December BI Query User. December 13, 2011 Laura Olson

Transcription

1 December BI Query User Group December 13, 2011 Laura Olson

2 Agenda Common M1 Migration Issues Connection Files Model Set-up Claim and Line Table Comparison 5010 Implementation Explicit it Rights Removal Model Changes Column Level Helpdesk

3 Common M1 Migration Issues Just because your model appears to be working do not assume it is set up correctly! Out of 66 people I helped during the on- site visits only 2 were set up correctly. I highly recommend you review these steps to verify your model is installed correctly.

4 BI Query Connection Files In your BI Query model go to In your BI Query model go to Host>Connections

5 Connections You may see one or more of the following You may see one or more of the following connections or none at all.

6 Create New Connection File If you do not see a connection file listed click New Fill in boxes to look like the following:

7 Modify Join Syntax Click Join Syntax Set options to match the following:

8 Save Connection File Click Save and save your connection with the name RDBC. Close out of connection box then go back to Host>Connections. Click Default button

9 Edit Connection File If you already have a connection file click once on the name Click Edit If you receive this error click OK

10 Verify Data Source The Data source should say RDBC Enter your user id

11 Check Join Syntax Check to make sure your Join Syntax Check to make sure your Join Syntax looks like this:

12 Save Connection File Save your connection Make sure the connection is set as the default Default connection identified with black circle. If no default has been specified click the Default button

13 BI Query Model Files BI Query models are made up of 2 files File ending with.gqa is the administrator file File ending with.gqu is the user file You should not move the.gqa file; it should always remain on the S drive You DO want to copy the.gqu file and move it to your home directory I believe this is usually your H drive

14 Copy.gqu File If you go to Windows Explorer you should see a drive titled S The models are stored in a Models folder within a folder named TERADATA You will see a lot of model folders. Most people are interested in the CHAMPS model found in the CHAMPS folder. Click on and copy the DCH CHAMPS Model.gqu file

15 Paste.gqu In Home Directory In your home directory (H) I recommend setting up a structure similar to this: The.gqu file would go in a subfolder. DCH CHAMPS MODEL.gqu in the CHAMPS folder HIPAA Health Care Model.gqu in the HIPAA folder

16 Locate Admin Layer After you paste the.gqu file double-click it. You may receive the following: Click Browse Return to the location you copied the.gqu from

17 Connect To Admin Layer Double-click the DCH CHAMPS Model.gqa file The model should then open Be sure to SAVE the model

18 Common Problem #1 If you see these 3 folders on your desktop your model is probably set up incorrectly. Most likely the.gqu file is on your desktop instead of your home directory.

19 Common Problem #2 'unable to create file s:\apps\teradata\models\champs\wfaaaaa a If you receive this message you are looking at the user file on the server (S). You need to copy the user file to your home directory.

20 Common Problem #3 If you try to run one of the reports in the DCH Queries & Reports screen and receive a message The query query name' cannot be found. you are most likely using an admin file in a location other than s:\apps\teradata\models\ This will prevent you from seeing future updates

21 Verify Admin Layer If you have your model open go to Tools>Permissions and click Admin Layer The admin file should be in it s original location

22 Claim & Line Table Comparison See Claim and Line Table Comparison file Lists table and whether they are populated for encounters, legacy claims, CHAMPS processed claims for various invoice types Will update after 5010 implementation ti Working on column level comparison between Claim Information/Line Information and Claim Derived Element/Line Derived Element

23 5010 Implementation Current data warehouse 5010 plan is to implement changes on Friday, December 30. Changes will be made to capitation payments, suspended claims, and encounters/claims.

24 Explicit Rights Removal Data warehouse security is managed using roles and profiles Historically explicit rights were granted to individuals We will be executing a one-time removal/ clean-up of explicit rights and replacing with appropriate roles An notification will be sent We hope this will be seamless but if you experience any access issues please contact [email protected]

25 Payment Transaction For RA Renamed Changes Receiver Provider ID > Contractor ID MCO Program > MCO Program Code Member Identifier > Member ID Case ID > Case Number Cost Of Care Amount > Patient Pay Not Sent To Financial Flag > Not Sent To Financials Urgent MC Flag > Expedited Payment MC Org Adjustment SID > Gross Adjustment ID Adjustment Amount > Total Adjustment Amount Payment Cycle Number > Pay Cycle # MCO Payment TCN > TCN Net Payment Amount > Payment Amount

26 Payment Transaction For RA Removed Changes Member HOH MMIS ID DRG Diagnosis i Code Remittance Assigned Transaction Number Rec National Health Plan ID Reference National Health Plan ID Encounter Claim Header TCN Referral Date Status Type CID User Login ID Adjustment Source Type

27 Payment Transaction For RA Removed Changes Reference National Provider ID Receiver National Provider ID Reference Provider ID Reference Tax ID Member Count Organization Unit Name Patient Account Number Payment Due Date Override Flag Enhanced Payment Service Def Charge Code

28 Remittance Advice Changes Renamed Check Date > Issue Date Remittance Advice Number > Transaction Set Control # Check Amount > Total Warrant Amt Receiver Name > Contractor Name Payment Reference Number > Warrant # Removed Adjustment Flag Payment Processing Date Production Date Receiver ID Type Receiver Bank Account Number

29 Remittance Advice Changes Removed Sender Bank Account Sender Bank Account Number Sender Check Digitit Sender DFI ID Number Sender DFI Qlfr Sender Payment Format Receiver Country Code Master Account Number Master Policy Number Currency Type Vendor Number

30 Remittance Advice Changes Removed Receiver Address Line 2 Receiver DFI Qlfr Receiver Bank Account Receiver Check Digit

31 Payment Details Transaction Renamed Changes Document Number > Warrant # Document Date > Issue Date Start t Date > Service Start t Date End Date > Service End Date Total Payment Amount > Amount Gross Adjustment Reason Code > GA Code Removed Recurring Payment Offset Type

32 Pharmacy Changes Renamed Subm Clarification Code > Submitted Clarification Code Added Primary Diagnosis Secondary Diagnosis Pharmacist NPI Submitted Dispensing Fee Submitted Ingredient Cost

33 Helpdesk With the upcoming holidays nearing your friendly helpdesk staff will be spending some time out of the office The helpdesk will still be monitored but response time may be delayed We hope you have a safe and happy holiday season!