2021.07.23 EQRS EDI Submission Testing - Meeting

Phase 3 Testing Timeline

• 07/12/2021 - Phase 3 (Clinical Codes/2728) live in production.
• 07/12/2021 - 09/01/2021 - Resubmission of Clinical Data Files (September to December).
  • Continuing to monitor and review clinical data being submitted
  • Submissions are going extremely well 
• Timeline
  • Encourage everyone to complete large data submissions prior to the closure of the clinical data
  • Allows us to react to any large data submissions early in the process

• Continuing to triage and work tickets that come in
• Most issues encountered have been educational or user based
• Thank you to all the EDIs for your support and collaboration
• Will triage ticket that came in from DaVita regarding the effective date.  Requested for the data file to review
• Continuing data cleanup and looking out for 400s and 401s to be resolved

• Request from NRAA - Would like Information when an updated EQRS Data Dictionary will be ready for distribution
• EDI Data Dictionary
• To better understand, Scott asked why the request was made, how it fits into NRAAs process and how it helps them?
  • Per Deb Wilson  - the data dictionary has been an artifact they had for a long time and it helps the vendor as they review their code, make updates and do their testing
• The last version NRAA received is version 5.1.3 of CrownWeb
  • Per Nathan, they have never received an EQRS data dictionary that is up to date and accurate
  • Going back to Med Rec
  • What's missing - there are certain selections in the data dictionary that are no longer in the UI or system anymore
  • The last version was Med Rec version 1.4, May 2019
• Recommended by Nathan to have a column in the data dictionary to add comments or status
• Confirmed that NRAA (Deb) has the latest version that was being discussed in this meeting

Data Submissions from 07-12-2021 - EQRS - HCQIS Confluence (cms.gov)

• Submissions are looking really good this week
• Volume is lower this week than last week
• For those submissions, they have gone through successfully - feedback files have been generated successfully
• Issues - 3 NRAA files
  • One failed to generate a feedback file
  • Two had issues at submission time
  • No explanation at this time what went wrong with the 3 files
  • Added additional logging to help troubleshoot the issues
  • Data did process successfully, the errors occurred at the tail end of generating this bad feedback

DaVita -

• Completed full batch submission of December this week and it took 7.5 -8 hours to process which is normal and their job never had to be restarted
• Praise to everyone for their hard work
• Gained confidence in the system now the jobs can just run successfully

FKC -

• Completed most of the batching done and didn't experience any issues
• Great work all around and FKC had faith with the EQRS ADO team that it would be a success
• They performed a test on attestations and it was successful as well as in Production 
• They feel comfortable they are in a great spot and do what needs to be done to reach the 9/1 deadline

DCI -

• Submitted depression screening data today - no issues encountered
• Noticed one new error, Error 212 - This facility is not eligible to submit screening reporting during this assessment period due to lack of eligible patients
  • It is two clinics, one clinic is opened in the middle of the year, and didn't have enough patients
  • The other clinic is a larger clinic that was closed in the middle of 2020
  • No ticket has been entered at this time

NRAA -

• They are making progress
• Numbers on the Clinical Compliance report are going down
• Monday, 7/26 - Deb will get Howard the percent complete for December 

• CS1363218 - DaVita
• Michael received the ticket and will begin triaging today
• Issue is related to the effective date and researching if impacted by the time zone
• Error indicates it was submitted for a future date
• Michael will work with Nathan in getting the specific file name
• Michael pointed out that Howard's (NRAA) numbers will look better next week.  He has been working on resolving the NRAA tickets with Kelly

• REMINDER: if need to email the help desk, using the following email address: 

  qnetsupport-esrd@hcqis.org with URGENT in front of subject line

  • This will get to the appropriate ESRD agents to triage and assign to the correct team/resource
• Question:  Any guidance on the submissions of the 2021 data?
  • At this time there is no guidance from the program
  • Nathan suggest when they do the conversations about it, that the other meetings (ie. Program Working Group meeting) be used to discuss with the group (EDIs)