Chair: Viet Nguyen, Yan Heras
Scribe: Phung Matthews
Minutes Approved as Presented
This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."
Meeting Minutes from Discussion
|Decision Link(if not child)|
|Management||Review ANSI Anti-Trust Policy|
|HL7 Process Update|
eVote- underway, which ends on 5/14/21. Next will go to the TSC for approval.
Continue discussing Risk Adjustment Report data elements requirements from Payer to Provider and operation requirements
Review our data elements to determine if we are ready for FHIR analysis.
Under the Risk Adjustment Report will have our data elements and their cardinality.
From last discussion:
Clinical evaluation period- period where risk adjustment could be conducted and documented
Clinical Data Collection Deadline- previously considered as run out period
Condition code- Include HCC ID, Name, status, status date and diagnosis code
Last DOS- removed- as the data is derivable from supporting resources
Condition type- examples of chronic, acute, persistent- previously called disease type.
Date of onset and date of diagnosis- will this be included? Not at this time because the information is typically taken form the problem list but most payers may not be looking at problem list
|Adjournment||Adjourned at 03:55 PM ET|
|Stratametrics||Dale Davidson||Rachel Foerster|
|BCBS Alabama||Thomson Kuhn|
|Providence St. Joseph||Patty Craig|
|Phranil Metha||Healow||Cigna Evernorth|
|Brent Zenobia||Novillus||Travis Hendrix|
- Re-evaluate the name of this use case as "Risk Adjustment" does not define the payment aspect of the primary focus. Need to discuss with CQI WG as well.
- Add to Phase 2 - Ability to remove and provide a reason for status change. e.g. the patient no longer has the condition.