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|
CMS HL7 Connectathon July 20-22, 2021.
Attend the free event for CMS connectathon. If planning to participate, please fill out the pre-survey.
CMS may be a co-presenter, still waiting to see if they wish to be part of the RA informational session.
|Announcement||New Da Vinci Use Case - Patient Cost Transparency Use Case|
Patient Cost Transparency Use Case- Kick off public call June 25th, 2021
Fridays at 11AM Eastern- here for call details
Confluence page here
|HL7 Process Update|
FMG had a packed agenda and it has been postponed to next week.
New link for the repository- so we can start building our site. Will be official URL for the repository.
Welcome contribute to it.
Continue with business requirement and FHIR analysis discussion
Great discussion last week. visit last week meeting agenda- there are links for presentation and recording.
Measure report mock up
group- can allow to repeat so it can send multiple HCC codes
Measure is a data requirement for the measureReport, and this is where we will tie to the risk adjustment model ID and version which will be required.
Use case: HCC with or without hierarchies applied- moving to future call.
Clinical Evaluation Period
Data collection period date- depends on who is looking at the collection date, such as CMS
can always collect data but cannot always submit it.
API response- what if plan effective date only apply to part of the data period, ie member had not been a member for all the data period and can only return HCC in part of the date. Should the provider assume that the missing information means no HCC available, or return information to state there is no information available.
Responsibility on the provider and EMR to know whom to send the request for the report.
continue with FHIR analysis discussions
|Adjournment||Adjourned at 03:54PM ET|
|Stratametrics||Dale Davidson||Rachel Foerster|
|Karl Everitt||Epic||Tim McNeil|
|BCBS Alabama||Thomson Kuhn||Leah Hannum|
|Providence St. Joseph||Patty Craig||Dave Foster|
|Nick Radov||Bryan Briegel|
|Optum||William Harty||Preston Lee|
|Centene||Deidre Sacra||Gary Dickinson|
|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.