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Date:  

 

Agenda

Prod Deployment 1/28:

  • EDB Identifiers - When patient PII is updated, and identify status code is not M C or P, then copy EQRS attributes to EDB attributes.
  • EQRS UI - Patient Attributes: Primary Cause of Renal Failure is not being displayed if cause_of_rnl_failr_icd10_desc is populated but cause_of_rnl_failr_desc is not.
  • EDSM - Correcting 14024 Name of enrolled/principle tribe is invalid error
  • EDSM - Correcting DCI reported 99999 errors.

Other Updates:

  • 401 Error Corrections
  • NRAA - Medicare effective date being overwritten
  • Data Issue Deep Dive next steps

Next Meeting:

-          Friday, January 29, 2021 at 2:00 pm EST

Attendees

CMS

Justyna Sardin

Shamim Almamun

Ahmar Wazir

ManTech

Michael Hunter

Networks

Vladamir Ladik

Howard T

Deb Wilson

Kathleen Prewitt

Kelly Llewellyn

Nathan Muzos

Hari Krishna Pemmmasani

Revathy Ramakrishna

Jason Bullock

Pandu Muddana

PM3

Phuong Dam

Aaron Thompson







Discussion Items


ItemTopics and Notes
Prod Deployment 1/28/2021
  • Will provide more details around 99999 errors.  
  • May have additional fixes added to deployment on Thursday 1/28.  
  • Mike will provide an update in next meeting.
  • Updated UI will display error for Primary Cause of Renal Failure.  
Primary Cause of Renal Failure
  • 11/5 - error codes 14030 (expecting numeric value) - should be able to accept alphanumeric values (icd10 codes).
  • Mike to take a closer look into this.
  • Prior to 10/5, CROWNWeb was able to accept both ICD9 and ICD10 codes.  May be related to current issue?
  • Clinics are having to remove decimal point in ICD10 code before able to save the form.  Is fix related to this?  
    →  No, but Mike will confirm with internal team.
    →  Issue is in UI.
    →  Suggested to remove decimal code in the batch, but some disagreed with this.  I12.9 entered in as I129.  Is this the same code?
    →  Mike to escalate this to CMS regarding the batch of UI enhancements that are being reviewed.
    →  Batch of UI enhancement
Mapping Corrections for 401 Errors
  • Tracey provided a list that required feedback from Networks.
  • Some records are too old; not submitting data for those patients anymore.  Okay if not respond back for these patients.
  • Tracey will resend the list to Networks - duplicate identifiers for multiple mapping.
  • Root cause of 401 errors are due to the duplicate identifiers for multiple mapping or there is no mapping that exist.
  • Network assumes that when sending in demographic files - mapping is complete if receive a success or warning response.  If error response, then mapping will not work.  Is there a potential issue if EQRS is sending a warning response but not updating the mapping.  Is this the reason why experiencing such a high volume of 401 errors?  Michael will also discuss with the team.  
Multiple Mapping Issue
  • Very high volume (hundreds of thousands).
  • Networks are not able to clean these up.
  • Low priority - does not cause errors or prevent data from being processed or data corruption.
Medicare Effective Date 
  • NRAA reported - date is being overwritten.
  • ADO was not able to reproduce, but Mike spoke to the user.  Captured information needed to research.  
Deep Dives
  • Next steps:  Finish analyzing what was found.
  • Meet with CMS on recommendations on how to approach.
  • Will want to meet with Networks to ensure the following:
    →  confirm issues reported are still active.
    →  issues that need more information - provide status.
    →  identify issues that have most impact and prioritize those.
    →  look at the source of the issue, impact and list of priorities.
  • Will schedule when ready.
Attestation
  • Mike will reach out to F5 team to get an update.
  • Will provide update early next week.
Feedback Files
  • Not receiving feedback files.
  • Unable to process feedback files once based on the entire batch.
  • How should this be reported?  
  • Open one case and start tracking incidents within the same case in order to be able to review the trends.  
Extension
  • Need confirmation if clinical months close with data hidden, Arbor will be able to use it for QIP measurement and scoring.  Or need extension.
  • Risk:  QIP reductions will have significant impact to Networks and facilities.

Action Items:

  • 14030 error/warning code - Michael Hunterto look into why system is expecting a numeric value when should be able to accept alphanumeric value.  
  • Decimal point issue with ICD10 codes - Michael Hunterto escalate to CMS to review the batch of UI enhancements.  Is this one of the potential enhancements for future?
  • Attestation - Michael Hunterto provide update on isssue by early next week.
  • Extension communication - Justyna Sardin discuss with Program on Network concerns.
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