CMS RESOURCES
1. CMS Health Plan Management System Memos
CMS publishes HPMS memos for communicating important plan-level Part C and Part D information to interested stakeholders.
2. Customer Service and Support Center (CSSC)
The CSSC website is the gateway to EDS. Visitors to the site can access information about the EDS, including opportunities for enrollment to submit encounter data and obtain comprehensive information about encounter data submission and EDS testing requirements. In addition, the site provides valuable links to CMS instructions and other official resources. Work Group and other training information is regularly posted.
The toll free help line (1-877-534-2772) is available Monday – Friday, 8:00 A.M. EST to 7:00 P.M. EST to provide assistance. CSSC provides ongoing encounter data assistance.
3. Technical Assistance Registration Service Center (TARSC)
The website includes information about trainings and work groups, training dates, locations, online registration, and encounter data FAQs.
4. A. Reddix & Associates (ARDX)
Provides project integration, industry outreach, business requirements, systems specifications and is the training contractor responsible for encounter data training initiatives, including regional training programs and work groups.
EDS Inbox: EDS@ardx.net
Encounter Data Resources
1. Type 3 Technical Report
The Washington Publishing Company (WPC) has a grouping of documents that addresses the 837-I and 837-P. It provides rules that MAOs must support in order to submit encounter data. It is intended to be compliant with the data standards mandated by HIPAA.
2. CMS CEM Edits Spreadsheets
CMS provides X12 5010 file format technical edits spreadsheets for the 837-I and 837-P. The edits included in the spreadsheet are intended to clarify the WPC instructions or add Medicare specific requirements.
https://www.cms.gov/Medicare/Billing/MFFS5010D0/TechnicalDocumentation.html
3. Encounter Data Companion Guides
CMS publishes Companion Guides as supplements to the Technical Report 3 (TR3). The 837-I Companion Guide is a supplement to the HIPAA standard 837I005010X223 A2 Type 3 Technical Report (TR3). The 837-P Companion Guide is a supplement to the HIPAA standard 837P005010222 A1 Technical Report (TR3).
4. EDPS Bulletin
Published bi-weekly and provides MAOs with updates to assist with successful submission of data to the EDPS. The bulletin documents common edits, general updates, and EDS report updates.
5. User Group and Industry Update Slides and Q&As
As an outreach method, CMS conducts User Groups and Industry Updates. To ensure accurate delivery of messages, CMS documents slides containing content delivered during the sessions