esMD Structured Content Use Case 2 WG Meeting Wednesday, April 25 th, 2012

Meeting Etiquette Remember: If you are not speaking keep your phone on mute Do not put your phone on hold – if you need to take a call, hang up and dial in again when finished with your other call –Hold = Elevator Music = very frustrated speakers and participants This meeting, like all of our meetings, is being recorded –Another reason to keep your phone on mute when not speaking! Feel free to use the “Chat” or “Q&A” feature for questions or comments NOTE: This meeting is being recorded and will be posted on the esMD Wiki page after the meeting From S&I Framework to Participants: Hi everyone: remember to keep your phone on mute 2

Agenda ItemPresenterTime frame esMD Administrative items and ProgressSweta10:00 – 10:05 Overview of last week and today’s objectivesSweta10:10 – 10:12 Review of Changes made to Use Case 2 sections and Structured Content Presha / Bob10:12 – 11:00 3

Administrative Items As we prepare for Consensus on Use Case 2, please make sure you are registered and are a “Committed Member” with the esMD Initiative to make sure your vote counts (those registered as “Other Interested Party” may still provide comments) – 4

Administrative Items Registering for the esMD initiative (even if you are registered for other initiatives) will ensure: Inclusion on communications from Support Staff and Leadership Inclusion on forms pertaining to the comment and consensus process Adequate tracking of participation in weekly meetings

esMD Initiative Timeline 6 Author of Record WG Use Case and Requirements Pilots (TBD) Harmonization SDS Structured Content WG (PPA Use Case 2) Use Case #2: Sending eMDR Outline Use Cases & Stories Harmonization/ Standards Analysis of Registration (Use Case #1) Harmonization/ Standards Analysis of eMDR (Use Case #2) Use Case #1: Registration Discovery Implementation Pilot Combined Registration/ eMDR Pilots 11/30-12/7 Charter Consensus Pre-Discovery Initiative Charter/Scope Today (4/25/12) Oct ‘11 Kick-Off/ F2F Oct ‘12 Jan ‘12April ‘12 July ‘12 PPA Workgroup Target Initiative Completion: Oct ‘12

Recap of Last Week Worked through individual data elements within the following categories Cover Letter Information Unique eMDR ID for the whole request Timestamp Payer / Payer Contractor Information Provider /Provider Organization Information General Information Audit Specific Information Scope or Type of Audit Unique Claim Reference IDs Unique Case Reference IDs eMDR Content Information Processor Information Provider Information Beneficiary Information 7

Recap of Last Week Structured Content of eMDR –The latest version of the data elements for eMDR is posted with edits made during the F2F and during last week’s meeting –Available on the esMD wiki page under the PPA WG buttonesMD wiki

Today’s Objectives Structured Content of eMDR Data Elements –Finish working through data elements for the eMDR –eMDR Content Information (category) Claim Level Data Line Level Data Documentation Requested Document Return Requirements (There are various data elements in this section that we will draft further into a data object - Return Method, ESI, Physical Return Address, Return Constraints, Return Formats) 9