Noridian Electronic Medical Documentation Questionnaire: Edition Two

This is the second survey Noridian is conducting around electronic medical document exchange. If you answered our previous survey, THANK YOU, your responses were extremely valuable! For those that have not yet taken the time to provide Noridian information on this topic, we would greatly appreciate your input.

Noridian continually searches for opportunities to improve document exchange to benefit claims processing and supporting activities. Noridian would like you to take a few minutes to complete our survey regarding the future of Medical Documentation Exchange.

This questionnaire focuses on your current practices as well as the various submission types Noridian is working to develop.

As we continue to work with the Centers for Medicare and Medicaid Services (CMS) to enhance the esMD process, we also want to develop and create additional methods that allow you to submit documentation in an electronic format.

There are currently several document submission types in the marketplace:

EDI (275x12 Claims Attachments)
esMD (Electronic Submission of Medical Documentation)
CCDA (Clinical Consolidated Document Architecture)
FHIR (Fast Healthcare Interoperability Resources)
Portal Submission
Vendor Specific Workflow Management Tools

Submission Type Definitions

EDI (275x12 Claims Attachments) – HIPAA standard x12 transaction that would allow for submission of medical documentation through your existing EDI process.
esMD (Electronic Submission of Medical Documentation) – Medicare’s esMD system provides an alternative mechanism for submitting medical documentation, PMD PA requests, and PMD result code responses to review contractors.
FHIR (Fast Healthcare Interoperability Resource) - Fast Healthcare Interoperability Resources is a draft standard describing data formats and elements and an application programming interface for exchanging electronic health records. The standard was created by the Health Level Seven International health-care standards organization
HISP (Direct Protocol) – The Direct Project develops specifications for a secure, scalable, standards-based way to establish universal health addressing and transport for participants (including providers, laboratories, hospitals, pharmacies and patients) to send encrypted health information directly to cryptographically validated recipients over the Internet. Direct messages are transmitted securely through a Health Information Service Provider (HISP)
Portal Submission – the ability to upload medical documentation through the Noridian Medicare Portal (NMP).
Vendor Specific Workflow Management Tools – several providers and suppliers have internal claims and document workflow systems (Such as; OnBase) that may allow for customized tools from your vendor allowing submission.