Worldsoft Documentation Search

Patient Activity Costing Utilities

**WSS 2/15/23

Add Missing Admissions Discharge Services
Audit Utilization RVU Match
Load And Calculate Patient Activity Costing
Load Patient Episode Detail
Load Patient Episode Cost
Refresh Patient Episode Cost Centre Summary – Materialized Table
Refresh Patient Diagnosis Summary
Update Patient Specific Drugs Translation
Update Reclass Account Translation
Update Recoveries Account Translation
Update Tree Cost Components From Translation
Utilization RVU Auto Match

[ps2id id=’Add Missing Admissions Discharge Services’ target=”/]

Add Missing Admissions Discharge Services


What it Does:
Appends missing encounter header data at the consumer level which facilitates costing at clinical level.

When to Run:
After importing ADT and other header data, this process will append missing header records from other clinical sources such as Med2020 Intake Header

Requirements:
Fiscal year and entities to exclude from processing

[ps2id id=’Audit Utilization RVU Match’ target=”/]

Audit Utilization RVU Match

What it Does:

Compares Product Utilization to Relative Value Units (RVU) for selected fiscal year. Sets Boolean values for:
1) rvu_matched: Is utilization is matched to rvu?
2) rvu_no_value: Utilization has rvu match but does it have a value set or not?
3) case_costed: Is Utilization record case costed? (Is it in the node of cost centre tree as case costed)

When to Run:
Typically run after importing or updating of either product utilization or RVU.

Requirements:
Fiscal year along with the Cost Centre tree that is used for Case Costing.
Please note that the standard labels are assumed to be set correctly
NODEPT – Non Operating Department
OHDEPT – Overhead Department
PCDEPTCC – Patient Care – Case costed
PCDEPTNOCC – Patient Care NOT case costed

[ps2id id=’Load And Calculate Patient Activity Costing’ target=”/]

Load And Calculate Patient Activity Costing

Steps 1 to 5 require Actuals, Utilization & Relative Value units
ACTUALS 1 Actuals Considered for PAC
ACTCOMP 2 Actuals assigned to Cost Components
ACTCOMPGRP 3 Actuals Cost Component Groups
ACTRECLASS 4 Actuals after reclass
ACTRECOV 5 Actuals with Reclass and Recoveries applied

The next steps require PAC detailed records to exist
ACTPAC 6 Actuals with Overhead applied
ACTWOHEAD 7 Actuals with Reclass /Recov to PAC Detail
ACTPACFIN 8 Final:Overhead applied Reclass/Recov by weight

When to Run:
When actuals, Utilization & RVU have been verified.  For complete run, need to ensure PAC detail exists which is a merge of Utilization and RVU data.

Requirements:
Fiscal year & GL period to include in calculations (1..12)
Cost Centre Tree & Secondary Trees used for case costing
Stop after step.  Optional to process to set point to review progress when starting process for that period.

[ps2id id=’Load Patient Episode Detail’ target=”/]

Load Patient Episode Detail

What it Does:
Loads patient episode data which includes the diagnosis. Draws on the ADS header along with detailed clinical sources.

When to Run:
Once header and clinical data have been imported/refreshed.

Requirements:
Fiscal year. Requires the Admissions, Discharge and other services header to be populated along with clinical data available to pull that level of data.

[ps2id id=’Load Patient Episode Cost’ target=”/]

Load Patient Episode Cost

What it Does:
Draws from the episode detailed data (including diagnosis if available) and integrates the cost data by episode.

When to Run:
Once PAC costing is complete and Patient episode detail data has been loaded.

Requirements:
Fiscal year.

[ps2id id=’Refresh Patient Episode Cost Centre Summary – Materialized Table’ target=”/]

Refresh Patient Episode Cost Centre Summary – Materialized Table

What it Does:
After updating the primary cost materialized table, the cost centre summary is a subset of
that table

When to Run:
After changing Patient Episode Cost

Requirements:
None

Notes:

[ps2id id=’Refresh Patient Diagnosis Summary’ target=”/]

Refresh Patient Diagnosis Summary

What it Does:
Updates the diagnosis focused materialized table.

When to Run:
After running the Episode cost and cost centre focus summaries.

Requirements:
None

Notes:

[ps2id id=’Update Patient Specific Drugs Translation’ target=”/]

Update Patient Specific Drugs Translation

What it Does:

When to Run:

Requirements:

[ps2id id=’Update Reclass Account Translation’ target=”/]

Update Reclass Account Translation

What it Does:

Builds the detailed administrative reclass utilizing the Reclass mask tables (expands them)

Requirements:

Reclass account translation master, current year PAC Cost Centre Tree and fiscal year.

[ps2id id=’Update Recoveries Account Translation’ target=”/]

Update Recoveries Account Translation

What it Does:

Utilizes the PAC_RECOVERIES translate master (detailed filters) to obtain the financial accounts matching that filter and maps it to its default target cost component

Requirements:

Recoveries account translation master, current year PAC Cost Centre Tree and fiscal year.

[ps2id id=’Update Tree Cost Components From Translation’ target=”/]

Update Tree Cost Components From Translation

What it Does:
Update the tree cost components using the value translation type

When to Run:
As needed

Requirements:
– Value Translation Type
– Secondary Tree

[ps2id id=’Utilization RVU Auto Match’ target=”/]

Utilization RVU Auto Match

What it Does:

Explores records in RVU that match on product and cost component, but not on cost centre.
Any record that is auto-updated is date stamped with current user.

When to Run:
Typically after running audit and want to try and auto-correct missing RVU’s.

Requirements:
Fiscal year along with the Cost Centre tree that is used for Case Costing.