FULL PACKET_2009-09-08 - Laserfiche WebLink

Home Browse Search

At the CMS Technical Town Hall meetings last week, CMS reviewed several anticipated updates/revisions to the CMS User Guide as well as changes in the file formats and data element requirements. Aon will respond to the changes as soon as possible, but await the posting of the revised documentation to complete the analysis and design edits. CMS posted the revised documentation on July3lst, which we are reviewing and making required changes to support the requirements. Aon eSolutions will provide a second release of functionality in early — mid Q4, 2009. This release will include functionality related to the quarterly Claim Reporting process and will include the ability to generate an export file, process CMS response files, business rules and historical reporting quick view report. More details will be provided in the near future. Current CMS User Guide documentation provided as of 03/16/2009 can be found at the following location. It is strongly advised that you read pages 1 -80 to get all information related to CMS reporting, htto: / /www cm -z h h c am, A A,nA torvinsRen /Downloads /NGHPUserGuide0316O9 ndf The CMS alert posted 05/11/2009 can be found at the following location: hftp://www.cms.hhs, oov /MandatorvinsRep/ Downloads /NGHPV10UserGuide051109 pdf The CMS alert posted 04/07/2009 can be found at the following location: hft : / /www.Cms.hh.q ov /Mandator InsRe /Downloads /NGHPAlertTPOC. df The CMS alert posted 03/20/2009 can be found at the following location: http: / /www.cros.hhs.eov /MandatorvinsRen /Downloads /Allert UserGuideSunp NGHP pdf The CMS implementation timeline is published in the following location: https://www.cms.hhs.gov/Mandato InsRe-/n---'---4-MMSE JIMELINE ndf. • Section 111 reporting requirement testing period begins 7/1/2009 and per the CMS alert published on 3/20/09, the testing period was extended through 3/3112010 (see http://www.cms.hh,z.L7nv/kAnmrin+^-vi-sn-- odf). Aon eSolutions anticipates delivering 4.1.x and 4.2.x service packs to support this testing timeframe. • Prior to the testing period, all Responsible Reporting Entities (RREs) are required to register with CMS between 511/2009 and 9130/2009. Information related to the registration process can be found on the CMS website at: httas: / /www.cros.hhs.gov /MandatorvinsRen /Downloads /ResistratianOverview ndf The registration process will not include requirements for any file exports or imports. • Aon eSolutions focus is on the NGHP (Non Group Health Plan) requirements; Group health requirements will not be addressed. Note: Please contact support if you feel that you have to report under Group health requirements. • IMPORTANT: Aon eSolutions is not acting as an "agent" on behalf of our clients. Functionality will provide the ability to generate a data export containing applicable data in a format designed for reporting to COBC. However, the file submission rocess will be the responsibility of clients that are RRE or agent acting on behalf of RRE. Note: If you choose to self report, you can make use of existing functionality within iVOS to schedule the running and transmission of this extract. 3 of 12 25Q -7