Good afternoon,

I've entered a case related to this previously.  That case number was CHM-175.

We are trying to submit mandatory reporting for 2023 CMS844v3 and CMS529v3.

We are currently trying to submit QRDA files for HWM and HWR.  We are receiving a conformance error of CMS_0072 when we submit.  We asked our EHR vendor to review the feedback reports and they have indicated that they believe the unit of measures (UOM) we are reporting for Mean Platelet Volume is what is causing the failure.  We are reporting the UOM CU uM for Mean Platelet Volumes.  Based on feedback in CHM-175, we believed that this UOM would be accepted when we submit, but it appears they aren't.  Our EHR vendor tested and proved that this was an issue by manipulating the UOM for one file and having us so a test submission.  That file was accepted.

Do you have any guidance on why CU uM isn't being accepted, as well as what we should do to go back and change those units of measure so that they will appear as a value that will be accepted?  Our EHR vendor has advised that there is no way for them to go back and edit all of the UOM's that are already stored as CU uM.

Thanks for your help!

Liz Bumgarner

Memorial Health System, Marietta, OH

8/13/24:

Updating this case to advise that we tested replacing the CU uM with fL (the standard UOM for MPV) and the file was accepted.  We also found that there were lab tests that included 10:3/uL, instead of 10*3/uL, and they were successfully accepted when doing a test submission. 

If I understand what we were advised in CHM-175, it was that ANY UOM would be accepted, but we would only receive credit for the approved UOM's.  If that is the case, we feel we may need to consider revising the UOM in our reports.  The only option our EHR vendor is currently providing for this is for us to go into each individual QRDA file and do a find and replace function to change the incorrect UOM's to the correct ones.  We would prefer not to do that since doing so would not permanently change the data that feeds the QRDA files, and if we were to run them again later for the same reporting period, the files would once again have the wrong UOM's.