esMD supports multiple Lines of Business (LOBs) with the current esMD system setup. As esMD expands to support more features and functionalities that require development of new specifications, a pilot is put in place to implement, take feedback and improve quickly before stabilization. Currently, esMD supports the following four pilots:
Consolidated Clinical Documentation Architecture
C-CDA (Consolidated Clinical Document Architecture) is a Health Level Seven (HL7) standard used to define templates for the creation of clinical documents. C-CDA supports the exchange of documentation between multiple parties who are involved in the patient’s care. The standard allows documents to have two components – a human readable section and a machine-readable section. This will bring the review process one step closer to being a computer assisted review. This will reduce the time spent on reviewing each document and ultimately help in resolving claims faster. The goal of the C-CDA pilot is to allow exchange of documents that are in a C-CDA (structured) format. Click here to learn more.
Electronic Medical Documentation Request (eMDR)
Additional Documentation Review (ADR) Results
The ADR review results pilot's goal is for HIHs to be able to recieve electronic responses from RCs, only for those ADR responses that were sent via esMD. The decision date and the review result indicator are part of the results being sent (Reject, Deny or Approve). The ADR review results contains reason codes and statements that provide more specificity and clarity in case of a ‘reject’ or ‘deny’ result. Click here to learn more.