and the via a webinar to the community of users when CMS upgraded the version of Business Objects that was being used It covered what would be the most commonly used features from the upgrade This information was also posted to the community portal for all users to access as a reference guide ID: 723340
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I lead the initiative to design this document
and the via
a webinar to the community of users when CMS upgraded the version of Business Objects that was being used. It covered what would be the most commonly used features from the upgrade. This information was also posted to the community portal for all users to access as a reference guide.Slide2
One PI Overview — Course Topics
Overview of One PI
VisionGoals and BenefitsData EnvironmentsQuery Tools ComparisonData ReviewPortal BasicsOne PI Portal and FeaturesPortal Computer-Based Training
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One PI Overview — Course Objectives
After completing this course you should be able to describe:
Goals and benefits of One PIDifferences between the current data environment and the One PI data environmentFeatures of the One PI PortalFeatures of Business Objects and Advantage SuiteData that is loaded into One PI
Data availability for Business Objects and Advantage Suite
Reference materials available for One PI users
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One PI Vision
One PI Overview — Vision
To provide a secure, centralized environment containing current, consistent, and integrated Medicare and Medicaid health benefits data, analyzed with standard tools, to detect fraud, waste, and abuse and protect health care expenditures.
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One PI Overview — Goals and Benefits
Improve access, availability, and timeliness of data
Eliminate data redundancyEnhance communications and collaborationAccess to data - tools that allow focus on fraud, waste and abuse detection rather than complex codingIntegrate Medicare, Medicaid, provider and beneficiary data
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One PI Overview — Current Environment
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One PI Overview — Objectives Based on Requirements
Key Requests
Comprehensive dataVariety of tools (e.g., report writer, analytics, etc.)Ability to schedule reports and create non-standard reports Single source of dataFast system response timesCollaboration featuresEnd-user support
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One PI Overview — Future One PI Environment
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One PI Overview —
Business Objects and Advantage Suite Features and Functionality
Drag and drop Standard reports and templates availability Ad hoc reporting capabilityGraphs and chartsAdvanced scheduling and report distribution (i.e., alerts)Reference data
Ranking
Provider and beneficiary
Procedure code and HCPCS
Scoring
User-defined thresholds
Export to .xls or .csv file types
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One PI Advantage Suite — Additional Functionality
2500+ healthcare measures
Patient health recordsClinical intelligenceAdmissions and episode groupingsPredefined subsetsClinical conditionsRelative time periods
Metadata catalog
Dynamic benchmarking
List import
Additional data elements
Relative Value Unit (RVU) assignments
Therapeutic class and group
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One PI Business Objects — Additional Functionality
Combined queries
Historical data and access to the three phases of claims (pre-adjudication, adjudication, and final action)Access to all data elements in the Integrated Data Repository (IDR)Data available immediately once loaded in the IDR User prompts Use of report formulas (similar to Microsoft Excel)
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One PI Data Review — Which Tool Should I Use?
Business Objects is often used when you want to:
Access the most current information available in the IDR for up to date fraud, waste, and abuse analysisAccess a majority of data elements available in the IDR (2000+)Access all occurrences of a claim record
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One PI Data Review — Which Tool Should I Use?
Advantage Suite is often used when you want to:
Analyze DME claims grouped by Medicare DME Policy GroupsUtilize Admissions and EpisodesCompare your providers to their peer groups on a risk-adjusted basisLeverage the financial, utilization, or clinical measures available in Advantage Suite Utilize predefined relative time periods
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One PI Data Review —
What Future Data Will Be Available in the IDR?
Shared Systems data, including additional data elements such as:Check NumberCheck DateCheck AmountEdit/Audit Reason Codes Billing Provider
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One PI Data Review —
Where Do I Find Information About My Data?
Quick reference guides and other reference materials available on Portal: ‘One PI Data Element Reference Guide’ ‘Advantage Suite Quick Start Guide’ ‘Helpful Hints’ ‘Financial Fields’‘Customer Favorites’ One PI Coaches for assistance in developing reusable templates, subsets, etc.
Your PIDUG community. This is also where you can provide feedback on the need for additional Quick Reference Guides
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One PI Overview — One PI Portal Overview
The One PI Portal provides access to:
Data toolsDocument management and collaboration toolsUser supportHelp Desk
Computer Based Training
Security
Multi Protocol Label Switching (MPLS) service network
Monitored and Managed by AT&T
Role-based security
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One PI Overview — One PI Portal Overview
One PI Portal features include:
One PI announcementsLinks to law enforcement resourcesHealth and Human Services (HHS) Office of Inspector General (OIG) Exclusion ProgramHHS OIG reportsHHS OIG fraud alerts and bulletins
Program Integrity Data Users Group (PIDUG) community news, alerts, and collaboration tools
Document sharing
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One PI Overview and Data Review — Summary
We hope you walk away with a better understanding of:
The One PI vision and current state The IDR and how it is sourced How the IDR feeds Business Objects and Advantage SuiteThe unique aspects of Business Objects and Advantage Suite
The One PI Portal and its features
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