Data Warehouse User Group April 25, 2013  Infrastructure Upgrades  HB wRVU Correction  Apex AR Trends Cube Preview  Training / User Group Meeting Schedules

Cognos Infrastructure Upgrades Why make the changes? Issues with Cognos 8.4 performance QS - Latency in retrieving large amounts of data AS – Nested reports take a while to render One errant user had the potential to impact everyone else Increase in user base

Cognos 8 Initial Environment

Cognos 8 Upgraded Environment

APEX-HB wRVU Correction Background Info Pre-APEX: 3 and 7 split Many codes entered into TES “explode” and post to both billing systems: 3  IDX  Pro component 7  SMS  Tech component APEX: PB and HB split The charge router does something similar. Pro component  Routed to Resolute PB Tech component  Routed to Resolute HB IMPORTANT - You only want to calculate wRVUs on the “Pro” portion of the split charge!

APEX-HB wRVU Correction APEX: PB and HB split - How to we identify these split charges? Original methodology – HB Modifiers HB Modifiers, new with Apex Increase the accuracy of wRVU values In practice, HB modifiers inconsistent and “dirty” (ex: 26 and TC on same procedure) Revised methodology – Claim Type of Procedure In APEX-HB there is a “Claim Type” for each procedure (EAP) Using this we can “weed out” the Tech components before take a look at the modifiers

APEX-HB wRVU Correction Pro/Tech Flag (calculated field) Pre-APEX Definition of “TECH”  Prefix = 7 or  GL Comp Type = T APEX Definition of “TECH”  APEX-PB  Procedure (EAP) Claim Type Flag = 2  APEX-HB  Procedure (EAP) Claim Type Flag = 2 AND Billing Category NOT IN (0,6) Added Billing Category Dimension for Clarification

APEX-HB wRVU Correction Departmental Impact / Scope Two cubes were affected apex_utilization apex_idx_sms_utilzation Isolated to APEX-HB Modest reduction in overall wRVUs Some departments impacted more than others The correction only represents 0.4% of the wRVUs that have been generated since the APEX launch

APEX AR Trends Cube Contains AR from APeX–PB only Similar in structure to the IDX AR Trends Cube Added Proc Category/CPT dimension No drill through

AR Trends – Quick Facts Days in AR calculation (DAR) Average Daily Charge = [Charges for 3 months ending current]/[Calendar Days in 3 months ending current] DAR = [Month-end AR ]/[Average Daily Charge] First two months of Apex (June 2012 and July 2012) the Average Daily Charge calculation used 1 and 2 months respectively Use Calendar days Aging buckets calculated using Charge Post Date vs AR Reporting Month

APEX AR Trends Cube DEMO

What’s next? An initial Apex Transaction Framework Package for Query Studio - the detailed reporting environment you currently have for IDX, where elements are organized neatly into logical folders (dates, patient info, ASA units, etc.) Reimbursement Cube

Upcoming Cognos Training Next Cognos 8.4 Training scheduled for May 23 nd and 24 rd (Thursday and Friday). Sign up deadline is May16 Minimum of 3 people needed We’re looking into recording and/or web-based options so that training can be referenced online. Latest Training Schedule can always be accessed by clicking on the “training and class information” link from the main data warehouse page, or by going to:

User Group Meeting Schedule Next Meeting – Thursday, May 16th User group meeting are being moved from the 4 th Thursday of the month to the 3 rd Thursday of the month Time change from 10:30AM to 2PM Recurring meeting invite will be sent out Topic suggestions welcome! New schedule will be posted on the Website (scroll to the bottom):

Questions?