[CHM-32] Test submissions rejected because of missing HICN Created: 09/28/18  Updated: 10/19/23

Status: Done
Project: CMS Hybrid Measures
Component/s: None
Affects Version/s: None
Fix Version/s: None

Type: Other Priority: Moderate
Reporter: Matt Hardman (Inactive) Assignee: Tamara Mohammed (Inactive)
Resolution: Unresolved Votes: 0
Labels: None
Remaining Estimate: Not Specified
Time Spent: Not Specified
Original Estimate: Not Specified

Attachments: PNG File image-2018-10-11-09-57-25-365.png    
Impact: Unable to successfully submit HWR files

 Description   

We got a report back about our test submissions being rejected: "ERROR: Patient HICN is required for hybrid measure submissions."

The introductory webinar linked on qualitynet says that one of the six linking variables is "Health insurance claim number (HICN)
or Medicare Beneficiary Identifier (MBI)". If the file has the MBI, why is it still being rejected?



 Comments   
Comment by Jason Smoot [ 11/13/18 ]

Please refer to CHM-37 for full information regarding the recent update to submission restrictions–both MBI and HICN may now be submitted.

Comment by Matt Hardman (Inactive) [ 10/23/18 ]

Thanks for the update Jason.

Comment by Jason Smoot [ 10/23/18 ]

Thank you for the follow-up message and question. We are currently implementing a change to allow for either MBI or HICN (or both MBI and HICN) to be reported during this voluntary submission period. We will respond to this JIRA ticket once we have an update to the timeline for this change.

Comment by Matt Hardman (Inactive) [ 10/11/18 ]

Update: We received a response from Quality Net about these rejections stating: "At this time for HWR, HIC number is required to be in the file and this is the reason the files are being rejected. We are currently evaluating a potential change for the MBI, but at this time HIC number is required."

This goes against the documentation provided in the HWR webinar attached where it says either HICN or MBI can be used as the linking variable. Should we expect Quality Net to adjust their measure engine to reflect this or should we proceed with only including patients who have a HICN since there are some who only have an MBI and no HICN?

Comment by Jason Smoot [ 10/05/18 ]

Thanks you for your question. We are still working on this ticket and hope to have a response soon.

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