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COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based...

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COGNOS Instructions for Case Management Agencies 1 February 2019
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Page 1: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

COGNOSInstructions for

Case Management Agencies

1

February 2019

Page 2: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

Our Mission

Improving health care access and outcomes for the people we serve

while demonstrating sound stewardship of financial resources

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Page 3: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• What is COGNOS and how is it used

• How to access COGNOS and view reports

• Contacts for troubleshooting

3

What you will learn…

Page 4: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user friendly detailed reports.

• How is it used by Case Management Agencies?

These reports will allow the Case Management Agencies to run agency specific enrollment and utilization reports.

4

What is COGNOS?

Page 5: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

To access COGNOS:

https://access.truvenhealth.com/siamportal/webclnt/index.jsp#/?goto=http:%2F%2Fcobidm.truvenhealth.com:80%2Fibmcognos%2F

• One user profile is granted per agency

• For CCBs to get/modify access to COGNOS, contact Amanda Allen at [email protected]

• For SEPs to get/modify access to COGNOS, contact Sarah McDonnell at [email protected]

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Access to COGNOS

Page 6: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• Enter your logininformation

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Login Screen

Page 7: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

Home Screen

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• Select My home to access a variety of reports

Page 8: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• Select CMA Reports from the Report Landing Page

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Report Landing Page

Page 9: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

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CMA Predefined Reports

• Select CMA Predefined Reports to access claims, enrollment & utilization information

Page 10: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• Select Enrollment Report from the CMA Reports screen

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Enrollment Report

Page 11: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• Enter Enrollment Date Range

• Click Finish

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Enrollment Report

Page 12: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• After the report runs, it will prompt you to save or open an Excel file

• The Summary Counts tab in the Enrollment Report shows the number of clients enrolled by waiver

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Enrollment Report – Summary Counts Tab

Page 13: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• The Client Details tab from the Enrollment Report contains client information and a high-level view of all PARs

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Enrollment Report – Client Details Tab

Page 14: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• The PA Status tab contains high-level information about current PARs

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Enrollment Report – PA Status Tab

Page 15: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• The PA Utilization tab gives you detailed information on the PARs, including services, line dates and authorized and utilized units

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Enrollment Report – PA Utilization Tab

Page 16: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• Select Utilization Report from the CMA Reports screen

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Utilization Report

Page 17: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• The PA Utilization tab on the Utilization Report contains all the same high-level PAR information and it also contains claim information as to which provider billed, the units/amounts billed and paid, and the ICN number

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Utilization Report – PA Utilization Tab

Page 18: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• Select Utilization Report by Client from the CMA Reports screen

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Utilization Report by Client

Page 19: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• Enter Enrollment Date Range

• Enter Client’s Medicaid ID number

Tip: Client Medicaid ID field is case sensitive –always use capital letters

• Select Finish

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Utilization Report by Client

Page 20: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• Select Utilization Report by Client and Provider from the CMA Reports screen

• This report will provide the same information as the Utilization Report by Client, however will allow you to limit it by specific client and specific provider

20

Utilization Report by Client and Provider

Page 21: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• Enter Enrollment Date Range

• Enter Client’s Medicaid ID number

Tip: Client Medicaid ID field is case sensitive –always use capital letters

• Enter Billing Provider ID

• Select Finish

21

Utilization Report by Client and Provider

Page 22: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• Select Utilization Report by Provider from the CMA Reports screen

• This report will provide the same information as the Utilization Report by Client, however will allow you to see all your applicable clients and will limit it by specific provider

22

Utilization Report by Provider

Page 23: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• Enter Enrollment Date Range

• Enter Billing Provider ID

• Select Finish

• This report will show all utilization for your clients

23

Utilization Report by Provider

Page 24: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

For issues with access, error messages, or if you lose your PIN fob, contact:

https://truvenhealth.com/support/portal

24

Troubleshooting

Page 25: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

• Tables update at various intervals and therefore information may not appear on reports

Claims - updated weekly

Provider and PAR - updated daily

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Helpful Information

Page 26: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

Questions

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Page 27: COGNOS Instructions for Case Management …...• IBM Cognos Business intelligence is a web based reporting and analytic tool. It is used to perform data aggregation and create user

Contacts

Tammie TaylorClaims Data Management & Research

[email protected]

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