I, several of my clients, and Meditech are debating the required Implementation 
Date for including POA (Present On Admission) Indicators on claims.  According 
to the CMS regs (Change Request CR-5499), POA Indicators are required on ALL 
claims effective 10/1/07.   However, while the reg is clear on the timeline for 
including these indicators on the UB04, the reg is not entirely clear (or at 
least may contradict) when they need to be included on the 837 4010A1 
electronic claim.  It is our intepretation that they are also required on 
electronic claims effective 10/1/07, but Meditech is stating that they are not 
required until 1/1/08, and therefore will not ensure that the programming is 
for 10/1/07.

If anyone else has reviewed this regulation, and can give us an opinion on your 
interpretation of the implementation date/timeline for UB04 and 837 electronic 
claims, we would appreciate it.

Thanks.

Gary J. Ring 
Strategic Resource Group, Inc. 
11 Jones Road, Peabody, MA 01960 
978-807-1573
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