I would like to add onto the point Jan is making.  Public Health folks,
like myself, are also interested in collecting encounter data, which is why
we went through the effort to have X12N approve a project proposal to
create the Health Care Service Data Reporting implementation guide.  This
guide (X156) mines the 837 standard to include some necessary data elements
not supported in the HIPAA 837 institutional, professional, or dental claim
implementation guides.  As part of the development process the authors
through the Public Health Data Standards Consortium have reached out to a
variety of potential users, including Medicaid.  The principal contributors
to date for the first iteration of this reporting guide have been state
discharge system managers.

All potential users of this reporting guide are encouraged to participate
in the reporting guide development activities through the Public Health
Data Standards Consortium work group or through the ANSI ASC X12N Health
Care (TG2) Claims (WG2) work group.

I think we can all agree that a standard way to satisfy our particular
program needs is the preferable course of action.

Bob Davis




Jan Root <[EMAIL PROTECTED]> on 01/11/2002 03:14:28 PM

Please respond to <[EMAIL PROTECTED]>

To:   [EMAIL PROTECTED]
cc:
Subject:  Re: MEDICAID ENCOUNTER REPORTING


Just as another voice - one Medicaid that I am familiar with came up with
the
same interpretation: the transaction between the MCO and Medicaid is not a
HIPAA
covered transaction therefore they were not required to use the 837.
However,
all the various parties got together and decided to use it anyway.  They
all had
to use it in the covered transaction sense with various other parties and
it met
their reporting needs so they all decided to simplify their lives and not
keep
supporting the old proprietary report.

Jan Root



"Weber, Karen (DHS-PSD)" wrote:

> We interpret the rule like this:  Since the transaction that goes from
the
> Medicaid Health Plans/MCOs to the State is NOT a claim (since a claim is
> defined as going from a provider to a health plan, and the MCOs aren't
> providers), it is NOT required by HIPAA that this transmission be done in
> the 837 format.  So we're just keeping our old sort-of-proprietary
reporting
> format.
>
>
> -----Original Message-----
> From: Dave Murray [mailto:[EMAIL PROTECTED]]
> Sent: Friday, January 11, 2002 8:14 AM
> To: [EMAIL PROTECTED]; [EMAIL PROTECTED]
> Subject: TCS: MEDICAID ENCOUNTER REPORTING
>
> Acting to some degree as a Medicaid Health Plan, our organization submits
> encounter files to our state Medicaid agency.  As of yet, we have not
> received clarification as to how we are to continue to report encounters
to
> them in the 837 format. There appear to be several particularly
troublesome
> fields such as plan payment amount, plan payment date, invoice number,
> subcapitation code, etc.  I'm wondering what other states have done.
> Anybody know where I can obtain Medicaid encounter reporting/837 guides?
>
> Thank you.
>
> Dave Murray
>
>
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