NNE-PTN Claims Data Report Suite Training
This learning module is intended for the NNE-PTN practice facilitators, quality improvement coaches, practice providers, practice staff, and practice administrators. The purpose of this learning module is to introduce users to the claims data report suite, to build their comfort with using the suite, and to empower users to pull relevant and valuable information from the suite post training. The report suite is a valuable tool to investigate trends in membership, cost, and utilization both for specific practices within the NNE-PTN and to compare populations.
The beginning units are introductions to the report suite: logging in and how to unlock the relevant information. The subsequent units walk through each of the report suite sections outlining the contents and giving examples of the value gained from the report suite data. The majority of each unit is dedication to identifying the information and specific measures in each section. Additionally, each unit will have an example to show how the suite can be used to pull specific information. There is an assignment at the conclusion of each unit to provide a practical application for the information presented in that unit.
Practice and system leaders, providers, and staff enrolled in NNE-PTN.
At the conclusion of this module, participants will:
- Know how to locate the report suite tool
- Know how to use credentials to access the tool and unlock information specific to their purpose
- Know the basic layout and navigation options in the report suite tool
- Understand the Member Characteristics sections and have at least one example of how to pull information
- Understand the Medical Type of Service sections and have at least one example of how to pull information
- Understand the Chronic Conditions sections and have at least one example of how to pull information
- Understand the Place of service and Quality sections and have at least one example of how to pull information
- Understand the Treatment Groups sections and have at least one example of how to pull information
- Have a better understanding of the value and limitations of healthcare claims data
- Computer with Internet connection
- The quiz tool within the online modules are not fully compatible with smartphones or tablets. In order to avoid issues, such as answers not being recorded, we recommend using a computer to complete the pre- and post-tests.
Table of Contents
- Test Your Knowledge (Pre-Test)
- Unit 1: Introduction (Website, documents, credentials)
- Unit 2: Navigating the Report Suite (control center, report sections, page navigation)
- Unit 3: Member Characteristics (section and interpretation examples)
- Unit 4: Medical type of Service (section and interpretation examples)
- Unit 5: Chronic conditions (section and interpretation examples)
- Unit 6: Place of service and quality (section and interpretation examples)
- Unit 7: Treatment groups (section and interpretation examples)
- Course Wrap Up (Post-test, Evaluation Survey, and Completion Statement)
Click here to access the resources and tools provided in the module.
Assessment and Grading
This learning module begins with a Pre-Test that will test your knowledge and allow you to gauge your baseline understanding of the topics to be covered. Your pre-test score will not count toward your overall grade. At the end of the module, there is a Post-Test that will determine your final grade. A comparison of your Pre-Test score and Post-Test score will help to assess how much knowledge you’ve gained. You will have two attempts to complete the Post-Test. Your score must be 75% or better in order to receive a certificate for CME credit.
Please complete the evaluation survey at the conclusion of the learning module.
To Obtain CME Credits:
Complete the entire learning module.
- Complete the Pre-Test, Post Test, and Evaluation Survey at the end of the module.
- You must earn a score of 75% or higher on the Post-Test in order to qualify for CME credits. You will have two attempts to complete the Post-Test.
- After you confirm to completing the entire learning module and have received a score of 75% or higher on the Post-Test, your certificate of completion for CME credits will be generated and available for you for download.
- Download and print your certificate of completion and CME Documentation Form.
The following planners, speakers and authors have indicated that they have no relationships with industry to disclose relative to the content of this activity:
Amy Miller, BSHA-M (Course Designer)
Program Specialist, PTN
University of New Hampshire
University of New Hampshire
If you are having technical problems (video freezes or is unplayable, can’t print your certificate of completion, etc.) you can submit a Help Request (firstname.lastname@example.org) to the Learning Lab Team. If you have questions related to CME credit and requirements (Pre and Post-test) or course content, you can contact the Online Support Team at email@example.com.