This means that your claims data will arrive in three files, rather than 12, and will already provide links between claim lines in the same claim.CMS provides Accountable Care Organizations (ACOs) with beneficiary identifiable claims data for preliminarily prospectively and prospectively assigned beneficiaries and other beneficiaries who receive primary care services from an ACO. We know that right now the standards provide us with limited data.

In this community you can sign up for feedback session opportunities, get answers to your questions, share your feedback and ideas, and get updates on the project. ACOs will be able to retrieve both the CCLF and BCDA claims data concurrently for the foreseeable future; we encourage our users to use both the CCLF and BCDA data sources to compare and contrast the data that is being delivered to your ACO. The data delivered to you via BCDA should be the same information as the CCLFs, however this data is now delivered in a new format.BCDA follows the bulk FHIR specification, and provides the same data as the CCLFs using three FHIR resources: explanation of benefit, patient, and coverage. Introduction to FHIR data standards and working with BCDA data. And now, CMS is committed to not sitting on the sidelines, but instead taking an active role in maturing and building standards. Data at the Point of Care is a CMS pilot API program that enables healthcare providers to deliver high quality care directly to Medicare beneficiaries by making a patient’s Medicare claims data available to the provider for treatment needs. BCDA is one of CMS’ first APIs to use the bulk FHIR specification, which means BCDA sends back records on all of an ACO’s assigned or assignable beneficiaries, rather than on a patient-by-patient basis.The goal of the Beneficiary Claims Data API (BCDA) is to provide Accountable Care Organizations with the same claims data as they were receiving in Claims and Claim-line Feeds (CCLFs). In fact, today, we are launching a project that uses the FHIR Bulk Spec to share Medicare claims data with Accountable Care Organizations or ACOs.

Data @ the Point of Care Implementation Guide Version: ®© Within eight months of the 2017 meeting, the Centers for Medicare and Medicaid Services (CMS) were already using the standard in pilots to provision data to ACOs. The FHIR standard is developed by HL7, a group dedicated to creating standardized ways of sharing and structuring health care data.In FHIR, standardized data is structured on a basic building block called a “Resource.” All “exchangeable” data is defined as a resource, and a resource is made up of data that systems or computers can easily understand (as well as a part that is more readable by humans). She noted that CMS is following the FHIR Bulk Data Access draft specification in a new API that will deliver Medicare claims data to ACOs faster than the current CMS Claims Line Feed (CCLF) approach.

Once logged in, you will start by generating your API token.

The information can be accessed in the existing workflow and without logging into another application or portal. These files contain synthetic data, but the structure of the files is similar to the actual files you will be pulling and downloading from BCDA.To learn more about FHIR, bulk FHIR specifications, or the Beneficiary FHIR Data Server (BFD) API, please visit these resources:The BCDA Google Group is the best place to get your questions answered by the BCDA team. A report from the November meeting describes progress on the FHIR bulk data front, noting that within six to eight months of the first meeting on this topic in 2017, CMS was already using the standard in pilots, and EHR vendors are getting ready to embrace bulk data. Click the “+ New token” icon as seen in the screenshot below: BCDA follows the bulk FHIR specification, and provides the same data as the CCLFs using three FHIR resources: explanation of benefit, patient, and coverage.

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