What Doesn't
- Data Timing & Availability
- Frequently Asked Questions
- Related Articles
Overview
Jiro sources patient and encounter data from claims attributed to your National Provider Identifier (NPI). Understanding how this attribution works helps you interpret the metrics and data you see in the platform.
How Claims Attribution Works
Professional Claims (Office and Clinic Visits)
Jiro attributes office visits and professional services based on the rendering provider on the claim. Your NPI must appear as the rendering provider (the provider who delivered the service). If rendering provider information is absent, Jiro uses the billing provider instead.
Institutional Claims (Hospital and Emergency Department)
Jiro attributes inpatient and ED care based on the attending physician on the claim. Your NPI must appear as the attending physician (the physician of record). If attending information is absent, Jiro uses the billing provider instead.
What Is Not Attributed
Only paid claims are attributed to you. Denied claims, reversed claims, observation stays, and facility-only claims with no physician NPI are excluded from all metrics.
Patient Identification & Deduplication
Each patient has a unique identifier in the claims data. When you see the same patient multiple times within a measurement period, they are counted once (deduplicated).
New vs. Established Patient Status
Patient status is determined by providers through the use of specific CPT or HCPSC procedure codes in claims. For this reason, “new” vs. “established” patients may vary from your expectations. In some cases, patients that have not appeared in claims data for an extended period of time may be considered “new” if they reappear again at a later date.
What Gets Counted & What Doesn't
|
Item |
Inclusion |
|---|---|
| Paid claims with your rendering or attending NPI | Yes |
| Denied or reversed claims | No |
| Observation stays | No |
| Transfers to another facility | No |
| Patients with missing date of birth | No |
| Deceased patients (panel metrics) | No |
| Multiple encounters by same patient per period | Once (deduplicated) |
Data Timing & Availability
Medical claims typically settle 30 to 60 days after the service date. Jiro metrics refresh daily as new paid claims arrive. For a complete and stable view of your practice, review data from at least 6 months prior to today's date.
Most metrics use rolling 12-month windows, recalculated daily to include the past 12 months of data. Some metrics use fixed quarterly or annual periods, or acute outcome windows (30-day, 72-hour).
Most metrics anchor to an index event (the first qualifying encounter in the measurement period). The index event date determines whether a patient is new or established, and sets boundaries for look back and look-forward analyses.
Frequently Asked Questions
If I see a patient multiple times in the same measurement period, do they count multiple times? No. Patients are deduplicated per measurement period. A patient with four separate encounters in a rolling 12-month window counts as one.
Why is a patient classified as established when I thought they were new? Patient status is based on your full claims history. If you saw this patient more than 36 months ago, they reset to new when you encounter them again. If your most recent claim with them is within 36 months, they remain established.
How long does it take for data to appear in Jiro? Claims typically settle 30 to 60 days after service. For complete data, review periods at least 6 months in the past.
Will my metrics change after they are calculated? Yes. Metrics update as new claims arrive, existing claims are reclassified, or data quality corrections occur. This keeps your metrics accurate.
What data sources does Jiro use? Jiro uses de-identified, aggregated medical and pharmacy claims data from a national claims database, linked to your NPI. See Data Sources for full details