LumenData

Physician Mastering

Fast-track your spend compliance by monitoring physician spend. Easily print federal- and state-mandated reports.

The Physician Payment Sunshine Act (Section 6002 of the Affordable Care Act of 2010) has dramatically increased the data management challenges that Life Sciences organizations face by requiring transparency in the organizations’ spending on HCOs and HCPs.

An MDM-based solution can facilitate accurate compliance and provide reports for state and federal regulations by monitoring spend behaviors and enabling easier remediation and correction of spend data.  In addition to ensuring compliance, the solution offers a single view of providers and physicians across the organization.

Learn More about LumenData's Spend Monitor Hub

LumenData’s Spend Monitor Hub comprises of pre-built extensions to commercially available MDM systems to enable the following:

 

Unified View of Providers and Physicians

  • The MDM layer easily creates master data within a Life Sciences company in order to build the single view of a covered recipient
  • All the complexity inherent in the Life Sciences space (Health Care Professionals, Health Care Organizations, Affiliations, Buying Networks, etc.) are easily managed
  • Integrated Data Quality ensures that the incoming data conforms to the required quality standards and can be uniquely identified and cross referenced

Business Rules

  • Rules specific to transaction types, spend caps, reporting codes for various states are managed in the configurable Business Rules area of the Spend Monitor Hub
  • Threshold alerts can be established to inform various users or groups of out-of-compliance situations

Transaction Management

  • Transaction management capabilities allow capturing spend transactions from any number of source systems
  • Business Rules evaluate the transactions to check for inconsistencies and errors and flag those transactions for follow up
  • Alerts can be associated to exceptions to ensure prompt follow up
  • Missing or incorrect spend data required for reporting can be remediated through remediation rules

Reporting

  • The current state and federal reports come pre-packaged in the Spend Monitor Hub; reports include requirements for Washington DC, Massachusetts, West Virginia, Vermont, and California

Managed Services

  • Compliance Validation – Optional component allows you to stay current on any changes to the regulations via a dedicated compliance team.  If changes are required to any existing reports as a result of a change or if new reports are needed, those changes will be communicated via the compliance team to you.
  • Data Enrichment – Optional data enrichment component provides an industry leading, pre-validated provider database.  This can be enabled as part of an initial load of the Spend Monitor or on an as needed basis to enrich specific internal records with missing information

Why Choose LumenData?

Enterprise Data Management Expertise. At LumenData, we focus exclusively on MDM, Data Quality, and Data Governance. And with our deep-rooted product knowledge from decades of experience in leading and developing MDM products at major MDM software companies, we understand what it takes to implement MDM quickly and with lower risk.

Data Governance and Data Quality. A governance program that supports data-related decisions and actions is crucial to the success of your MDM implementation. LumenData’s Data Governance services help to coordinate and align all stakeholders on data policies and procedures. Our Data Quality services span from health checks to enterprise data quality deployments across multiple domains.

Our Partnerships Set Us Apart. We work with our partners to co-build products, influence product direction, and build complementary solutions.  We bring industry-specific expertise by being involved with our partners’ marketing- and customer-facing teams to accurately meet the needs of customers.  Learn more about our Partners.

Pre-built Integration Solutions. In addition to our MDM expertise, LumenData has developed many integration solutions to fast-track MDM deployment. These solutions include integrations to cloud and on-premise applications such as Salesforce.com, Peoplesoft, and Siebel CRM.

Cloud Expertise. As some applications move towards the cloud while others stay on-premise, enterprises will face key decisions on how to manage their data across different environments. With our cloud expertise, we can guide you in choosing the most effective environment for your company, whether it is staying on-premise, moving to the cloud, or a hybrid of both.