1. 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. 1

2. One PI Overview — Course Topics
Overview of One PI
Vision
Goals and Benefits
Data Environments
Query Tools Comparison
Data Review
Portal Basics
One PI Portal and Features
Portal Computer-Based Training

3. One PI Overview — Course Objectives
After completing this course you should be able to describe:
Goals and benefits of One PI
Differences between the current data environment and the One PI data environment
Features of the One PI Portal
Features of Business Objects and Advantage Suite
Data that is loaded into One PI
Data availability for Business Objects and Advantage Suite
Reference materials available for One PI users

4. One PI Overview — Vision
One PI 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.

5. One PI Overview — Goals and Benefits
Improve access, availability, and timeliness of data
Eliminate data redundancy
Enhance communications and collaboration
Access to data - tools that allow focus on fraud, waste and abuse detection rather than complex coding
Integrate Medicare, Medicaid, provider and beneficiary data

6. One PI Overview — Current Environment

7. One PI Overview — Objectives Based on Requirements
Key Requests
Comprehensive data
Variety of tools (e.g., report writer, analytics, etc.)
Ability to schedule reports and create non-standard reports
Single source of data
Fast system response times
Collaboration features
End-user support

8. One PI Overview — Future One PI Environment8

9. One PI Overview — Business Objects and Advantage Suite Features and Functionality
Drag and drop
Standard reports and templates availability
Ad hoc reporting capability
Graphs and charts
Advanced 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 9

10. One PI Advantage Suite — Additional Functionality
2500+ healthcare measures
Patient health records
Clinical intelligence
Admissions and episode groupings
Predefined subsets
Clinical conditions
Relative time periods
Metadata catalog
Dynamic benchmarking
List import
Additional data elements
Relative Value Unit (RVU) assignments
Therapeutic class and group 10

11. 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) 11

12. 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 analysis
Access a majority of data elements available in the IDR (2000+)
Access all occurrences of a claim record 12

13. 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 Groups
Utilize Admissions and Episodes
Compare your providers to their peer groups on a risk-adjusted basis
Leverage the financial, utilization, or clinical measures available in Advantage Suite
Utilize predefined relative time periods 13

14. One PI Data Review — What Future Data Will Be Available in the IDR?
Shared Systems data, including additional data elements such as:
Check Number
Check Date
Check Amount
Edit/Audit Reason Codes
Billing Provider 14

15. 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 15

16. One PI Overview — One PI Portal Overview
The One PI Portal provides access to:
Data tools
Document management and collaboration tools
User support
Help Desk
Computer Based Training
Security
Multi Protocol Label Switching (MPLS) service network
Monitored and Managed by AT&T
Role-based security
Change log:
V.1.6: 9/10/10 – Changed bullets from: Medicare Data Communications Network (MDCN); Secure, closed, private network managed by AT&T TO: Multi Protocol Label Switching (MPLS) Service Network ; Monitored and Managed by AT&T

17. One PI Overview — One PI Portal Overview
One PI Portal features include:
One PI announcements
Links to law enforcement resources
Health and Human Services (HHS) Office of Inspector General (OIG) Exclusion Program
HHS OIG reports
HHS OIG fraud alerts and bulletins
Program Integrity Data Users Group (PIDUG) community news, alerts, and collaboration tools
Document sharing

18. 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 Suite
The unique aspects of Business Objects and Advantage Suite
The One PI Portal and its features 18