CMS QRDA Pre-Submission Validation Tools Guide

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Topic

Cypress QRDA Validation Utility

Pre-Submission Validation Application (PSVA)

CMS Data Receiving System, within the QualityNet Secure Portal

Quick Check

ü Eligible Professionals/Eligible Clinician
ü Eligible Hospitals
ü QRDA Cat I
ü QRDA Cat III

ü Eligible Hospitals
ü
QRDA Cat I
ü Eligible Hospitals
ü
QRDA Cat I

Tool Description

A development tool for HIT vendors who are testing synthetic QRDA Category I and Category III documents for conformance to the base HL7 QRDA standard and CMS submission requirements.

Validates files against the base HL7 IG, or for the EH or the EP/Eligible Clinician constraints as specified in the 2016, 2017 and 2018 CMS QRDA Cat I and QRDA Cat III Implementation Guides.

Pre-Submission Validation Application (PSVA) is a client side tool that allows submitters to verify and validate the structure of QRDA Category I files within the user environment prior to CMS Submission.

CMS data receiving system used by EHs and CAHs that are reporting eCQMs under the Medicare EHR Incentive or the Hospital IQR Program. CMS notifies users when the receiving system is available to accept test and production QRDA Category I files. The CMS data receiving system performs the same validation and measure calculations for test files and production files, although only production files are submitted to meet program data submission requirements.

Note: eCQM files submitted to the test system will not be reviewed or evaluated for IQR Program or EHR Incentive Program credit.

How to Access

Accessible to anyone at https://cypressvalidator.healthit.gov/

Users must login to the QualityNet Secure Portal with valid user credentials to download the PSVA tool. After the initial PSVA tool download, the user will install the PSVA tool in their client environment. 

Users must login to the QualityNet Secure Portal with valid user credentials to access the EHR Incentive Program Hospital eCQM Reporting link.

HL7 QRDA Version

Supports QRDA Category I R3, R3.1 and R4. Supports QRDA Category III R1, R1.1 and R2.1.

Currently validates QRDA Category I R3

Currently validates QRDA Category I R3

Accepts PHI

https://cypressvalidator.healthit.gov/  does not accept PHI/PII. A downloadable version of the Cypress Validation Utility is available by itself or with Cypress v3.

Accepts real or test data. The application validates and securely submits patient data containing PII and PHI. The system can accept PII or PHI in files submitted.

CMS Programs Supported

EP/Eligible Clinician and EH HQR-EHR submissions for EHR Incentive (Meaningful Use) and IQR programs. HQR-EHR submissions for EHR incentive (Meaningful Use) and IQR programs.

Interface with CMS

None

Can transmit validated files to CMS through a secure Axway interface via SFTP to both the TEST and PROD system.

This is the official CMS submission system and is completely integrated into the CMS infrastructure. All files that pass test submissions validation will pass production submission validation.

Validates CMS Rules

Yes, for EP/Eligible Clinician and EH submissions based on CMS’s 2016, 2017 and 2018 QRDA Category I and QRDA Category III Implementation Guides.  However, it does not perform all validations that occur on the official CMS systems. Cypress does not perform the following CMS required validations:

* Authorized CCNs

* Specific checks for CDAC users

Yes, for HQR based on CMS 2017 IG. However, it cannot perform all validations that occur within the official CMS data receiving systems.PSVA does not performing the following CMS required validations:
* Authorized CCNs

* Neutral and Version Specific ID values

* Discharge dates and reporting parameters checks with allowable submission periods
* Specific checks for CDAC users

Yes, beginning with the HQR 10.0, the system validates HQR test submissions based on CMS 2017 Combined IG. 

Operating Environment

Hosted on a public server maintained by the Agency for Healthcare Research & Quality. AMI and VM available for download as standalone or alongside Cypress certification tool.

Supported on Windows, operating systems only, requires JRE V1.7 on the client machine, and lists the minimum hardware system requirements.

Runs on the CMS Hospital Quality Reporting site (accessed via www.Qualitynet.org). This is a secure environment running in the CMS Data Center. No tools are necessary other than a standard PC with a supported web browser.

File Upload Process

Upload one file at a time to the Cypress Validation Utility.

Select file from local environment.

Drag and drop to upload file within the Hospital Reporting File Submission Process.

Number of Files Validated

The uploaded file is either a zip file containing multiple files or a single XML file.

Zip file containing up to 15,000 (QRDA) files, for a maximum uncompressed size totaling 4GB.

Files or zipped files. A single batch may contain up to 15,000 files.

eCQM Calculations

Displays results of eCQMs included in uploaded QRDA document.

None

Yes

Error Reporting

Displays all error messages on the screen found for the entire file; identifies QRDA statements in error.
Does not store the file nor the validation results for future retrieval.

Generates a CMS feedback report upon validation with all error messages, found in the entire file. The report is accessible within the application window as soon as file validation completes.

Stores the results locally on the Provider or Vendor's equipment.

Generates a report with all error messages found in the entire file; reports accessible from QualityNet following successful processing of files within batches.

Stored Results

Does not store the file nor the validation results for future retrieval.

Stores the results locally on the Provider or Vendor's equipment.

All files from submissions are stored indefinitely. They can be retrieved at any time via a variety of reports available within the QualityNet Secure Portal

Other features

None

Transmits validated files to CMS through a secure Axway interface.

Test submissions through the CMS QualityNet Secure Portal are identical to the production submissions in terms of validation and measure calculation. A vendor or provider will know exactly what the production results will be for a QRDA by using the test submission feature in the secure portal.

Other Comments

None

Latest Production version, PSVA 1.2.4, was released October 12, 2017.

The CMS QualityNet Secure Portal is a shared submission system, and all files are processed in a first come, first serve queue. A time delay in having results available in reports can be impacted by the volume of submissions occurring at a given time.

Next Release/

Update

Updated Annually: generally 1-2 months after new CMS QRDA Implementation Guide published in July.

Support for the 2018 CMS QRDA Cat I IG was added on July 27, 2017.  Support for the 2018 CMS QRDA Cat III IG was added on December 14, 2017. Support for the 2019 CMS IGs are targeted for summer 2018.

 

Updated Annually: generally 1-2 months after new CMS QRDA Implementation Guide publishes in July.

The CMS receiving system is typically updated in the spring to receive the most current version of QRDA Category I files based on the CMS QRDA Implementation Guide and Schematrons published on the eCQI Resource Center.   

Support Contact

QualityNet Help Desk: 866-288-8912 (TTY 877-715-6222) 7:00 a.m.–7:00 p.m. CST M-F or qnetsupport@hcqis.org You will be asked to provide basic information such as name, practice, address, phone, and e-mail.

  (Updated: January 2018)