crownweb – 3 rd party submit

13
CROWNWeb 3 rd Party Submit CROWNWeb – 3 rd Party Submit Matt McDonough Communications Coordinator NW7

Upload: corina

Post on 05-Feb-2016

50 views

Category:

Documents


0 download

DESCRIPTION

CROWNWeb – 3 rd Party Submit. Matt McDonough Communications Coordinator NW7. 3 rd Party Submit - Overview. Known as “EDI” in CROWNWeb – E lectronic D ata I nterchange Currently available only to LDOs (Fresenius, Davita, DCI) - PowerPoint PPT Presentation

TRANSCRIPT

Page 1: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

CROWNWeb – 3rd Party Submit

• Matt McDonoughCommunications CoordinatorNW7

Page 2: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

3rd Party Submit - Overview

• Known as “EDI” in CROWNWeb – Electronic Data Interchange

• Currently available only to LDOs (Fresenius, Davita, DCI)

• Only users with appropriate Role and Scope (remember that?) can access EDI functionality in CROWNWeb

• Limited to Patient Information – No facility info

Page 3: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

The Actors

• LDOs – Create batch file, upload to CROWNWeb

• Facilities – Responsible* for batch submitted data (correcting near matches, incorrect data, etc.)

• Networks – Assist in resolution of problems Facilities may experience

*unofficially – recommended by QIG

Page 4: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

The Data

• An uploaded EDI file may contain:

Patient ID information Admit/Discharge Modality and treatment information Vascular access Clinical lab data

• Maintains ESRD patient registry• Provides CPM data to CMS

Page 5: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

The Format

• XML format• Verified by an XSD (XML Schema

Definition) tool – Ensures compliance with required data format

• Header defines how the data will be interpreted

• References W3.org XML standards.

Page 6: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

Submitting in CROWNWeb

• Users click on the EDI link on the main CROWNWeb page.

• Users click on the “File Upload” link on the EDI page.

• Users click “Browse” and find the file they want to upload.

• Users click “Upload” to send the file to CROWNWeb.

Page 7: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

3rd Party Submit – Data Flow 1

1. XML file is created and submitted by LDO

2. CROWNWeb validates syntax (schema) of data – Once accepted, processing can begin

3. XSD file ensures all required elements in the submitted file are present

Page 8: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

3rd Party Submit – Data Flow 2

4. Matching logic enacted:

• Exact match – Validated and appended to patient data (if patient exists in the facility) or creates admit for the patient (if not at the facility)

• Near match – Flagged for resolution – Validated when resolved

• No match – Validates data elements for new patient

5. Stores records (new or updated) in CROWNWeb

Page 9: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

3rd Party Submit – Errors

If errors are encountered during validation:

• Errors are noted in error table• Appropriate parties notified• Data errors resolved according to CMS

policy

Page 10: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

An Example EDI File

• This iswhat thedata lookslike…

Page 11: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

3rd Party Submit – The Future

• The goal is to make EDI available to all capable ESRD entities (MDOs, SDOs, independent facilities, vendors/labs, etc.)

Page 12: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

Next Call…

April 28th

By special request… Reporting

• How is reporting done? • Reporting capabilities now• Reporting in future releases

Page 13: CROWNWeb – 3 rd  Party Submit

CROWNWeb 3rd Party Submit

Thanks!

• Matt [email protected]