Submission Process IQR/OQR - Medisolv Admin
- Perform Pre-submission checks.
- Sign onto the Medisolv VPN and the Subway secure server.
- Open Subway. https://subway.medisolvcloud.com.
- Select Manage Submissions->EA Submission.

- Select Quarter and Entity from the drop-down lists and click Select. Quarter = Submission Quarter, Entity = CMS.

- Locate the Client Id/Hospital you are submitting. Click Request Submission.

- Once the files are returned, you will receive an e-mail and the File Received field will populate.

- Go to Home.

- Select CMS.

- Locate the Organization/Hospital Name that had files returned. Filter by Submission Period, Measure Type (EA) and the Hospital or Organization.

- Click Manage Submission.

- Check Files Expected/Actual - these should be the same. They should also match your expected file counts from the submission tracker and the number of xmls in the zip files for each measure set.

- Click the Submission File name to download the file.

- The zip file contains seven zip files. There are four that are needed for OQR/IQR Submissions. These are InpatientCLI, InpatientIPP, OutpatientCLI, OutpatientIPP.

- Zip files within zip files cannot be submitted in HQR - the files will not process, so the previously identified zip files (from #14) will need to be removed from the main zip file. Save these to the secure server so they can be selected for submission.
- Sign into HQR on the secure server. https://hqr.cms.gov/hqrng/login.
- Select Data Submissions from the menu on the left.

- Select Chart Abstracted.

- Under Select a Submission Type, select Test.

- Click Select Files.

- Navigate to the InpatientCLI file and select it, select IQR in the pop-up, Submit.
- Repeat step 21 with the OutpatientCLI file, except select OQR in the pop-up.
- Select Population & Sampling.

- Under Select a Submission Type, select Test.

- Navigate to the InpatientIPP file and select it, select IQR in the pop-up, Submit.
- Repeat step 25 with the OutpatientIPP file, except select OQR in the pop-up.
- The status should read Accepted. You will receive e-mails as files process with the Status of the submitted files.


- Run reports on Test Data.
- Once files have been Accepted in Test with no issues, perform steps 18-27 in Production.

- Run reports on Production Data.