Risk Adjustment for EDS & RAPS User Group€¦ · Encounter Data System (EDS) and the Risk...

Risk Adjustment for EDS amp RAPS User Group

May 18 2017200 pm ndash 300 pm ET

2

Session Guidelines This is a one hour User Group for MAOs submitting data to the

Encounter Data System (EDS) and the Risk Adjustment ProcessingSystem (RAPS)

There will be opportunities to submit questions via the webinarQampA feature

For follow up questions regarding content of this User Groupsubmit inquiries to CMS at RiskAdjustmentcmshhsgov orEncounterDatacmshhsgov

User Group slides and QampA documents are posted on the CSSCOperations website under Medicare Encounter DatagtUser Groupand Risk Adjustment Processing SystemgtUser Group

Please refer to httptarscinfo for the most up-to-date detailsregarding training opportunities

User Group Evaluation

3

Agenda

bull Introductionbull CMS Updates

ndashndashndash

Frequently Occurring Encounter Data System EditsEncounter Data Report CardsDeadlines for Risk Score Calculation Runs

bullndashndashndash

EDS Training TopicsEDS Reports OverviewEDFES Acknowledgement ReportsEDPS Processing Status Reports

bull QampA Session

4

CMS Updates

5

Frequently Occurring EDPS Edits

bull CMS has been reviewing the most frequentlyoccurring edit codesndashndashndash

bull

bull

At the Line LevelAt the Header Level

By type of record (DME Home Health SNFOutpatient Inpatient Professional)

Findings presented in User Group Calls and in one-to-one technical assistanceFindings also used to inform CMS about whetherchanges are required to edit logic

6

Frequently Occurring EDPS Edits ndashHeader Level by Type of Record Dates of Service 2015

Claim Type Edit Rank Edit Code Edit DescriptionDME 1 Blank All Lines RejectedDME 2 02240 Beneficiary Not Enrolled In MAO For DOSDME 3 98320 Chart Review DuplicateHOME HEALTH 1 17330 RAP Not AllowedHOME HEALTH 2 Blank All Lines RejectedHOME HEALTH 3 02240 Beneficiary Not Enrolled In MAO For DOSHOSPICE 1 Blank All Lines RejectedHOSPICE 2 22405 Occurrence Code 55 amp DOD RequiredHOSPICE 3 00265 CorrectReplace or Void ICN Not in EODSINPATIENT 1 98300 Exact Inpatient Duplicate EncounterINPATIENT 2 00800 Parent ICN Not Allowed for OriginalINPATIENT 3 22355 Inpatient Service Line ErrorOUTPATIENT 1 Blank All Lines RejectedOUTPATIENT 2 02240 Beneficiary Not Enrolled In MAO For DOSOUTPATIENT 3 02125 Beneficiary DOB Mismatch SNF 1 22355 Inpatient Service Line ErrorSNF 2 98300 Exact Inpatient Duplicate EncounterSNF 3 22220 DOS Prior to Provider Effective DatePROFESSIONAL 1 Blank All Lines RejectedPROFESSIONAL 2 02240 Beneficiary Not Enrolled In MAO For DOSPROFESSIONAL 3 98320 Chart Review Duplicate

7

Frequently Occurring EDPS Edits ndashLine Level by Type of Record Dates of Service 2015

Claim Type Edit Rank Edit Code Edit DescriptionDME 1 98325 Service Line(s) DuplicatedDME 2 Blank Header RejectedDME 3 02256 Beneficiary Not Part C Eligible For DOSHOME HEALTH 1 98325 Service Line(s) DuplicatedHOME HEALTH 2 Blank Header RejectedHOME HEALTH 3 22225 Missing Provider Specific RecordHOSPICE 1 98325 Service Line(s) DuplicatedHOSPICE 2 Blank Header RejectedHOSPICE 3 21950 Line Level DOS RequiredINPATIENT 1 Blank Header RejectedINPATIENT 2 98325 Service Line(s) DuplicatedINPATIENT 3 17310 Rev Code 036X Requires Surg Proc CodeOUTPATIENT 1 98325 Service Line(s) DuplicatedOUTPATIENT 2 Blank Header RejectedOUTPATIENT 3 20500 Invalid DOS for Rev Code BilledSNF 1 Blank Header RejectedSNF 2 21925 Swing Bed SNF Conditions Not MetSNF 3 98325 Service Line(s) DuplicatedPROFESSIONAL 1 98325 Service Line(s) DuplicatedPROFESSIONAL 2 Blank Header RejectedPROFESSIONAL 3 02256 Beneficiary Not Part C Eligible For DOS

8

CMS Analysis of EDPS Edits by Categorybull

Listed below are the most common duplicate edits CMSrsquo in-depthanalysis focused on the duplicate edits because they are the mostfrequent

98300 ndash Exact Inpatient Duplicate Encounter98315 ndash Linked Chart Review Duplicate98320 ndash Chart Review Duplicate98325 ndash Service Line(s) Duplicated

bullndash

CMSrsquos future analyses will focus onEnrollment and demographic edits 02240 ndash Beneficiary Not Enrolled In MAO for DOS 02256 ndash Beneficiary Not Part C Eligible for DOS 02125 ndash Beneficiary DOB Mismatch

ndash Edits related to incorrect ICN submission and edits specific to claimtypes (eg Home Health SNF etc)

00760 ndash Adjusted Encounter Already VoidAdjusted00780 ndash Adjustment Must Match Original00800 ndash Parent ICN Not Allowed for Original

9

Edit 98325 - Overview

bull Edit is a line level edit and applicable forndashndashndash

bullndashndash

bull

Professional EncountersDME EncountersInstitutional Encounters

Edit is not applicable forChart Review EncountersVoid Encounters

Edit identifies service lines that are duplicates ofndash

ndash

bull

An existing accepted encounter service line in history(previously submitted)Another service line within the same encounter datarecord

Edit is bypassed for specific modifiers and specificAmbulatory Surgery Centers (ASC) procedures

10

Edit 98325 - Data ElementsCompared for Duplicates

For ProfessionalDME Encounters service line Rendering Provider NPI is used If Rendering Provider NPI is not submitted on the service line header level Rendering Provider NPI will be used If the header level Rendering Provider NPI is not submitted the header level Billing Provider NPI will be used

ProfessionalDMEHealth Insurance Claim Number (HICN)Date of Service (DOS)Procedure Code and up to 4 modifiersPaid Amount (2320 AMT022430 SVD02)Billed AmountPlace of Service (POS)Rendering Provider NPI

For Institutional Outpatient Encounters the dates of service at the service line level are optional Therefore EDPS uses the header level Statement lsquoFromrsquo and lsquoThroughrsquo datefor validation

Institutional - OutpatientHealth Insurance Claim Number (HICN)Date of Service (DOS)Procedure Code and up to 4 modifiersPaid Amount (2320 AMT022430 SVD02)Billed AmountType of Bill (TOB)Billing Provider NPIRevenue Code

11

Edit 98325 ndash Bypass Conditions

bull Duplicate check is bypassed for encounters submitted with thefollowing modifiers

Professional Institutional - Outpatient

59 - Distinct Procedural Service 59 - Distinct Procedural Service

76 - Repeat Procedure by Same Physician 62 - Two Surgeons

77 - Repeat Procedure by Another Physician 66 - Surgical Team

91 - Repeat Clinical Diagnostic Laboratory Test 76 - Repeat Procedure by Same Physician

77 - Repeat Procedure by Another Physician

91 - Repeat Clinical Diagnostic Laboratory Test

bull Ambulatory Surgical Center (ASC) Encountersndash Professional and Institutional ASC encounter service lines having

procedure code with Multiple Procedure Discount Indicator of lsquo1rsquo onthe ASC Fee Schedule

12

MAO-001 Report ndash Key Data Elements

bull The MAO-001 report is a fixed length report available in flat file and formatted layouts Itprovides information for encounters and service lines that receive a status of ldquorejectrdquo as aresult of duplicate edits 98300 98315 98320 amp 98325

bull Details on the MAO-001 report include the encounter ICN and service line that is rejectedalong with claim type the previously submitted and accepted encounter ICN and serviceline Plan ID Date of Service Error Code and Beneficiary ID

13

Details of 98325 Analysis Performed -Methodology

bull Encounter data files for all modules (INST PROF DME)bull All encounter data files with service lines posting edit 98325 ndash processed between

March 11 and March 25bull For each encounter file determined the percentage of lines that were rejected

with edit 98325bull For each module performed an in-depth analysis of an encounter data file with the

highest percentage of lines rejected with edit 98325bull For each encounter data record in an encounter data file determined the number

of service lines on the record that were rejected with edit 98325bull Verified whether edit 98325 was posted against a line within the same encounter

data record or against a service line from a previously accepted recordbull For each service line posting edit 98325 due to duplication of a previously accepted

line reviewed the details of the previously accepted encounter data recordincluding the number of lines previously submitted

bull For a subset of encounter data records reviewed all the data elements submittedon the current encounter data record and the previously submitted encounter datarecord to assess differences

14

Details of 98325 Analysis Performed (continued)

bull Resultsndash In the sample of records reviewed all of the service

lines that rejected with Edit 98325 were duplicates ofservice lines found on previously submitted andaccepted encounters

ndash For the sample examined for each instance of edit98325 ALL of the encounter data record elementsreceived on the current encounter data file and thepreviously submitted encounter data file wereidentical except for the encounter data recordtransaction control number (TCN)

15

Analysis of Edit 98325 by Module

16

Edit Prevention Strategies for Edit 98325Original encounter data record is in ldquoAcceptedrdquo status with all accepted service lines and the MAO needs to correct a data element that is not part of duplicate check

Void the Original encounter data record and resubmit a new encounter data record with the corrections

ORSubmit a ldquoreplacementrdquo (Claim Frequency Code of lsquo7rsquo) encounter data record against the original encounter data record to correct the inaccurate or missing data elements

Original encounter data record is in ldquoAcceptedrdquo status with accepted and rejected service lines and the MAO needs to correct rejected lines only

Void the Original encounter data record and resubmit a new encounter data record with both the previously accepted service lines and with corrections to the previously rejected service lines

ORSubmit an ldquoOriginalrdquo (Claim Frequency Code other than lsquo7rsquo or lsquo8rsquo) encounter data record with the corrections and include only the service lines that were previously rejected

For repeated ProcedureService or a Distinct Procedural Service include appropriate modifiers

17

Edit Prevention Strategies for Edit 98325 (continued)

When an MAO-001 Report is returned with encounter service lines rejected with edit 98325bull DO make corrections to your rejected lines and resubmit

them (see the two allowed approaches on previous slide)

bull DO NOT resubmit a new encounter file until the MAOReports for previously submitted files have been receivedand reconciled by your system

bull DO incorporate duplicate line checks within your internalprocessing systems prior to submission

18

Edit 98325 ndash Known Issues

bull The encounter service line is a duplicate of itselfndash This is a known system issue that occurs infrequentlyndash Issue was identified based on help desk ticket(s) submittedndash Root cause is being determined and a resolution will be

implemented soon thereafter

bull MAOs should continue to report this issue and open help desktickets with CSSC Operations

19

Edit 98320 ndash Chart Review DuplicateReported Issue

bull Submitters have reported difficulties using chartreview records to delete diagnosis codes from morethan one encounter data record on which thediagnosis codes appear

bull These chart review records have the same HICNContract ID Dates of Service and Diagnosis codesbut have different linking ICNs

bull CMSrsquos duplicate edit for Linked Chart Review recordscurrently does not check the linking ICN

bull CMS is considering options for addressing this issue

20

Encounter Data Report Cards

bull Encounter Data Report Cards have been distributed viathe Health Plan Management System (HPMS) to planssince late 2015

bull They are viewable by anyone with the Compliance Officerrole for a contract in HPMS

bull They currently contain 3 types of data OperationalVolume and No-Payndash Cost amp PACE Organizations do not see data for the No Pay

section

bull Currently produced in PDF format plans to switch to anExcel based format in Q3 2017

21

Accessing Encounter Data Report Card Reports

bull Done via HPMSbull Risk Adjustment Encounter Data Report Card

22

EDS Report Card Section 1 Overview Encounter Data Submission Report

bull Section 1 provides data on a contractrsquos frequencyof submissions volume of submissions and errorrates

bull The averages for frequency volume and errorrates for similarly sized contracts is also provided

bull Cells highlighted in yellow indicate that acontractrsquos data is at the 5th percentile relative tothe average

23

EDS Report Card Section 1 Overview Encounter Data Submission Report (continued)

24

EDS Report Card Submission Rejection Rates Example

25

EDS Report Card Section 2 Encounter DataSubmissions by Year

bull Section 2 provides data on a contractrsquos volume ofsubmissions by service year and by service type

bull This section also provides comparable data forFFS claims volume nationally and MA encountersby MA region as well as nationally

bull This section currently includes the most recent 3service years (2014 2015 2016)

bull The service type categories are professionalinpatient outpatient and DME

26

EDS Report Card Section 2Volume Example

Overall Submissions

27

EDS Report Card Section 2Service Type Example

Professional

Inpatient

28

EDS Report Card Section 2Volume Submissions

Outpatient

Durable Medical Equipment (DME)

29

EDS Report Card Section 2Data Tables

30

Section 3 No Pay Comparison

bull Analysis of Inpatient encounter data recordsmatched against Fee-for-Service (FFS) No-Pay Claims

bull

bull

bull

These are FFS claims submitted to CMS by hospitalsfor Disproportionate Share HospitalGraduateMedical Education (DSHGME) payment calculationpurposesSubmitted for discharge of MA enrollees giving CMSa useful proxy to compare Inpatient encounter datarecords againstAlso compare Unmatched Inpatient encounter datarecords to Total Inpatient encounter data recordssubmissions

31

EDS Report Card Section 3No Pay Example

32

The Future of theEncounter Data Report Card

bull

bullbull

MedicareMedicaid Plans (MMPs) will receiveReport Cards for the first time in our nextreleaseExcel based format coming Fall 2017We want to hear from you on what data oradditional information you would find useful

33

Deadlines for Submitting RA Data for Use in Risk Score Calculation Runs for PYs 2017 2018 and 2019

bull

bull

bull

CMS sent an HPMS memo on April 25 2017providing the deadlines for the next four riskscore runs for Payment Years (PYs) 2017 2018and 2019

This is an annual memo in which we providedeadlines for the next year and a half

Please refer to the latest HPMS memo whendetermining deadlines for risk score runs

34

Encounter Data System Reports Overview

35

Phase III Version 2MAO-004 Reports Update

bull The Phase III MAO-004 report excludes professional records indicated asDME (NM109 Payer Identification Code = 80887) Diagnoses from theserecords are also currently excluded from risk adjustment

bull

bull

bull

It has come to our attention that some records submitted to the EDSwith the DME payer code contain risk adjustment allowable Health CareProcedural Coding System (HCPCS) codes

Prior to the second final PY2016 deadline CMS will provide MAO-004reports for all DME records submitted on or after 112014 with dates ofservice 112014 and later Diagnoses from any DME record with a riskadjustment allowable HCPCS code will be considered for risk adjustment

DME records with non-DMEPOS fee schedule CPTHCPCS codes cannotby priced by the EDS At a later date we will begin rejecting DME recordswith HCPCS codes that are not DMEPOS allowable codes and willrequire plans to submit these records with professional payer codes

36

Encounter Data System ReportsTraining

37

Accessing Reports

38

EDFES MAO-001 and MAO-002Reports Restoration

bull MAOs are encouraged to save reportsbull

ndashndash

ndash

bull

CMS sets limits on restoring of EDS reports999 and 277CA cannot be older than 20 business days

MAO-001 and MAO-002 reports cannot be older than60 business days

Requests for more than 200 files will not be accepted

To request EDFES MAO-001 or MAO-002 reportrestoration contact

csscoperationspalmettogbacom

39

MAO-004 Reports Requests

MAO-004 reports are available through theMARx User Interface (UI) Access the MARx UI

Go to the ldquoReportsrdquo menuSelect ldquoMonthlyrdquo frequencySelect ldquoStart MonthYearrdquo

Select ldquoEnd MonthYearrdquoOn the ldquoReportData Filerdquo drop down select ldquoRiskAdjustment Eligible Diagnosis Reportrdquo

Add your ldquoContract IDrdquo Select ldquoFindrdquo

The reports will populate and become available for download NOTE Do not specify file type

40

EDS Reports OverviewEDFES Acknowledgement Reports

EDFES Report Type Description

EDFES Notifications Special notifications when encounters have been processed but will not proceed to the EDPS for further processing

TA1 Provides notification of syntax and formatting errors

999 Provides notification implementation compliance status

277CA Provides a claim level acknowledgement of all encounters received

EDPS Processing Status Reports EDPS Report Type Description

MAO-001 Encounter Data Duplicates Lists all encounters that received duplicate errors (98300 98325 98320 and 98315) MAOs and other entities will not receive the MAO-001 report if there areno duplicate errors received on submitted encounters

MAO-002 Encounter Data Processing Status

Lists the accepted and rejected status of all encounters for claim and line levels along with error codes

MAO-004 Encounter Data Diagnoses Eligible for Risk Adjustment

Lists all diagnoses from accepted encounters which are eligible for risk adjustment

41

EDFES Notifications

bull

bull

bull

The EDFES distributes special notifications to submitters whenencounters have been processed by the EDFES but will notproceed to the EDPS for further processing

These notifications are in addition to standard EDFESAcknowledgement Reports (TA1 999 and 277CA) in order toavoid returned unprocessed files from the EDS

For a list of the EDFES Notifications refer to the appropriateEDS Companion Guide section 67 Table 10 on the CSSCOperations websitehttpwwwcsscoperationscominternetcssc3nsfdocsCatCSSC~CSSC20Operations~Medicare20Encounter20Data~Companion20Guidesopenampexpand=1ampnavmenu=MedicareÊncounter^Data||

42

File Naming Conventions

File name components for EDFES and MAO-001 andMAO-002 reports assist MAOs and other entities in identifying the report types

FILE NAME COMPONENT

DESCRIPTION

RSPxxxxx The type of data lsquoRSPrsquo and a sequential number assigned by the server lsquoxxxxxrsquo

X12xxxxx The type of data lsquoX12rsquo and a sequential number assigned by the server lsquoxxxxxrsquo

TMMDDCCYYHHMMS The Date and Time stamp the file was processed

999xxxxx The type of data lsquo999rsquo and a sequential number assigned by the server lsquoxxxxxrsquo

RPTxxxxx The type of data lsquoRPTrsquo and a sequential number assigned by the server lsquoxxxxxrsquo

EDPS_XXX Identifies the specific EDPS Report along with the report number (ie lsquo002rsquo etc)

XXXXXXX Seven (7) characters available to be used as a short description of the contents of the file

RPTFILE Identifies if the file is a formatted report lsquoRPTrsquo or a flat file lsquoFILErsquo layout

43

EDFES File Naming Conventions

bull CMS established unique file naming conventions for EDFES andEDPS reports

bull The file names ensure that specific reports are appropriatelydistributed to each secure mailboxndashndash

GentranTIBCOFTP

EDFES Acknowledgement Reports File Naming Conventions

Report Type GentranTIBCO Mailbox FTP Mailbox ndash Text

TA1 PxxxxxEDS_REJT_IC_ISAIEApn X12xxxxxX12TMMDDCCYYHHMMS

999A PxxxxxEDS_ACCPT_FUNCT_TRANSpn 999999999

999R PxxxxxEDS_REJT_FUNCT_TRANSpn 999999999

277CA PxxxxxEDS_RESP_CLAIM_NUMpn RSPxxxxxRSP_277CA

44

EDPS File Naming Conventions

EDPS Processing Status Reports File Naming Conventions MAO-001 and MAO-002

CONNECT NAMING CONVENTION FORMATTED REPORT NAMING CONVENTION FLAT FILE LAYOUT

GENTRANTIBCO

PxxxxxEDPS_001_DataDuplicate_RptPxxxxxEDPS_002_DataProcessingStatus_Rpt

PxxxxxEDPS_001_DataDuplicate_FilePxxxxxEDPS_002_DataProcessingStatus_File

FTP RPTxxxxxRPTPROD_001_DATDUP_RPTRPTxxxxxRPTPROD_002_DATPRS_RPT

RPTxxxxxRPTPROD_001_DATDUP_FileRPTxxxxxRPTPROD_002_DATPRS_File

45

EDFES Acknowledgement Reports

46

Interchange Envelope Conformance and Acknowledgement

bull Upon receipt of the inbound 837 the EDS Translatorperforms syntax editing

bull

ndash

bull

Issues detected in the ISAIEA interchange will causethe 837 file to reject

MAOs must correct and resubmit the entire file

A TA1 Acknowledgement report is generated if thetransaction is rejected

47

Interpreting the TA1 Acknowledgement Report - Rejected

TA1 Acknowledgement Report with inconsistent Interchange Control Numbers (ICNs)

TA1 Acknowledgement Report ndashError Resolution

Step 1

Locate the error on the TA1 Acknowledgement Report

Step 2

Access the EDFES Edit Code Lookup on the CSSC Operations website

Step 3

Select the ldquoInterchange Acknowledgement Codesrdquo

Step 4

Enter the Interchange Note Code identified on TA1 Acknowledgement ReportSearch results render the Code Code Type Begin Date End Date and a Definition of the error code

48

49

TA1 Acknowledgement Report ndashError Resolution (continued)


50

Step 5

Access the Interchange File associated with the TA1 Acknowledgement Report

Step 6

Correct the errorStep 7

Resubmit the entire InterchangeFile

ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51

X12 Standard Conformance and mplementation Guide (IG) ConformanceI

bullndash

bull

The 999 Acknowledgement ReportIdentifies the processing status of the functional groups(GSGE) and transactions sets (STSE) within thesubmission

999A = all transaction sets were accepted

bull 999P = partially accepted (at least one transaction set wasrejected)

bull 999R = syntax errors were noted and submitter needs tocorrectresubmit

999 Acknowledgement Report ndashSegments

The 999 report is composed of segments that report information on the submitted 837 file

52

Segment Description

IK3 error identification Reports a segment error

IK4 data element Reports an error at the data element level and if required there is a CTX context segment after the IK4 to describe the context within the segment

IK5 and AK9 segments are always present

Notes the transaction set andor the functional grouprsquos accept or reject status

53

Interpreting the 999 Acknowledgement Report Accepted (999A)

54

Interpreting the 999 Acknowledgement Report Rejected (999R)

999R Error Resolution

Step 1 ndash Using data from the IK3 and IK4 segments identify the error causing a rejection

IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8

999 segment ID ldquoError Identificationrdquo

ID of segment in error (DTPsegment)

Position of the segment in error relative to the start of the transaction set

ID of loopcontaining segment in error (2400 loop)

Syntax error code 8 = ldquosegment has data element errors See TR3 document for the 999 transaction

IK4 3 1251 7 20090711

999 Segment ID ldquoImplementation Data Element Noterdquo

Position of the data element error in the segment

Data elementreference number See TR3 document for the 999 transaction

Syntax Error Code 7 = ldquoInvalid Code Valuerdquo

Date

999R Error Resolution (continued)

Step 2 ndash Identify the error code in the CMS 5010 Edit Spreadsheet

56

837I Edit Reference

SegmentElement Description 5010 Values TA1999

277CAAcceptReject

DispositionError Code Proposed 5010 Edits

X2234332400DTP02020

DTP02 Date Time Period Format Qualifier

D8 RD8 999 R IK403 = 7 ldquoInvalidCode Valuerdquo

2400DTP02 must be valid values

X2234332400DTP03020

DTP03 Service Date CYYMMDD CCYYMMDD-CCYYMMDD

999 R IK403 = 8 ldquoInvalid Daterdquo

If 2400DTP02 = ldquoD8rdquo then 2400DTP03 must be a valid date in CCYYMMDD format

bull Step 3 ndash Use the guidance in the ldquoProposed 5010 Editsrdquocolumn to correct submission issues

bull Step 4 ndash Resubmit transactionNote this is an excerpt of the CMS 5010 Edit Spreadsheet and does not completely represent all fields contained in the spreadsheet

CMS 5010 Edits Spreadsheet

57

MAOs and other entities are able to access the CMS 5010 Edits information on the CMS website at

httpswwwcmsgovRegulations-and-GuidanceGuidanceTransmittals123

4

Select the current year in the left navigation column (eg 2017 Transmittals)Key in EDI Front End Updates in the Filter On boxSelect the most current transmittal to obtain the latest versions of the CEMEdits SpreadsheetsClick on the link(s) under Downloads at the bottom of the page

58

CMS 5010 Edits Spreadsheet (continued)

59

277CA Acknowledgement Report

bullndash

ndash

The 277CA Acknowledgement ReportProvides rejection responses based on edit failuresdetected by CEMAssigns an ICN for each accepted encounter

Note Rejected encounters must be corrected and resubmitted in order to receive an ICN

277CA Acknowledgement Report Structure

bull The 277CA Acknowledgement is divided intohierarchical levels

Information Source(Hierarchical Level (HL) Code = 20)

Information Receiver(HL Code = 21)

Provider of Service(HL Code = 19)

Patient(HL Code = PT)

60

61

Interpreting the 277CA Acknowledgement Report - Accepted

62

Interpreting the 277CA Acknowledgement Report ndash REF Segment ICN

63

Interpreting the 277CA Acknowledgement Report ndash Rejected

64

277CA Acknowledgement Report ndashError Resolution

65

277CA Acknowledgement Report ndashError Resolution (continued)

Note MAOs are encouraged to coordinate with their vendors to assist with translating the 277CA

66

EDPS Processing Status Reports

67

Report Layout

bull

bull

bullndashndashndash

MAO-001 and MAO-002 reports are delivered tosubmitters in two layouts - flat file andformattedMAO-004 reports are delivered to submitters in aflat file layoutFlat file reports are categorized by

Header recordDetail recordTrailer record

68

MAO-001 and MAO-002 Reports

bull

bull

The MAO-001 Encounter Data Duplicates Reportprovides information exclusively for rejected encountersand service lines that receive

ndashndashndashndash

Error Code 98300 - Exact Inpatient Duplicate EncounterError Code 98315 ndash Linked Chart Review DuplicateError Code 98320 ndash Chart Review DuplicateError Code 98325 ndash Service Line(s) Duplicated

The MAO-002 Encounter Data Processing Status Reportreports the status of all encounter service lines(accepted and rejected) in an encounter file along witherror codes and descriptions

69

MAO-001 Duplicates Report Flat File Layout

ndash

70

MAO-001 Duplicates Report ndashFlat File Layout (continued)

71


72

MAO-001 Duplicates Report ndashFormatted Layout

73

MAO-002 Processing Status Report ndashFlat File Layout

74

MAO-002 Processing Status Report ndashFlat File Layout (continued)

75


76

MAO-002 Encounter Data Processing Status Report

77

Questions amp Answers

78

Closing Remarks

79

Commonly Used AcronymsAcronym DefinitionBHT Beginning Hierarchical Transaction

CEM Common Edits and Enhancements Module

CFR Code of Federal Regulations

DOS Date(s) of Service

EDDPPS Encounter Data DME Processing and Pricing Sub-System

EDFES Encounter Data Front-End System

EDIPPS Encounter Data Institutional Processing and Pricing Sub-System

EDPPPS Encounter Data Professional Processing and Pricing Sub-System

EDPS Encounter Data Processing System

EDR Encounter Data Record

EDS Encounter Data System

EODS Encounter Operational Data Store

FERAS Front-End Risk Adjustment System

FFS Fee-for-Service

80

Commonly Used Acronyms (continued)

Acronym DefinitionFTP File Transfer Protocol

HCC Hierarchical Condition Category

HH Home Health

HIPPS Health Insurance Prospective Payment System

ICN Internal Control Number

MAOs Medicare Advantage Organizations

MARx Medicare Advantage Prescription Drug System

MMR Monthly Membership Report

MOR Monthly Output Report

PY Payment Year

RAPS Risk Adjustment Processing System

RAS Risk Adjustment System

SNF Skilled Nursing Facility

TPS Third Party Submitter

81

Resources

Resource Resource Link

Centers for Medicare amp Medicaid Services (CMS) httpwwwcmsgov

Customer Support and Service Center (CSSC) Operations

httpwwwcsscoperationscom csscoperationspalmettogbacom

EDS Inbox encounterdatacmshhsgov Risk Adjustment Mailbox riskadjustmentcmshhsgov

Technical Assistance Registration Service Center (TARSC) httpwwwtarscinfo

Washington Publishing Company httpwwwwpc-edicomcontentview8171

Medicare Advantage and Prescription Drug Plans Plan Communications User Guide

httpwwwcmsgovResearch-Statistics-Data-and-SystemsCMS-Information-TechnologymapdhelpdeskPlan_Communications_User_Guidehtml

82

Resources (continued)

Resource Link

RAPS Error Code Listing and RAPS-FERAS Error Code Lookup

httpwwwcsscoperationscominternetcssc3nsfdocsCatCSSC~CSSC20Operations~Risk20Adjustment20Processing20System~Editsopenampexpand=1ampnavmenu=RiskÂdjustment^Processing^System||

CMS 5010 Edit Spreadsheet httpswwwcmsgovRegulations-and-GuidanceGuidanceTransmittals

EDFES Edit Code Lookup httpsappscsscoperationscomerrorcodeEDFS_ErrorCodeLookup

EDPS Error Code Look-up Toolhttpwwwcsscoperationscominternetcssc3nsfDocsCatCSSC~CSSC20Operations~Medicare20Encounter20Data~Edits~97JL942432openampnavmenu=MedicareÊncounter^Data||||

Request Health Plan Management System (HPMS) Access

httpswwwcmsgovResearch-Statistics-Data-and-SystemsComputer-Data-and-SystemsHPMSUserIDProcesshtml

83

Evaluation

Your Feedback is important Thank You

A formal request for evaluation feedbackwill display at the conclusion of this session

We are interested in learning how we can make the User Groups better for you As part of this evaluation we solicit Risk Adjustment topic(s) of interest for future User Groups Topics can be technical or policy-related related to

the models or data submission updates on various topics or trainings

Please take a moment to note any feedbackyou wish to give concerning this session


Session Guidelines

Agenda

CMS Updates


Frequently Occurring EDPS Edits ndash Header Level by Type of Record Dates of Service 2015

Frequently Occurring EDPS Edits ndash Line Level by Type of Record Dates of Service 2015

CMS Analysis of EDPS Edits by Category





Details of 98325 Analysis Performed - Methodology



Edit Prevention Strategies for Edit 98325













EDS Report Card Section 2 Data Tables








Accessing Reports



EDS Reports Overview

EDFES Notifications







TA1 Acknowledgement Report ndash Error Resolution

TA1 Acknowledgement Report ndash Error Resolution (continued)


X12 Standard Conformance and Implementation Guide (IG) Conformance

999 Acknowledgement Report ndash Segments












277CA Acknowledgement Report ndash Error Resolution

277CA Acknowledgement Report ndash Error Resolution (continued)


Report Layout


MAO-001 Duplicates Report ndashFlat File Layout




MAO-002 Processing Status Report ndash Flat File Layout

MAO-002 Processing Status Report ndash Flat File Layout (continued)




Closing Remarks

Commonly Used Acronyms


Resources


Evaluation

051817_EDS_Reports_Webinar_CR_051817pdf


Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

2

Session Guidelines This is a one hour User Group for MAOs submitting data to the

Encounter Data System (EDS) and the Risk Adjustment ProcessingSystem (RAPS)

There will be opportunities to submit questions via the webinarQampA feature

For follow up questions regarding content of this User Groupsubmit inquiries to CMS at RiskAdjustmentcmshhsgov orEncounterDatacmshhsgov

User Group slides and QampA documents are posted on the CSSCOperations website under Medicare Encounter DatagtUser Groupand Risk Adjustment Processing SystemgtUser Group

Please refer to httptarscinfo for the most up-to-date detailsregarding training opportunities

User Group Evaluation

3

Agenda


ndashndashndash


bullndashndashndash


bull QampA Session

4

CMS Updates

5



bull

bull




6



7



8




bullndash




9



bullndashndash

bull




ndash

bull



10






11












12




13










14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

3

Agenda


ndashndashndash


bullndashndashndash


bull QampA Session

4

CMS Updates

5



bull

bull




6



7



8




bullndash




9



bullndashndash

bull




ndash

bull



10






11












12




13










14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

4

CMS Updates

5



bull

bull




6



7



8




bullndash




9



bullndashndash

bull




ndash

bull



10






11












12




13










14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

5



bull

bull




6



7



8




bullndash




9



bullndashndash

bull




ndash

bull



10






11












12




13










14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

6



7



8




bullndash




9



bullndashndash

bull




ndash

bull



10






11












12




13










14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

7



8




bullndash




9



bullndashndash

bull




ndash

bull



10






11












12




13










14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

8




bullndash




9



bullndashndash

bull




ndash

bull



10






11












12




13










14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

9



bullndashndash

bull




ndash

bull



10






11












12




13










14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

10






11












12




13










14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

11












12




13










14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

12




13










14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

13










14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

14





15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

15


16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

16








17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

17






18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

18





19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

19






20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

20





section


21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

21



22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

22





23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

23


24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

24


25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

25






26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

26


Overall Submissions

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

27


Professional

Inpatient

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

28


Outpatient


29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

29


30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

30



bull

bull

bull


31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

31


32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

32


bull

bullbull


33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

33


bull

bull

bull




34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

34


35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

35



bull

bull

bull




36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

36


37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

37

Accessing Reports

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

38



ndashndash

ndash

bull






39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

39







40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

40













41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

41

EDFES Notifications

bull

bull

bull




42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

42



FILE NAME COMPONENT

DESCRIPTION









43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

43




GentranTIBCOFTP







44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

44




GENTRANTIBCO





45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

45


46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

46



bull

ndash

bull




47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

47




Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation


Step 1


Step 2


Step 3


Step 4


48

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

49



50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation


50

Step 5


Step 6



ISA00 00 ZZ80882 ZZENC9999 1204100802^005010031250810P~IEA0003125081~

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

51


bullndash

bull







52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



52

Segment Description





53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

53


54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

54




IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



IK3DTP3324008~

IK431251720090711~

55

IK3 DTP 33 37 2400 8






IK4 3 1251 7 20090711





Date



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



56

837I Edit Reference


277CAAcceptReject


X2234332400DTP02020




X2234332400DTP03020







57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation


57



4


58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

58


59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

59


bullndash

ndash









60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation







60

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

61


62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

62


63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

63


64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

64


65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

65



66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

66


67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

67

Report Layout

bull

bull

bullndashndashndash



68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

68


bull

bull





69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

69


ndash

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

70


71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

71


72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

72


73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

73


74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

74


75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

75


76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

76


77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

77


78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

78

Closing Remarks

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

79














FFS Fee-for-Service

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

80




HH Home Health







PY Payment Year





81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

81

Resources










82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

82


Resource Link








83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

83

Evaluation







Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation



Session Guidelines

Agenda

CMS Updates

































Accessing Reports




EDFES Notifications


























Report Layout











Closing Remarks



Resources


Evaluation

Risk Adjustment for EDS & RAPS User Group€¦ · Encounter Data System (EDS) and the Risk...

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Transcript of Risk Adjustment for EDS & RAPS User Group€¦ · Encounter Data System (EDS) and the Risk...