crownweb – 3 rd party submit
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 PresentationTRANSCRIPT
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CROWNWeb 3rd Party Submit
CROWNWeb – 3rd Party Submit
• Matt McDonoughCommunications CoordinatorNW7
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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
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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
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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
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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.
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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.
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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
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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
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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
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CROWNWeb 3rd Party Submit
An Example EDI File
• This iswhat thedata lookslike…
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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.)
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CROWNWeb 3rd Party Submit
Next Call…
April 28th
By special request… Reporting
• How is reporting done? • Reporting capabilities now• Reporting in future releases