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CCDA/CDA/whatever exports for private insurance

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Last Post by petemarkey 8 years ago

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petemarkey

(@petemarkey)

Posts: 373

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Topic starter

Getting our first request from private insurance to provide CCDA type exports vs. custom reports, vs. them coming up and printing our charts out, etc. I can appreciate this because i believe it is moving in the right direction, last year they wanted me to write custom SQL reports.

I could google a lot, but thought i'd try the easy route and ask here first. And help provide a resource for others in the future.

Anybody else doing this?

Anyone enabled the chart export subscription in the EMR without GE consulting help?

Any other tips, resources, etc anyone wants to offer?

Thanks.

Posted : December 21, 2016 11:34 am

abulsara

(@abulsara)

Posts: 150

Estimable Member

Peter, it would really depend on what the insurance provider is looking for. In most case, they want the unstructured data as well, which is not accomplished by the means of a CCDA or Chart Summary export. Current, GE solutions that I am aware off do not account for attachments that are in the patients chart. This would have to be a custom job, unfortunately.

Posted : December 22, 2016 2:08 am

rwilliams

(@rwilliams)

Posts: 454

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I have setup multiple interfaces to export CCDAs in Qvera and Mirth. What would be the trigger action to determine that a CCDA needs to be sent to an insurance company? On other interfaces I have the trigger actions are either that a certain document/observation is added to the chart or it is based on a nightly SQL query. Don't insurance companies generally provide a list of patients they want to audit?

It is definitely possible to do. As Amar pointed out, it would not include any external documents and it doesn't include full office notes in it. If they needed that data it would need to be pulled separately.

Posted : December 27, 2016 3:45 am

petemarkey

(@petemarkey)

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Topic starter

in this particular case it would be the full list of the insurance companies patients. every other week.

Ideally i would like it to be more generic, like based of of an inquiry, but custom SQL job is not out of the question.

I've got a program that pulls out attachments and kicks them out to a big PDF, need to modify that to be able to do it based on insuranceco and not patient.

Posted : December 27, 2016 3:57 am

petemarkey

(@petemarkey)

Posts: 373

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Topic starter

also doesn't need to be an "automated send" just extraction of the CCDA in batch, vs. exporting patient by patient.

Posted : December 27, 2016 3:59 am

rwilliams

(@rwilliams)

Posts: 454

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I am unaware of any functionality directly in Centricity to perform any type of batch CCDA generation. It may exist but all of the processes I know of would be manual generation per patient.

Pulling the patients by insurance via a SQL query would be trivial and you could setup an interface that would generate a CCDA per patient that was returned from the query. An interface could also pull in all of the external attachments and save them for you from the same query.

Posted : December 27, 2016 4:07 am

petemarkey

(@petemarkey)

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Topic starter

So the interface would actually have to be responsible for construction of the CCDA? I was hoping maybe there was a web service that do that. Suppose I can look at the code in clinical quality measures channel in qvera and see what it is doing.

Posted : December 27, 2016 4:15 am

rwilliams

(@rwilliams)

Posts: 454

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Jboss would perform the actual CCDA generation, not the interface itself. I suppose if you wanted to write a custom application you could perform a SOAP query to the Jboss server in the application that would return the CCDA to you. You would need to strip out the SOAP envelope and then base64 decode the data before using it. The reason I would do it as an interface is because the framework for running the query and manipulating the data is already there in the interface engine.

Posted : December 27, 2016 4:22 am

rwilliams

(@rwilliams)

Posts: 454

Honorable Member

The CQR zone from qvera might get you an idea of how a SOAP query is built but it is subscription based which would be quite a bit different from what you would need.

If you have a Qvera "CVS VDT" interface that they sell it would be a much better zone to look at.

Posted : December 27, 2016 4:28 am

petemarkey

(@petemarkey)

Posts: 373

Honorable Member

Topic starter

I've been playing around with some of the web service calls.

I can call GetVisitSummaryCcda successfully but cannot get GetChartSummaryAsCcd to work.

Anyone have a working example of that call?

Thanks.

Posted : January 8, 2017 1:49 pm

lmorey

(@lmorey)

Posts: 2

New Member

I was just wondering if anyone figured this out. I also have a payer asking for the CCDA. They said they want a copy of the problem list, meds, allergies, vitals, immunizations, referrals, orders.

Posted : March 21, 2017 9:33 am

petemarkey

(@petemarkey)

Posts: 373

Honorable Member

Topic starter

GE is beta testing a solution for integrating with Optum, which is what I was looking for. I am not part of the beta but was told it would be available free of charge soon. I am assuming is is qvera based.

Posted : March 22, 2017 9:24 am

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