1. electronic Submission of Medical Documentation (esMD) electronic Determination of Coverage (eDoC) Workgroup Oxygen Concentrators and Portable Oxygen (OCPO) User Story Launch
September 24, 2014

2. Sponsors & Support Pamela durbin, RN, BSN,CDS, ISSO
Mark D Pilley, MD AAFP, AADEP, ABQAURP Medical Director Strategic Health Solutions, LLC Viet Nguyen, MD Chief Medical Information Officer Systems Made Simple, Inc. Sweta Ladwa, MPH Project Manager / Epidemiology ESAC, Inc.
Pamela durbin, RN, BSN,CDS, ISSO
Health Insurance Specialist, COR II CMS / OFM / Provider Compliance Group
Dan Kalwa
Health Insurance Specialist, CMS / OESS
Michael Handrigan, MD
Medical Officer CMS / OFM / Provider Compliance Group
Robert Dieterle,
Initiative Coordinator 2

3. Agenda / Presenter Opening Remarks S&I Process
Overview of eDoC Workgroup
Related Initiatives
Description of Oxygen User Story
Structured Data
Mapping Oxygen to eDoC and Other Initiatives
Timeline and Summary
Closing Remarks
Robert dieterle
Mark Pilley, MD
SWETA LADWA, MPH
Robert dieterle 3

4. Standards & Interoperability (S&I) Framework
“…a collaborative community of participants from the public and private sectors who are focused on providing the tools, services and guidance to facilitate the functional exchange of health information.”
Why use the S&I Framework?
It is a robust, repeatable process that will help improve interoperability and adoption of standards and health information technology.
Standards & Interoperability (S&I) Framework is “…a collaborative community of participants from the public and private sectors who are focused on providing the tools, services and guidance to facilitate the functional exchange of health information.”

5. Solution Development Lifecycle
eDoC Phase
Details
Charter
Challenge statement
Timelines and milestones
Goals and outcomes
Use Case
Create Use Case and User Stories
Actors and roles
Activity and Sequence diagrams
Dataset Requirements
Risks, Issues and obstacles
Sub-workgroup effort
Structured data requirements
Templates for data capture
Decision support
Standards Harmonization
Identify candidate standards
Create data model(s)
Map data model(s) to candidate standard(s)
Identify gaps, barriers and obstacles
Work with SDOs to address gaps
The Solution Development Lifecycle of electronic Determination of Coverage (eDoC) under the S&I Initiative is completed over multiple Phases:
Pre-Discovery began with establishing a “Charter” containing a “Challenge statement, Timelines & milestone, Goals & outcomes”
Discovery involves “Use Case” development, Creating the Use Case & User Stories, Actors and roles, Activity and Sequence diagrams, Minimal Dataset Requirements, Risks, Issues and obstacles, supported by Sub-workgroup effort in defining Structured data requirements, developing Templates for data capture, & providing Decision support
Implementation requires Standards & Harmonization of those Standards. This starts with Identifying candidate standards, Creating a data model(s), Mapping the data model(s) to candidate standard(s), Identifying gaps, barriers and obstacles, & Work with Standard Development Organization s (SDOs) to address gaps.
Next is the Implementation Guidance and Piloting Phases. This requires the Creation of an Implementation Guide(s), Identifying pilot participants, Developing pilot / demonstration plan, followed by Evaluating for success & making Modifications to the Implementation guide(s) as required.
Implementation Guidance & Piloting
Create implementation guide(s)
Identify pilot participants
Develop pilot / demonstration plan
Evaluate success
Modify Implementation guide(s) as required 5

6. Related S&I Framework Initiatives
Description
Relationship
Transitions of Care (C-CDA)
Defines the electronic communication and data elements necessary for clinical information exchange to support transfers of care between providers and between providers and patients
Standards for the exchange of clinical information
Provider Directories
Defines transaction requirements and core data sets needed to support queries to provider directories to enable electronic health information exchange
Electronic endpoints for participants in eDoC
Structured Data Capture (SDC)
External template driven capture of structured data within the EHR
Templates and workflow to capture payer required information
Health decisions (HeD)
Decision Support to enable complex workflows based on externally provided rules that enable capture of information and provide guidance for physician ordering
Decision support for data capture and preferred order management
esMD Author of Record
Standards for providing digital signatures to transactions and documentation.
Standards for Digital Signatures on transaction and documents
Direct
a simple, secure, scalable, standards-based way for participants to send authenticated, encrypted health information
Utilize Direct as a transport mechanism between providers, payers and suppliers
Data Provenance (DPROV)
Standards for the provenance of medical record information that is exchanged for clinical or administrative purposes
Provides more detailed information regarding the origin and assembly of data elements in an electronic exchange 6

7. eDoC Workgroup Structure
Charter
Use Case
Harmonization
Pilots
Sub-Workgroups
User Stories
Power Mobility Devices
Lower Limb Prostheses
Home Health Services
Oxygen Concentrators and Portable Oxygen
Structured Data
Determine documentation requirements
Evaluate appropriate clinical elements
Clinical Vocabularies
Define CCDA template
Documentation Templates
Define template requirements
Define template workflow
Define EHR data capture requirements
Specify storage requirements
Transport
ASC X12 275, 278, 277
CONNECT
Direct
At this time there are 4 active & ongoing eDoC Sub-Workgroups User Stories, Structured Data, Documentation Templates, & Transport.
There are 3 current User Stories - Power Mobility Devices, Lower Limb Prostheses, Home Health Services
The Structured Data SWG - Charged with Determining documentation requirements, Evaluate appropriate clinical elements & Clinical Vocabularies, & further Define CCDA
Documentation Templates SWG – Charged with Defining template requirements, Defining template workflow, Defining EHR data capture requirements, Specify storage requirement
Transport SWG – Determining the IG for exchange of Medical Documentation, Structured Documentation using specific Transport systems: ASC X12, 275, 278, & 277; Direct, & CONNECT.
The esMD Initiative is developing Implementation Guides based on current acceptable Documentation Standards, HL7, supporting structured Medical Documentation, Consolidated CDA allowing for Structured Data Capture in support of electronic Determination of Coverage.
Consolidated CDA
Structured Data Capture
esMD eDoC IGs 7

8. esMD Background Phase 1: Phase 2: Before esMD: Provider 8 electronic
Healthcare payers frequently request that providers submit additional medical documentation to support a specific claim(s). Until recently, this has been an entirely paper process and has proven to be burdensome due to the time, resources, and cost to support a paper system.
Review Contractor
Provider
Request Letter
Paper Medical Record
Phase 1:
Doc’n Request Letter
electronic
Phase I of esMD was implemented in September of It enabled Providers to send Medical Documentation electronically
The ONC S&I Framework Electronic Submission of Medical Documentation (esMD) initiative is developing solutions to support an entirely electronic documentation request.
electronic
Phase 2: 8

9. esMD Process Flow
The overall esMD process can be divided into three steps:
A provider registers with a payer to receive electronic medical documentation requests (eMDRs)
1. Register to Receive eMDRs
A payer sends an eMDR to a registered provider
2. Send eMDRs
A provider electronically sends medical documentation to a payer in response to an eMDR
3. Send Medical Documentation
esMD Phase 2
esMD Phase 1 9

10. Electronic Determination of Coverage (eDoC)
Underlying Challenge:
Enable provider capture of documentation and benefit determination based on payer rules
Secure exchange of templates, decision support, and documentation between payers, providers, service suppliers and beneficiary
Scope:
Focus on defining the use case, user stories and requirements supporting a standards-based architecture
Reuse of existing S&I Initiative efforts where possible
Creation of structured data capture templates and supporting exchange standards
General approach to documentation as the Use Case
Specific benefits as user stories (Oxygen Concentrators and Portable Oxygen (OCPO)
Outcome:
Successful pilot of templates, decision support, information exchange standards over standard secure transactions for the purpose of determining coverage
Validation of user story for Oxygen Concentrators and Portable Oxygen (OCPO) 10

11. eDoC General Workflow Patient LCMP / IDTF Physician Specialist /
Service Provider
Templates and Rules
Payer 11

12. Oxygen Concentrator / Portable Oxygen (OCPO)12

13. Improper Payment - OCPO
Highest Medicare Improper Payment for Service Types Billed to DME – Oxygen Supplies/Equipment
$1.2 Billion – 75.2% (CERT Improper Payments, 2013)
No Documentation – 0.3%
Insufficient Documentation Errors – 73.2%
Oxygen Concentrators (E1390) - $1 Billion – 75.6% Overpayment Rate
Claims Containing Errors – 68.1%
(Medicare FFS 2013 Improper Payment Rate Report – Supplementary Appendices )
2006 Office of Inspector General (OIG) Report
“Medicare Home Oxygen Equipment: Cost and Servicing”
2004 – Home Oxygen Equipment
24% of all Medicare DME, Prosthetics, Orthotics and Supplies (DMEPOS) Costs
$2.7 Billion of $11.1 Billion total payments for DMEPOS
1. Medicare and Medicaid issue billions of dollars in improper payments every year. These are not fraudulent situations, but rather cases where the health care provider unintentionally fails to comply with the Medicare and Medicaid coverage, coding on Medicare and Medicaid coverage, coding the medical recasting(?) rules.
2. CMS hires Review Contractors to help find improper payments. Nurses and other clinicians at the review contractors look for these improper payments by comparing the claim to the medical documentation created by the provider of the time of service.
3. Hospitals, Physician Offices and other providers receive many requests for patient’s medical records every year from Medicare and Medicaid Review Contractors.

14. OCPO Definition E1390 E1391 PORTABLE OXYGEN CONCENTRATOR, RENTAL E1392
OXYGEN CONCENTRATOR, SINGLE DELIVERY PORT, CAPABLE OF DELIVERING 85 PERCENT OR GREATER OXYGEN CONCENTRATION AT THE PRESCRIBED FLOW RATE
E1390
OXYGEN CONCENTRATOR, DUAL DELIVERY PORT, CAPABLE OF DELIVERING 85 PERCENT OR GREATER OXYGEN CONCENTRATION AT THE PRESCRIBED FLOW RATE, EACH
E1391
PORTABLE OXYGEN CONCENTRATOR, RENTAL
E1392
PORTABLE GASEOUS OXYGEN SYSTEM, RENTAL; HOME COMPRESSOR USED TO FILL PORTABLE OXYGEN CYLINDERS; INCLUDES PORTABLE CONTAINERS, REGULATOR, FLOWMETER, HUMIDIFIER, CANNULA OR
MASK, AND TUBING
K0738 14

15. OCPO Reviews OCPO Reviews require Suppliers to submit:
Evidence of qualifying test results
Performed within 30 days before initial date of service (DOS)
Evidence of in-person visit with a treating physician
Detailed written order
NCD – Home Use of Oxygen (240.2)
Coverage requires patient testing when in the “Chronic Stable State”
All Co-Existing “Diseases or Conditions that can cause hypoxia must be treated sufficiently.”
Patient “Must have a severe lung disease”:e.g.;
“COPD, diffuse interstitial lung disease, cystic fibrosis, bronchiectasis, widespread pulmonary neoplasm, or hypoxia-related symptoms or findings anticipated to be improved with Oxygen Therapy.” 15

16. OCPO Reviews OCPO Reviews require Suppliers to submit:
Certificate of Medical Necessity (CMN)
Completed, signed, and dated by the treating physician
May act as a substitute for detailed written order
CMS Form 484 (DME form )
Proof of Delivery
Any other medical documentation to support the LCD requirements 16

17. OCPO – Order Requirements
OCPO – Detailed Written Order (DWO)
Detailed Written Order
The detailed written order must include:
Patient name;
Detailed description of the items being provided, including:
a. The means of oxygen delivery,
b. The specifics of varying oxygen flow rates and/or non-continuous use of oxygen, and
c. The length of need;
Treating physician’s signature and date order signed; and
Start date of the order (only required if the start date is different from the signature date) . 17

18. OCPO Definition
PORTABLE GASEOUS OXYGEN SYSTEM, RENTAL; INCLUDES PORTABLE CONTAINER, REGULATOR, FLOWMETER, HUMIDIFIER, CANNULA OR MASK, AND TUBING
E0431
PORTABLE LIQUID OXYGEN SYSTEM, RENTAL; HOME LIQUEFIER USED TO FILL PORTABLE LIQUID OXYGEN CONTAINERS, INCLUDES PORTABLE CONTAINERS, REGULATOR, FLOWMETER, HUMIDIFIER, CANNULA OR MASK AND TUBING, WITH OR WITHOUT SUPPLY RESERVOIR AND CONTENTS GAUGE
E0433
PORTABLE LIQUID OXYGEN SYSTEM, RENTAL; INCLUDES PORTABLE CONTAINER, SUPPLY RESERVOIR, HUMIDIFIER, FLOWMETER, REFILL ADAPTOR, CONTENTS GAUGE, CANNULA OR MASK, AND TUBING
E0434
Requires an in-person or face-to-face interaction prior to prescribing
A Written Order Prior to Delivery (WOPD) – required
DMEPOS supplier must have documentation of:
face-to-face visit, &
completed WOPD prior to the delivery
must be sufficient information documented meeting applicable coverage criteria are met.
AFFORDABLE CARE ACT (ACA) 6407 REQUIREMENTS 18

19. OCPO Submission Methods
OCPO Documentation submission methods
Mail – USPS, FedEx, UPS
Fax – to secured site
CD/DVD - Password Protected
esMD – via HIH 19

20. Types of Review Order Validation – New Prepay Review - Ongoing
Post-pay Review - Ongoing . 20

21. Request Process for OCPO
Visits Physician/ Practitioner – Opt Office / ED
Hospitalized for Respiratory Failure / Exacerbation of COPD / Pneumonia, etc. – Medical Documentation substantiates Requires &/or Benefits from Supplemental O2
Beneficiary
IDTF/Hosp/Home
Orders ABGs, Oximetry, 6-minute walk, PFTs, VO2 Max, etc.
Refers for Sleep Study
Documents the in person visit or F2F visit in Medical Documentation, (progress note, medical record, Hospital H&P/Dismissal Summary/Transfer Sheet )
Must include:
Diagnosis supporting need for OCPO, Exam findings, Required Testing
Ordering Physician/Practitioner
Writes, signs, and dates DWO and
Completes the CMN
Submits Documentation Package including:
In person visit or F2F visit
DWO
CMN
POD
Other Supporting Documentation
Receives/Files
F2F visit progress note, DWO, and CMN
Completes OCPO Delivery
Obtains Proof of Delivery (POD)
Supplier 21

22. Request Process for OCPO - Order Validation
Visits Physician/ Practitioner – Opt Office / ED
Hospitalized for Respiratory Failure / Exacerbation of COPD / Pneumonia, etc. – Medical Documentation substantiates Requires &/or Benefits from Supplemental O2
Beneficiary
IDTF/Hosp/Home
Orders ABGs, Oximetry, 6-minute walk, PFTs, VO2 Max, etc.
Refers for Sleep Study
Documents the in person visit or F2F visit in Medical Documentation, (progress note, medical record, Hospital H&P/Dismissal Summary/Transfer Sheet )
Must include:
Diagnosis supporting need for OCPO, Exam findings, Required Testing
Ordering Physician/Practitioner
DWO – Order Validation
Writes, signs, and dates DWO and
Completes the CMN
Submits Documentation Package including:
In person visit or F2F visit
DWO
CMN POD
Other Supporting Documentation
Receives/Files
F2F visit progress note, DWO, and CMN
Completes OCPO Delivery
Obtains Proof of Delivery (POD)
Supplier 22

23. eDoC General Workflow Patient IDTF / Hosp / Opt Lab Physician
DME Supplier
Templates and Rules
Payer 23

24. OCPO Documentation & Coverage Requirements
Common Oxygen and Oxygen Equipment Errors
MLN ICN December 2011
1. Missing documentation showing that the patient was seen by a physician within the appropriate timeframes for certification or recertification of the need for oxygen supplies.
2. Missing documentation of original blood gas or saturation test results.
3. Missing documentation indicating that the patient needs or is using oxygen and supplies.
4. Missing documentation to show that the patient is mobile within the home (for portable oxygen).
5. Missing physician order for oxygen supplies.
6. Missing the most recent Certificate of Medical Necessity (CMN).

25. OCPO Documentation & Coverage Requirements
Overlooked Policy Requirements
MLN ICN December 2011
1. Medicare requires home oxygen to be ordered by a physician after evaluating a patient’s medical need. This visit must occur either prior to, but no earlier than, 2 days prior to the inpatient hospital discharge date, or while the patient is in a chronic stable state. The physician notes must establish the need for oxygen based upon Local Coverage Determination (LCD) requirements and show that the visit (and test) does not exceed 30 days from the Initial Date on the CMN.
2. For Medicare to pay for oxygen equipment, a patient must have both a continued need for oxygen in the home and must also be using the equipment.
3. For patients to qualify for portable oxygen, they must be mobile within the home and be tested under specific conditions (during exercise or at rest).
4. Medicare requires all patients who use home oxygen to first be tested either by arterial blood gas (ABG) or oximetry test (SAT). There must be a record of the test results in the physician’s notes to verify that the test occurred.

26. OCPO Documentation & Coverage Requirements
Oxygen Documentation Checklist
Medicare requires the following documentation for Medicare oxygen therapy: MLN ICN December 2011
Detailed Written Order
The detailed written order must include:
Patient name;
Detailed description of the items being provided, including:
a. The means of oxygen delivery,
b. The specifics of varying oxygen flow rates and/or non-continuous use of oxygen, and
c. The length of need;
Treating physician’s signature and date order signed; and
Start date of the order (only required if the start date is different from the signature date)

27. OCPO Documentation & Coverage Requirements
Oxygen Documentation Checklist
Medicare requires the following documentation for Medicare oxygen therapy: MLN ICN December 2011
Coverage
Home oxygen therapy is covered only if all of the following conditions are met:
The treating physician has determined that the patient has a severe lung disease or hypoxia-related symptoms that might be expected to improve with oxygen therapy.
The patient’s blood gas study meets the criteria stated below.
The qualifying blood gas study was performed by a physician or by a qualified provider or supplier of laboratory services.
The qualifying blood gas study was obtained under the following conditions (a or b):
a. If the qualifying blood gas study is performed during an inpatient hospital stay, the reported test must be the one obtained closest to, but no earlier than, 2 days prior to the hospital discharge date; or
b. If the qualifying blood gas study is not performed during an inpatient hospital stay, the reported test must be performed while the patient is in a chronic stable state (that is, not during a period of acute illness or an exacerbation of his or her underlying disease).
Alternative treatment measures have been tried or considered and deemed clinically ineffective.

28. OCPO Documentation & Coverage Requirements
Oxygen Documentation Checklist
Medicare requires the following documentation for Medicare oxygen therapy: MLN ICN December 2011
Medicare Qualifying Saturation Test Results
Medicare covers home oxygen therapy only if the patient’s arterial saturation test results meet the following criteria:
The patient’s test results must be within 48 hours of the date of delivery, unless the arterial saturation tests were taken during an outpatient encounter or during the patient’s sleep. If tests were taken during an outpatient encounter or during the patient’s sleep, the patient’s arterial saturation test results must be within 30 days of the date of delivery.
Arterial saturation test results that qualify for coverage are classified into Group I or Group II. The group determines specific CMN requirements. The criteria for each group are listed in Table 1 and Table 2 below. (Following Slides)

29. Structured Information for OCPO
Supports
Data collection by providers during in person visit or face-to-face visit
Reporting of clinical information for coverage determination
Clinical decision support and automated determination of coverage 29

30. Evaluation Process for OCPO Structured Documentation
Examination of individual clinical elements for each section of the template
Determine if a clinical element is codifiable (e.g. Diagnosis), requires a narrative (e.g. History of Present Illness), or is mixed (e.g. Review of Systems)
Compare coded elements to existing standard coding systems (e.g. SNOMED-CT, ICD) and CDA components
Map to CDP1 Template Sections and Entries based on User Story Requirements 30

31. References/Contact Information
Links
esMD Initiative:
esMD Program:
esMD eDoC Initiative: Electronic+Determination+of+Coverage
Contact Information
Robert Dieterle – esMD Initiative Coordinator
Sweta Ladwa – ESAC )
Dan Kalwa – CMS
Pamela Durbin – CMS
Dr Mark Pilley – Co Lead
Dr. Viet Nguyen – Co Lead 31

32. References for Coverage and Documentation Requirements
Complete coverage and documentation requirements are outlined in the following policy and CMS Publication:
National Coverage Determination (NCD) for OCPO
CMS MLN Matters - Education/Medicare-Learning-Network-MLN/MLNMattersArticles/downloads/MM4389.pdf
Provides further guidance and clarification about documentation for physicians and treating practitioners when ordering OCPO 32

33. References for Coverage and Documentation Requirements
Additional Guidance regarding coverage and documentation requirements are outlined in the following CMS Transmittals:
The NCD can be found in transmittal 57, CR4389, at
on the CMS website
Claims processing instructions are available in Transmittal 961, CR4389, which is available at on the CMS website 33

34. References for Coverage and Documentation Requirements
Additional Guidance regarding coverage and documentation requirements for Home Oxygen Use for Cluster Headache (CH) are outlined in the following CMS Transmittals:
Assigned Codes for Home Oxygen Use for Cluster Headache (CH) in a Clinical Trial (ICD-10) – MM7820 – Transmittal #: R2465CP
The official instruction, CR7820, is located at on the CMS website 34

35. References for Coverage and Documentation Requirements
DME MAC policy regarding coverage and documentation requirements are outlined in the following policies:
LCDs and LCD Articles for OCPO
Jurisdiction A LCD
Jurisdiction B LCD
Jurisdiction C LCD
Jurisdiction D LCD
results.aspx?SearchType=Advanced&CoverageSelection=Local&ArticleType=SAD%7cEd&PolicyType=Both&s=All&CntrctrType=10&KeyWord=Oxygen+and+Oxygen+Equipment&KeyWordLookUp=Title&KeyWordSearchType=Exact&kq=true&bc=IAAAAAAAAAAAAA%3d%3d& 35

36. References for Coverage and Documentation Requirements
DME MAC policy regarding coverage and documentation requirements are outlined in the following policies:
LCDs Oxygen and Oxygen Equipment (OCPO)
Jurisdiction A LCD
Jurisdiction B LCD
Jurisdiction C LCD
Jurisdiction D LCD 36

37. References on OCPOs from the DME MACs
Jurisdiction A: NHIC, Corp.
Jurisdiction B: National Government Services (NGS)
Juridiction C: CGS
Jurisdiction D:Noridian Administrative Services, LLC (NAS) 37

38. eDoC OCPO Timeline 38 Sept ‘14 Oct ‘14 Nov ‘14 Dec ‘ 14 Jan ‘15
Feb ‘15
Mar‘15
Apr ‘15
Kick-Off
OCPO – User Story Development
Standards/Data Model/Harmonization
OCPO Pilots
Sub Workgroup LLP Structured Data
OCPO
Implementation Guide
UPDATED
SWETA – CHANGED THIS SLIDE
What is OCPO Phase 2? 38

39. eDoC Timeline October ‘13 December ‘13 February ‘14 April ‘14 June ‘14
We are here
October ‘13
December ‘13
February ‘14
April ‘14
June ‘14
August ‘14
October ‘14
December ‘14
February ‘15
Electronic Determination of Coverage WG
PMD and LLP e-Clinical Template Pilots
Home Health
User Story
Oxygen Concentrators and Portable Oxygen User Story
LLP User Story
eDoC Harmonization and Structured Data
eDoC Administrative Documents Templates IG for HL7 Ballot
eDoC HL7 Clinical Documents for Payers Set 1 Ballot Reconciliation
SWETA UPDATED

40. Call for Public Participation
As an S&I Initiative, esMD is requesting public participation and input to identify and assess existing standards and define requirements for the eDoC OCPO User Story
Targeted Participants:
Medicare, Medicaid, and Commercial Payers
Providers, Provider Organizations
Service suppliers (e.g. DMEs)
Health Information Handlers (HIHs)
HIT/EHR Vendors and Vendor Associations
State HIEs, HIE Vendors
SDOs
Others with Expertise/Interest in Coverage Determination, Structured Documentation, Decision Support, and Pre-authorization, 40

41. Summary eDoC workgroup identifies Best Practice for:
Payer interaction with providers for determination of coverage
Developing, delivering and using structured information to support coverage determination
Addressing Author of Record requirements
Establishing secure electronic communication between payers, provider, suppliers and beneficiaries
Creating implementation guides for payers and providers for all required eDoC processes and transactions
The focus for next user story is on Oxygen Concentrators and Portable Oxygen (OCPO) 41

42. Next Steps
The electronic Determination of Coverage Workgroup is open for anyone to join. This community will meet weekly by webinar and teleconference from 1:00 to 2:00 pm ET on Wednesday see S&I Framework calendar for webinar information:
Information on how to join the esMD Community can be found on the electronic submission of Medical Documentation (esMD) page:
In order to ensure the success of the eDoC efforts, we encourage broad and diverse participation from the community. Wide community participation will ensure that the standards reflect technology that is useable across the industry and meets the needs of all stakeholders.
This is your chance to have an impact on the evaluation and selection of standards, in addition to the creation of business requirements and implementation guides for the electronic Determination of Coverage OCPO User Story 42

43. Thank You

44. 44