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pdfEXHIBIT A
CMS 10662 Compliance Review Information Retrieval Form
SUPPORTING DOCUMENT
NAME
ASETT
Compliance Review
Package
CHANGES TO
SUPPORTING DOCUMENT
1. Salutation: replaced Title with addressee first name
2. Paragraph 2: Added reference to the “CMS Identity
Management (IDM) System and Compliance Review
Covered Entity Portal Access Quick Start User Guide”
3. Paragraph 3: Removed obsolete portal access instructions
4. Signature block: Changed signatory to Michael Cimmino,
Director NSG
5. Part A: Assessment Process, replaced reference to
Edifecs Xengine (testing tool) with Edifecs Onboarding
and Testing Cloud Services (OTCS) (testing tool).
6. Part A: Assessment Process, used the full name Council
for Affordable Quality Healthcare, Committee on Operating
Rules for Information Exchange instead of the acronym
CAQH – CORE
7. Part C: added instructions for using the testing tool
8. Part C: improved instruction for using the Covered Entity
Portal
9. Made updates regarding file naming conventions, file
types, and file size for uploads to the system of record
(ASETT)
EXPLANATION
of CHANGES
1. CMS mandate to remove gender
BURDEN IMPACT
n/a
identification
2. To assist users with signing into
ASETT and accessing the Covered
Entity Portal
3. Former portal no longer exists,
infrastructure was sunsetted by
Salesforce
4. Gladys Wheeler (previous
signatory) retired
5. Edifecs XEngine was upgraded to
OTCS
6. Ensure compliance review
participants understand the
standards authority acronym
7. Ensure users can register and
access the testing tool
8. Ensure users provide requested
artifacts correctly
9. Ensure with system of record
compliance
ASETT Notice of Corrective 1. Salutation: replaced Title with addressee first name
Action
1. CMS mandate to remove gender
n/a
Page 1 of 3
SUPPORTING DOCUMENT
NAME
CHANGES TO
SUPPORTING DOCUMENT
2. Paragraph 4: Removed obsolete portal access instructions
3. Paragraph 5: Added Corrective Action Plan (CAP)
document upload instructions
4. Signature block: Changed signatory to Michael Cimmino,
Director NSG
EXPLANATION
of CHANGES
BURDEN IMPACT
identification
2. Former portal no longer exists
3. To ensure CAP documents are
added to the correct location in the
Compliance Review record
4. Gladys Wheeler (previous
signatory) retired
ASETT Operating Rules
Attestation
1. All Operating Rule Attestation questions are enumerated
1. To enable clear reference to each
n/a
question when discussing with a
covered entity
ASETT Compliance
Review Triage
Questionnaire
Other Compliance Review
Notices and Letters:
• ASETT Follow-Up
Request for
Information Letter
• ASETT Follow-Up
Request for
Information Letter
(Corrective Action)
• ASETT Notice of
Compliance Review
Closure (No
Violations)
• ASETT Notice of
Compliance Review
Closure (Corrective
Action)
1. The single covered entity triage questionnaire that was
1. Created a specific questionnaire for
used for all covered entity types was replaced by a unique
the EDI transactions that each
covered entity triage questionnaire for each covered entity
covered entity may create (Health
type (Health Plan, Clearinghouse, Provider)
Plan, Clearinghouse, Provider)
1. Signature block: Changed signatory to Michael Cimmino,
Director NSG
1. Gladys Wheeler (previous signatory)
retired
n/a
n/a
Page 2 of 3
SUPPORTING DOCUMENT
NAME
•
CHANGES TO
SUPPORTING DOCUMENT
EXPLANATION
of CHANGES
BURDEN IMPACT
ASETT Notice of
Draft Findings
Page 3 of 3
File Type | application/pdf |
File Title | PSYCHIATRIC UNIT CRITERIA WORKSHEET CROSSWALK |
Author | Stephanie Hursey |
File Modified | 2023-11-15 |
File Created | 2023-11-15 |