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Date

Attendees

Name
Aaron Thompson
Adrienne Adkins
Adrienne Ray

Ahmar Wazir


Andrew Yochum
Andy Tarpley
Anitha Chintalapati
Anthony Seabrookx
Arnie Espartero
Betina Fletcher
Branon Barrett
Cheri Jergerx
Chris Brown
Curt Phillipsx
Deb Wilsonx
Greg Ecclestonx
Hari Krishnax
Heather Moorex
Howard Thomasx
Jason Bullock
Jason Clemx
Jennifer Baileyx
Justyna Sardinx
Karen Wheelerx
Karena S
Kathleen Prewittx
Kelly Llewellynx
Lakshmi Eriginenix
Leah Skienx
Lisa Reesx
Lonnie Hanekampx
Melissa Fieldhousex
Michael Kennedyx
Nana Aidoox
Nathan Muzosx
Ozlem Taselx
Pandu Muddax
Patrick McConnell
Revathy Ramakrishnax
Scott Laughlinx
Seema Sreenivasx
sfilling
Shamim Almamunx
Terrance Betheax
Tom Lantz
Vladimir Ladikx
Yvette Brownx




Agenda

ItemsWhoTopics
AnnouncementsScott
  • Terrance Bethea will be facilitating this meeting starting next week as we return Karen Wheeler to the Shared Services team.

Phase 2 Testing Timeline

Scott
  • 5/4 to 6/1 - EDIs perform Phase 2 (Patient Codes) testing in progress.
  • 6/2 - EDI Sign off on testing.
    • Based on results of the testing to date we are anticipating all groups signing off on 6/2.
  • 6/7 - Production deployment.
Phase 2 Code UpdatesYvette
  • CMS removed the validations from codes 13559, 13560 and 13561 from Pre-Prod. Testing should have restarted Wednesday, 05/19.
  • ADO team is working on defect for 13510 in their current iteration and will be resolved by 5/25.
  • For Answer to Question on 11163 - UI automatically defaults to the day that the person is editing the record on the UI which is the same way as it does for EDI submissions. It requires you to enter a date that is NOT after the patients date of death. To workaround go into the UI and update the effective date to work past the validation rule.
  • Question asked -13510 - resolution - it was triggering inaccurately; you were not supposed to receive this warning. Fixing so it does not check citizenship status when you are submitting data for a dialysis facility.
  • Question asked -11163 - Confirm how it works in pre-prod and prod.
  • Question asked - Medicare effective date - error triggered by system, based on a date system created. not a date that was submitted. 13492 - was an error and being changed to a warning which is going out in the next deployment in prod preview by 5/25.
Phase 2 Testing Results and BlockersScott
  • Davita 
    • Changes going in on 5/25 impact answer to being ready for 6/2.
    • After 5/25 teams will need to reassess - shooting for 5/28.
    • Will handle date of death on their side; Still looking for discussion from program around business rules.
    • Feedback: consider looking into what bucket of errors disappeared and why; Error breakdown Sep 2020 and then what happens today - look at 3 digit codes.
  • DCI 
    • Tested; not getting errors any longer; no roadblocks.
    • On 5/26 will retest plan to be ready on 5/28.
  • FKC 
    • 11520 being converted to warning? Will not be implemented / will not exist as a warning or an error, there will be no validation. Decision later from CMS whether to bring this code back (related to Merges). Action - Add note to Merge Feature for follow-up on this. 
    • 11523 - do not see this error; were not able to replicate in pre-prod. Still should take into consideration with the Attending Practitioner Error - make sure not looking at legacy data when this goes live. Unsure of what will happen in production so should keep an eye on this. They were going to provide CMS a file. Dropped old CrownWeb file and could not replicate the error so did not think CMS could follow-up on it. 
  • NRAA
    • Will be helpful to have the information available around the business rules and how errors work.
    • Feedback on something that was helpful previously - for common errors / high volume - write up on it with proper solution and what user could do to fix it; CMS has feature on backlog called Errors and Warnings report to help here. Provided information on how to get things right in the users system (how to resolve the problem).
    • Can help with looking at changes to error codes vs what is expected.
    • Scott asked NRAA to loop in Yvette.
  • If interested in 1:1 calls please reach out to Scott and Yvette.
  • Teams can plan to start on 5/26 - Scott will send notification and teams will shoot for updating CMS on 5/28.
Data Cleanup InitiativeMichael Kennedy
  • In Progress:
    • Duplicate patients, duplicate Medicare statuses, ghost patients and others
    • CMS accretions now have permission to work these
    • Fake acute discharges
    • Data cleanup for overwritten related to date of death
    • Missing Counties and Zip Codes
  • Working with EDIs

Open Questions About Error Codes

Lisa Rees
  • 11251 attending practitioner is required. 
  • 11851 (Country/area of origin) is conditionally required. 
    • Country of Origin: Mandatory if Ethnicity indicates patient is Hispanic or Latino AND/OR if Race selected = Native Hawaiian or Pacific Islander. Not required in all other scenarios.

Next meeting scheduled for  


  • Next EDI Testing Meeting

Action Items:

  • Provide information about whether the UI behaves in the same way as the EDI submissions Yvette Brown  
  • Add note to Merge Feature that related to 11520 need CMS decision whether to bring this code back (related to Merges) Scott Laughlin . 
  • CMS to consider looking into what bucket of errors disappeared and why; Error breakdown Sep 2020 and then what happens today - look at 3 digit codes Scott Laughlin 
  • Question asked -11163 - Need Confirmation on how it works in pre-prod and prod Yvette Brown 



DateMilestone (M) / Task (T)DescriptionPhaseStatus
2/28/2021MCode deployed to pre-prod for testing.1Complete
3/15/2021 - 3/24/2021TEDIs perform integration testing.1Complete

3/24/2021

MEDIs sign-off on integration testing.1Complete

3/24/2021 - 3/25/2021

TADO prepares for coding deployment.1Complete

3/25/2021

MProduction deployment.1Complete
3/31/2021MProd-Preview environment contains refreshed prod data 2Complete
2/24/2021 - 3/10/2021 TReview of phase 2 codes and finalize list of codes.  2 Complete
3/11/2021 - 4/30/2021TADO perform coding updates and regression testing - Phase 2 (Patient Codes) 2Complete

4/30/2021

MProd-Preview environment data refresh.2Complete

5/3/2021

MRemaining Phase 2 (Patient Codes) deployed to pre-prod for testing.2Complete

5/4/2021 - 6/1/2021

T

EDIs performs integration testing - Phase 2 (Patient Codes) 
Starting 5/4 - EDIs submit prod file in prod environment and PP2-3.  This should be the SAME file for both environments.  Review discrepancies between the feedback files and validate codes.

2Complete

6/2/2021

MEDIs sign off-on integration testing - Phase 2 (Patient Codes) 2Complete

6/2/2021 - 6/4/2021

TADO prepares for coding deployment - Phase 2 (Patient Codes) 2Complete

6/3/2021

MProduction deployment - Phase 2 (Patient Codes) 2Complete
6/4/2021MPhase 2 (Patient Codes) live in production.2Complete
3/10/2021 - 3/17/2021TReview of phase 3 codes and finalize list of codes.  3Complete
5/12/2021 - 06/08/2021TADO perform coding updates and regression testing - Phase 3 Clinical Codes/27283Complete

6/4/2021

MProd-Preview environment data refresh.
Complete
6/4/2021 - 6/6/2021T

EDIs SHOULD NOT submit any PATIENT files during this time period in production (to ensure same patients are in PP2-3).

3Complete
6/7/2021T

EDIs to drop file into PP2-3 to establish a baseline.

3Complete

6/8/2021

MCode deployed to pre-prod for testing - Phase 3 (Clinical Codes/2728).
Reopening September 2020 to March 2021 Clinical months for submission.		3Complete

6/9/2021 - 7/6/2021

TEDIs performs integration testing.

Starting 6/9 - Re-drop same file from 6/7/2021 into PP2-3.  Review feedback files from PP2-3 and validate codes.

3Complete

7/6/2021

MEDIs sign-off on integration testing - Phase 3 (Clinical Codes/2728).3

Complete

7/7/2021 - 7/11/2021

TADO prepares for coding deployment - Phase 3 (Clinical Codes/2728).3Complete
7/12/2021MPhase 3 (Clinical Codes/2728) live in production.3Complete

7/12/2021

MEDSM Implementation Complete (Phase 1 - 3).n/aComplete

7/12/2021 - 9/15/2021




T

Resubmission of Clinical Data Files (September to December). 

Open July 12, 2021 at 5 a.m. Pacific (8 a.m. Eastern) and close September 15, 2021 at 11:59 p.m. Pacific Daylight Time

9/15/2021 is the official closure date for the clinical months of September, October, November, and December 2020.

CMS highly recommends completing large data submissions prior to the official clinical closure date.


n/a

Complete


9/15/2021


M

Data fully submitted and ready for measure and scoring calculations.



n/aComplete
09/20/2021 - 02/28/2022T

Submit January-September 2021 EQRS Clinical Data, ICH CAHPS Attestations, and Clinical Depression Screening and Follow-Up Plan reporting in EQRS. Additionally, all subsequent months in 2021 will open for data submission on the first day of each month (i.e., October opens October 1; November opens November 1; and December opens December 1). 

n/a
02/28/2022MThe clinical closure date for all months in 2021 is February 28, 2022 at 11:59 PM PT.n/a

Data Submission (Errors & Warnings) Milestone Dates - By Phase


Phase No.

File Type

Code Bucket Name

Codes

ADO Completion Date

LDO Testing Start Date

Testing Completion Date

Production Date

1

Patient

Admit Reasons

11221, 11222, 11223, 11224, 11225

2/24/2021

3/1/2021

3/24/2021

3/25/2021

2

Patient

Patient Codes


5/3/2021

5/4/2021

6/1/2021

6/7/2021

3

Clinical

Clinical Codes


6/8/2021

6/9/2021

7/6/2021

7/12/2021

3

2728

2728 Codes


6/8/2021

6/9/2021

7/6/2021

7/12/2021

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