We are a
business associate and currently offer a DDE online application for Health Care
Services Review Request & Response (278). Since we are a BA on behalf of
our clients in which are CEs we are rewriting the application to be compliant
with the 278 data content and conditions. I have several questions that are not
addressed in the HHS FAQ’s or WEDI White Paper on DDE. I am hoping some
of you can help steer me in the right direction.
- We
currently have a provider update page that we offer to the health care
providers using our application. Once the provider is selected they can
review their demographics and update if appropriate. Are we compliant if
we continue to provide this but only let them update the standard data
content under Loop
2010E Service Provider? Or can we direct them through a link to another
application to review and update their data?
- We
have several disclaimers and instructions listed throughout the
application. Are disclaimers allowed? Or is this considered non-standard
data content?
- How
do you handle the response on a DDE application? Can you return limited
data in the appropriate order? Or must you return all the required data
that has been entered along with the required response data?
- Our
application will take the provider into the medical criteria. They will be
asked a series of clinical questions to complete the precertification
process. Are we allowed to do this as long as we have the users answer the
criteria after the appropriate code or service has been entered (i.e.
following content and order of the 278)?
Thank you,
Lisa
Lisa La Mont
Project Manager,
IS/IT & HIPAA
Beech Street
Corporation
25500
Commercentre
Lake Forest, CA 92630
(949) 672-1703
Fax: (949)
450-4164
Visit Our
Website: http://www.beechstreet.com
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