Objective:
The goal of this use case is to give providers real-time access to payer approval requirements, documentation, and rules at point of service to reduce provider burden and support treatment planning.
Sponsoring Workgroup: Financial Management Home
Coverage Requirements Discovery (CRD) Implementation Guide:
STU1 Ballot Reconciliation (May 2019):
Zulip Stream
Project Milestones
Milestone | Timeframe |
|---|---|
| Published STU1 | Dec 2020 |
| Implementer Feedback and Support | Q1 2021 |
| Requirements | Q2 / Q3 2021 |
| Design | Q3 / Q4 2021 |
| IG and RI Development | Q3 / Q4 2021 |
| Ballot of STU1.1 (early May cycle) | Feb - Mar 2022 |
| Ballot Reconciliation | Mar 2022 - TBD |
| Publish STU1.1 | TBD |
Conference Call Sign Up
Da Vinci Conference Call Sign Up Instructions
Conference Call Schedule & Dial-Ins
See Weekly Meeting Schedule for Burden Reduction Wednesday at 11am Eastern and Friday at 3pm Eastern call information.
Ballot Milestones
Milestone | May Ballot Deadlines |
|---|---|
Ballot Voting Starts | Feb 2022 |
Ballot Voting Ends | March 23rd, 2022 |
Ballot Reconciliation Starts | March 30th, 2022 |
| Ballot Reconciliation Complete | TBD |
Team:
| Role | Name | Organization | |
| Project Co-Lead | Robert (Bob) Dieterle | EnableCare | rdieterle@enablecare.us |
| Project Co-Lead (Ven) | Rajesh (Raj) Godavarthi | MCG | rajesh.godavarthi@mcg.com |
| Project Co-Lead (Prov) | Anna Taylor | MultiCare Connected Care | ataylor@multicare.org |
| Project Co-Lead (Pay) | David DeGandi | Cambia | David.Degandi@cambiahealth.com |
| Project Co-Lead (Ven) | Ben Gold | Change Healthcare | Ben.Gold@changehealthcare.com |
| Business Process SME | Robert (Bob) Dieterle | EnableCare | rdieterle@enablecare.us |
| Clinical Process SME | Dr. Viet Nguyen | Stratametrics | vietnguyen@stratametrics.com |
| RI Lead | Jeff Brown | MITRE | jeffbrown@mitre.org |
| IG Lead | Lloyd McKenzie | Gevity | |
| Project Manager | Vanessa Candelora | Point of Care Partners | |
| Testing Lead | Richard Ettema | AEGIS.net, Inc. |