Data Warehouse User Group January 10, 2013 Apex IDX SMS Revenue cube Development Schedule
APEX IDX SMS Revenue cube Contains revenue from APeX–PB, APeX– HB, IDX and SMS Revenue from FY 2012 and FY 2013 Similar in structure to the Combined Revenue Cube Primary date dimension is “Report Date” not Post Date No drill through
Revenue – Quick Facts We now have 4 billing system components (IDX, SMS, APeX-PB and APeX-HB) which each result in a revenue stream to the departments. SMS and APeX-HB cash is allocated via a GL Key to cost centers. SMS and APeX-HB cash is not line item posted.
APeX IDX SMS Revenue cube vs. Combined Revenue Only contains dimensions that all systems shared, or that we were able to derive cleanly and consistently Added a Billing Agent dimension to facilitate validation with the PSA report. APeX research data is isolated by using Financial Class (402). APeX HB and SMS billing agent = ‘PFS’ Less detail for FSC category / Plan Category dimension
IDX / APeX PB Mapping strategy APEX IDX SMS Revenue Dimension IDX APEX-PB BAR Group >Billing Agent< Billing Agent (DN200) (DEP Master File, Grouper 6) Division >Division< Division (DN102) (DEP Master File, Grouper 7) Cost Center/DBS Number >Cost Center< Cost Center/DBS Number (DN202, Report Category 1) (DEP Master File, Grouper 1) PSA Department >PSA Dept< PSA Department (Cost Center to PSA Mapping from Finance) Place of Service >IP/OP< Place of Service (DN100, Medicare Place of Service) (EAF Master File, POS Code) FSC Category >Plan Category< Payer/Plan Category (DN19, Report Category 2) (EPP Master File, Grouper 6)
SMS/ APeX HB Mapping strategy APEX IDX SMS Revenue Dimension SMS APEX-HB Patient Financial Services >Billing Agent< Patient Financial Services (PFS) Division >Division< Division (Cost Center to Division derived from DN202 and DN102) (Cost Center to Division-derived from DEP Master File Rpt Grp1 and Rpt Grp 7) Cost Center/DBS Number >Cost Center< Cost Center/DBS Number (GLKey to Cost Center) PSA Department >PSA Dept< PSA Department (Cost Center to PSA Mapping from Finance) Place of Service >IP/OP< Place of Service (SMS Cash file from finance ) (APeX-HB Cash File from finance) FSC Category >Plan Category< Payer/Plan Category (SMS Financial Class to RC2 derived from DN19) (APeX Financial Class mapping to Plan Cat from Finance)
APEX IDX SMS Revenue cube – PSA Report validation DEP Report Grouper 1 changes are reflected retroactively in the cube PSA Report reports revenue as it occurs and changes are forced into the current month Anesthesia Medicine Surgery
APEX IDX SMS Revenue cube – Potential Additions SBO Note that APeX research data are isolated by using the Financial Class (Financial Class 402). APeX HB and SMS billing agent = ‘PFS’ Lower level of detail on financial class
APEX IDX SMS Revenue cube DEMO
What’s next? Apex A/R Trends cube Reimbursement cube 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, etc.)
Questions?