What's new in 2023.3

Welcome to Axiom Enterprise Decision Support 2023.3!

Enterprise Decision Support delivers the following new and updated features and enhancements:

Interim costing

Use interim costing to leverage previously costed cost models and assign those costs to newly loaded data without having to process a cost model. This feature is helpful when you do not plan to run costing for a while, but continue to load data.

Applying interim costs to your new data lets you run analysis on the most current data and avoid waiting until you run the cost processing analysis again. For example, if you load data nightly, you could configure interim costing and schedule it to run as the last step of your nightly load. That data would have costs associated with it by the next morning versus waiting until it is time to run monthly costing.

Revenue distribution

Use revenue distribution to include non-adjudicated payments and adjustments (such as payor quality incentives, cost report settlements, and so on) in your decision-support reporting. This feature provides a user interface-standardized process for managing these payment and adjustment definitions and eliminates the need for historically created customized approaches.

Create targeted distribution rules that identify the applicable encounter population to receive these payments or adjustments, along with a basis for spreading the amount.

The Define revenue distribution definition page provides key information about existing definitions. From this page, you can:

• Select a definition and move it to the edit page to review or update it.

• Modify the revenue amount to be distributed.

• Modify the discharge date.

This page simplifies ongoing maintenance of the most common inputs and allows multiple definition changes from one location by clicking Save. You can also select which definitions to process from this page.

During processing, the calculated amounts distributed to encounters are saved in the EncounterPayments table as new transactions. To simplify auditing and review, the transaction IDs in the table are prefaced with “RD_” and tie directly to the transaction ID displayed on the Revenue Distribution definition page.

Transactions that are posted to Encounter Payment include the applicable payment type (PAY or ADJ). If you rerun any previously published revenue distribution transactions, transactions that overlap with the population filter discharge date range are deleted.

Additionally, each revenue distribution definition generates a new record in the TransactionCode reference table for report writers to reference the revenue distribution name. This record is stored in the LongDescription field.

Relative Value Units (RVU) maintenance

The reimagined Maintain RVU page provides more flexibility when selecting which cost items to review and offers multiple options for incorporating updates.

You are no longer restricted to view only items within a single department. Using standard Axiom filter wizard behavior, you can select precisely what to review (for example, you can view the same cost item or cost item revenue code across all departments).

The page provides a default view of all cost categories that are sorted by costcat ID. You can select which cost categories are visible by clicking Select cost categories, and then clicking one or more cost items. By sorting the values in the cost category columns, you can view which cost items have similar RVUs or no RVUs.

You can modify the RVUs directly on the page by leveraging the new mass-save functionality. Click in the RVU cells, make changes or delete values for one or multiple items and cost category columns, and then click Save.

You are no longer restricted to edit only one line at a time.

You can also download filtered data into Excel to modify and upload these changes.

Delete encounters

Use the new interface to delete unwanted encounters from Axiom.

You can select encounters by:

• Using the filter wizard.

• Downloading a template, and then uploading it when complete.

• Manually entering encounters. Use the manual entry option to enter encounter numbers or paste copied data from an external source.

You can also use multiple options to compile the staging view on the Delete encounters page.

After you save the staging list, the grid displays total charges and payments for the encounters. You can start the deletion process immediately or schedule it to start later. You can use either option to cancel at this point, if necessary. If you schedule the deletion, you can still edit the staging list up to 10 minutes before the start of the scheduled job. After that time, the Delete encounters page is locked and a prompt notifies you that the job is in progress.

What’s new in version 2023.3.18

No new features were introduced in 2023.3.18, released on February 18, 2025.

What’s new in version 2023.3.17

This release of 2023.3.17 on December 17, 2023 includes the following enhancement:

Security updates

Security for the DSS Analyst role was modified to ensure read-only access for the following table types to import, audit, and modify data. These changes ensure uninterrupted reporting within EDS: [110077]

• EDS Staging and EDS Staging Data

• EDS Core and EDS Core Data

• EDS Reference

• Cost Model and Cost Model Data

• Cost Results

• Episodic Grouper Data and Episodic Grouper Reference

• Service Line and Service Line Data

What’s new in version 2023.3.16

No new features were introduced in 2023.3.16, released on November 11, 2024.

What’s new in version 2023.3.15

No new features were introduced in 2023.3.15, released on October 14, 2024.

What’s new in version 2023.3.14

This release of Axiom Enterprise Decision Support includes the following enhancements:

3M GPCS certificate update

Updated the 3M Grouper Plus Content Services (GPCS) required by 3M by September 30, 2024 [103009]

What’s new in version 2023.3.12

This release of Axiom Enterprise Decision Support includes the following enhancements:

Security updates

A new security role exists:

• Visual Insights for Axiom Intelligence Models/Enterprise Decision Support Visual Insights Models folders [83307]

  • Role name: EDS Visual Insights Admin

  • Subsystems: DSS

  • Permissions: Browse Model Analytics and Create BI Models

  • File access:

    • Enterprise Decision Support\01 Custom Costing Reports: Read/Write

    • Enterprise Decision Support\50 Visual Insights Dashboards: Read/Write

    • Axiom Intelligence Models\Enterprise Decision Support Visual Insights Models: Read/Write

The following security role updates consist of:

• Costing Admin: Read/Write access for Reports Library/Enterprise Decision Support folder [90111]

• DSS Admin: Read/Write access for Reports Library/Enterprise Decision Support folder [90980]

• DSS Analyst: Read/Write access for Reports Library/Enterprise Decision Support folder [90995]

• DSS User: Read access for Reports Library/Enterprise Decision Support folder [90996]

• EDS Dashboard Security Admin: Read/Write access for Reports Library/Enterprise Decision Support folder [91000]

• EDS Dashboard: Read access for Reports Library/Enterprise Decision Support folder [91002]

• EDS Dashboard: Access to Visual Insights files [83351]

• DSS subsystems: Read/Write access for Reports Library/Enterprise Decision Support folder [91004]

• CA subsystems for Reports Library/Enterprise Decision Support folder [91008]

• Costing Admin for Table Type access to the following tables to audit and modify data: [90113]

  • EDS Staging: Read/Write

  • EDS Staging Data: Read/Write

  • Episodic Grouper Data: Full Read

  • Episodic Grouper Reference: Full Read

  • Service Lines: Full Read access and Read only

  • Service Line Data: Full Read access and Read only

• Cost DSS Import Admin for Table Type access to the following tables to audit and modify data: [90115]

  • EDS Staging: Read/Write

  • EDS Staging Data: Read/Write

  • EDS Core: Read/Write

  • EDS Core Data: Read/Write

  • EDS Reference: Read/Write

  • Payroll: Read/Write

  • Financial: Read/Write

  • Cost Model: Read/Write

  • Cost Model Data: Read/Write

• Costing Admin for Visual Insights access to Axiom Intelligence Models/Enterprise Decision Support Visual Insights Models folders [83313]

• DSS Admin for Visual Insights access to Axiom Intelligence Models/Enterprise Decision Support Visual Insights Models folders [83339]:

  • Permissions: Browse Model Analytics and Create BI Models

  • File access: Axiom Intelligence Models/Enterprise Decision Support Visual Insights Models- Read only

• DSS Analyst for Visual Insights access to Axiom Intelligence Models/Enterprise Decision Support Visual Insights Models folders: [83340]

  • Permissions: Create BI Models

  • File access: Axiom Intelligence Models/Enterprise Decision Support Visual Insights Models: Read only

• DSS User role for Visual Insights access to Axiom Intelligence Models/Enterprise Decision Support Visual Insights Models folders: [83341]

  • Permissions: Create BI Models

  • File access: Axiom Intelligence Models/Enterprise Decision Support Visual Insights Models: Read only

• EDS Dashboard Security Admin for Visual Insights access to Axiom Intelligence Models/Enterprise Decision Support Visual Insights Models folders: [83342]

  • File access: Enterprise Decision Support: Read/Write

• EDS Dashboard User for Visual Insights access to Axiom Intelligence Models/Enterprise Decision Support Visual Insights Models folders: [83351]

  • File access: Enterprise Decision Support: Read

3M GPCS interface version update

3M Grouper Plus Content Services (GPCS) Interface Version and Scheduler API update [97346]

What’s new in version 2023.3.11

This release of Axiom Enterprise Decision Support includes the following enhancements:

Revenue Distribution: Updated maximum dollar value allowed

• Updated maximum value to 99,999,999,999.99

• Update minimum value to -99,999,999,999.99

  

  [95499]

What’s new in version 2023.3.10

This release of Axiom Enterprise Decision Support includes the following enhancements:

Encounter payment table added to Table to filter dropdown in Add Revenue Distribution page

The following enhancements were made to the Add revenue distribution page:

• Added Encounter payment table to Table to filter dropdown.

• [1] Encounter Payment selection shown in the Population filter section when adding a revenue distribution.

• [2] Encounter Payment shown as a selection in the Basis table in the Aggregation settings section.

• [3] Encounter payment columns shown in the Basis columns section when user selects Encounter payment in the Basis table (columns with numeric datatypes only, except AuditColumn).

  

Definition identification number added to Reclass and Allocation error messages

For troubleshooting ease, processing output for Reclasses and Allocations show the definition ID number when definitions fail for any reason.

Numeric AgeValue column added to the Age reference table

An AgeValue column was added to the Age reference table for easy use in Visual Insights or any other reports.

TotalCost column added to D2E_CostDetailcategoryCalculation and TransactionDetailcategoryCalculation tables

To simplify reporting, a calculated column, TotalCost, was added to the Direct to Encounter_CostDetailcategoryCalculation (D2E_CostDetailcategoryCalculation) and TransactionDetailcategoryCalculation tables. The TotalCost columnn shows the sum of the VariableCost and FixedCost columns.

New columns added to CDTC, D2E CostDetail, and ETC tables

New columns were added to the Cost Detail Total Costs (CDTC), D2E CostDetail, and Encounter Total Costs (ETC) tables:

• TotalFixedCost (populated with values from TotalFixedDirectCost and TotalFixedIndirectCost).

• TotalVariableCost (populated with values from TotalVariableDirectCost and TotalVariableIndirectCost).

• TotalDirectCost (populated with values from TotalFixedDirectCost and TotalVariableDirectCost).

• TotalIndirectCost (populated with values from TotalFixedIndirectCost and TotalVariableIndirectCost).

• TotalCost (populated with values from TotalFixedDirectCost , TotalFixedIndirectCost, TotalVariableIndirect, and TotalVariableDirectCost).

Adding these columns minimized manually adding costs from the current columns.

What’s new in version 2023.3.9

This release of Axiom Enterprise Decision Support includes the following enhancements:

Publish Reporting Tables job enhancements

The Publish Reporting Tables job was enhanced to support more efficient processing. This part of costing is still initiated from the Run Cost Process page, as it was previously, but the underlying job was improved to overcome challenges with temporary table space and job durations.

What’s new in version 2023.3.3

This release of Axiom Enterprise Decision Support includes the following enhancements:

Updated EDS encounter model

Additional fields support a new EDS dashboard and expand the breadth of the EDS encounter model.

A Visual Insights (VI) data model reference file contains a listing of the tables and fields referenced for VI data models. The file is located Reports Library\Enterprise Decision Support\50 Visual Insights Dashboards\00 EDS Visual Insights Model Contents.xlsx. This file currently has a tab for the EDS encounter model and will be updated when future models are released.

Visual Insights model contents

A new information file contains a listing of the tables and fields referenced for Visual Insights (VI) data models. The file is located in Reports Library\Enterprise Decision Support\50 Visual Insights Dashboards\00 EDS Visual Insights Model Contents.xlsx. This file has a tab for the EDS encounter model and will be updated when future models are released.

Visual Insights for volume and financial intelligence

Visualizations in volume and financial intelligence help you understand trends in:

• Case volume

• Costs

• Net income

• Mortality

Use the following tabs for your analysis:

• Entity

• Patient type

• Service line

• Financial class

• Discharge date

These reports appear in Reports Library\Enterprise Decision Support\50 Visual Insights Dashboards\Volume and Financial Intelligence.

Use the following visualizations:

• Volumes and financials

• Volume and financials detail

• Provider detail

• Provider net income

• Inpatient mortality

• Net income

Volumes and financials

The quick summary cards provide case and profitability information. Review trending visualizations for current and previous year cases to understand the magnitude of changes in case volume and net income over time.

Volume and financials detail

Provides a detailed, tabular representation of the data on the volume and financials report.

Provider detail

Analyze payor mix on the top bar graph as you change selections. Review volume and profitability by physician and toggle between the following provider roles:

• Admitting

• Attending

• Primary Care (PCP)

Provider net income

Review service line case volume and explore net income by attending provider.

Inpatient mortality

View your organization’s overall mortality rate trend. You can further analyze deaths by:

• Attending provider

• Medicare Severity Diagnosis Related Groups (MS-DRGs)

• Provider specialty

• Service line

Net income

View the net income progress of your organization as it builds or decreases over time.

Updates to standard reports

All Cost Recon and Data Reports contain minor changes to headers, views, and variables to provide an up-to-date user experience.

For 03 (Cost) Recon Reports that prompt for a cost model ID, cost model ID 0 (zero) was filtered out from the selection list. CGL.TOT is used where applicable, and extra data and sheets that were previously necessary were removed before that column was brought into EDS.

• The 1 Cost Recon Dept Summary included additional changes:

  • The data filter for the ReclassDetail restricts results to just expense and prevents statistics from contaminating the results.

  • Column AI (formerly titled, “Exclusions (CostCat Is Costed = False)”) was renamed “Costcats not included in costing” to avoid any confusion with method exclusions.

  • The restriction on this column that only provided data for direct and indirect columns was removed so that all sections provide data, if applicable.

• The 2 Cost Recon Dept Detail changed actual quantity (AQ) changed to restrict results to expense.

New unit cost report

Use the 5 Unit Cost Review report to review unit cost reports before publishing reporting tables. This report resides under Reports Library\Enterprise Decision Support\03 Recon Reports\5 Unit Cost Review.

The report leverages CostDetailCategoryCalculation (CDCC) and Cost Detail tables (along with their Direct to Encounter counterparts), enabling you to review cost per unit results for one entity after all cost methods are processed.

What’s new in version 2023.3.2

This release of Axiom Enterprise Decision Support includes the following new feature:

Revenue Distribution Review web report

Use the new Revenue Distribution Review web report to review the results of the revenue distribution definitions you have processed. This report is packaged and delivered to the Reports Library\Enterprise Decision Support\04 DSS Reports.

For more information, see Revenue Distribution Review web report.