2021.08.27 EQRS EDI Submission Testing - Meeting

DaVita -

• Is there any update on error code13489?
  • The Medicare effective date is being auto created after the patients date of death
  • Per Yvette we discussed this as being a future enhancement
  • There currently is no ticket for this
  • DaVita does not submit a Medicare enrollment effective date in their submissions
  • The system auto creates it for them
  • But it is auto assigning the day the submission is done
  • For example, today DaVita sends EQRS a patient died yesterday, it says the effective date is today and then it errors saying the effective date can't be after the date of death
  • Nathan is referring to the Medicare enrollment effective date
  • Per Yvette, there are no plans to fix this in the current PI
  • This error is DaVita's number one error that gets generated on their patient submissions
  • Request that this error be looked at with high priority
  • One way to get around this error is to actually send the effective date
  • DaVita never sends effective date
  • Per Howard the source of truth on Medicare effective date is from Medicare, it's not from the EDIs or facilities
  • This is an example of where the EDIs should be able to query EQRS to get the information rather than the EDIs supply information
  • CMS will have to make the requirements change saying those dates are no longer needed
  • Per Lisa there may be something coming up in the next PI to help this issue
• Nathan is unable to access the latest data dictionary
  • Access issues
  • Scott sent the link in the chat for Nathan to try and it worked
• The defect regarding the checkbox in the UI not being checked when no clinical data is submitted.  Do we know if it affects redshift and what the NCC gets for their reporting?
  • Want to make sure this is not a downstream impact that hasn't been discovered and if no one knows, can it be looked into?
  • Per Kathleen who has been looking at patients with missing data, none of them have had a checkbox checked

FKC

• Per Kathleen - On 8/25, they received the same error as DCI regarding the transplant and citizenship error
• What is the expectation of the error?
  • There are multiple scenarios per Yvette
  • The error really shouldn't have been triggering that error on the dialysis facility b/c that citizenship requirement is not required for dialysis
  • Another scenario where depending on the date that you send for the admission, for example if the patient is already admitted to your facility, but you submit a different date a year or two later, the system is looking at that like a new admission and then it was still checking all of the admissions the patient ever had. If the patient had a transplant, and it was null, and in some cases they could have had a citizenship but the dates could have been after the transplant, it was still triggering
  • There are several more scenarios that the ADO needs to look into
  • Kathleen will get Patient IDs encountering this error to Yvette and Michael
  • Michael can help Nathan look at those missing

DCI - 

• Error related to transplant and citizenship still received after resubmitting 44 cases; submitted data today and only 8 cases
• Vlad will send Yvette those patients so she can take a look at them and research further
• Vlad will contact the helpdesk or can send the patient information through MFT (Manage File Transfer)
• Yvette does not need the file submitted, she only needs the Patient IDs

NRAA -

• Question from Howard - Is citizenship required in EQRS for a dialysis center. 
  • Per Yvette, it is not required, it is optional; depends on the scenario
  • When you submit your patient files, citizenship is not required.  It is required in certain scenarios depending on the patient's race and then there's a requirement for the 2728
  • If the patient gets a transplant, citizenship is required b/c need to know if they are coming to America to get one versus a citizen getting one 
  • Howard suggest this as a good example why a data dictionary is needed
  • Is there an ETA on when a solid data dictionary would be available?
    • The ADO planned to give an updated data dictionary at the end of this PI
    • This PI ends 10/12
• Per Kelly, still working with Yvette's team on the tilde issue

Next meeting scheduled for 03 Sep 2021