Hello all!
I thought I was post this question from a colleague. Hopefully someone can help answer:
Question:
"Decision Support is using an account level expected reimbursement figure, I believe from Trendstar, and I think it is fairly accurate according to the figures we use from PCON. What I'm wondering is where that number comes from - I would hope that PCON has something to do with it. Grasping, I listed out some of the columns in FB_PCON8_CLAIM_INFO and compared two columns to the expected reimbursement in PCON. The two are PCON_REIMB_AMT and REIMB_AMOUNT. They seem to have the same amounts about 99% of the time. When compared to the PCON expected reimbursement they seem to be the same about 97% of the time. Unfortunately, I have no idea what this data is or where to see it in Star.
Just off the top of your head, any idea where Trendstar would be getting expected reimbursement info? This could potentially be very useful in reconciling some Decision Support reporting with PCON reporting.
Thanks,"
Thanks for any responses!
Leonard