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EMDI Implementation Guides

Electronic Medical Documentation Interoperability (EMDI) Implementation Guides and Pilots

The Centers for Medicare & Medicaid Services (CMS) EMDI program develops use cases, pilot protocols, implementation guides, and other documents identifying necessary standards and specifications based upon business scenarios and system functional requirements. The primary goal of the EMDI program is to reduce provider burden through effective piloting and implementation of nationally recognized Health IT standards. The EMDI program includes voluntary participation by healthcare providers to adopt Health IT standards and develop pilot activities.

EMDI Implementation Guides

The EMDI Implementation Guides provide background information, guidelines, and resources to support the implementation of the EMDI use cases. The use cases are designed to promote provider-to-provider communications in a healthcare environment.

The EMDI Implementation Guides are standards-based and consistent with the Health Level Seven International (HL7) Attachments Implementation Guide and the Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange X12 275 standards.

Additionally, the EMDI Implementation Guides support the use of CONNECT or Direct transport mechanisms to reduce the use of fax and physical mail. This facilitates the submission of Durable Medical Equipment orders, Home Health and Hospice referrals, medical documentation requests, and Digital or Electronic signature requests. The EMDI Implementation Guides also encourage Fast Healthcare Interoperability Resources (FHIR) as a data standard that uses an Application Programming Interface for exchanging electronic health records.

To view the latest version of the EMDI Implementation Guide, click the following link: Download the EMDI Implementation Guide Now

EMDI Pilots

The CMS EMDI Pilot program facilitates and advances a secure and seamless exchange of electronic information between provider organizations. It is encouraged for healthcare providers and stakeholders that are interested in leveraging their existing data infrastructure to increase the interoperable exchange of electronic medical documentation to participate in an EMDI pilot. The EMDI program supports these pilots by hosting pilot discussions, conducting workgroup discussions, identifying pilot performance goals, collecting metrics and creating pilot support documentation. Collaboration between EMDI program participants by the means of piloting promotes the adoption of standards in the healthcare industry, enhances data quality, streamlines medical documentation transactions, and improves patient care.

To learn more about how to conduct a pilot with the EMDI program, please select the following link: Download the EMDI Pilot Guide

CMS review contractors cannot target providers for medical review just because they participate in EMDI pilots (CMS Program Integrity Manual Chapter 3, Section 3.2.1).