CMS is working in collaboration with the DHHS Office of the National Coordinator for Health IT (ONC) to develop an electronic template that will assist providers with data collection during the Lower Limb Prosthetic (LLP) Face-to-Face Examination. This template may also facilitate the electronic submission of medical documentation.
CMS has developed data elements that they believe would be useful in supporting the documentation requirements for coverage of LLP. Once finalized these proposed data elements will be delivered to ONC for consideration and/or inclusion in ONC's development process. This list of data elements in NOT intended to be a final data entry form (see CMS website for the complete list).
The pilots are designed to validate multiple methods of implementing eClinical Templates in production environments to enable the responsible providers, consulting providers, and service/equipment suppliers to create, share, and provide medical documentation to CMS for the determination of coverage (prior authorization, pre-payment review, and post-payment audit). The pilots will test, in limited production, the ability to:
The eClinical Template Pilot Program will focus on three distinct "streams" intended to explore multiple methods of provider interaction, time to market, and incorporation of documentation into the medical record in the EHR. These streams are defined below, along with specific requirements for each:
Stream 1 – EHR Native eClinical Template
Participants:
Stream 2 – Structured Data Capture (SDC) eClinical Template
Participants:
Stream 3 – Web based portal eClinical Template
Pilot Participants:
Organization | POCs | Status |
---|---|---|
Opie Software | Sean Dodds | Development |
Quality Outcomes | Scott Williamson | Development |
Syracuse Prosthetic Center | Michael Mahar mjm737@gmail.com | Development |
Strategic Healthcare Solutions | Dr. Mark Pilley | - |
University of Pittsburgh | Brad Dicianno | - |
MediProfit | Mark Kimmel mark.codeablelanguage@gmail.com Susan Hemme | - |