Chris,

Transactions like the 270 and 278 allow the requester to indicate a future
date of service or admission date, so these are available for validating the
code set.  While it is possible the submitted code will no longer be valid
for dates of service in the future, unless the new codes have been release
there is no way to tell.  (Unless you have an Oracle database -- I hear they
can see into the future...).  We are expecting to maintain codes for a few
years after they are no longer effective, so we can correctly validate
claims whose submission is delayed.

As far as what X12 version needs to be submitted, I cannot imagine how, in
the real world, you can avoid having to support multiple versions for at
least some period of time.  Logistics of roll-out to trading partners would
make it unlikely that larger entities could switch everyone to the same
version on the same day.  So resubmitted claims would be expected in
whatever format the two entities currently agree to exchange (and indicated
in GS08).


Michael Lachenmayer
Lead Systems Analyst
Independence Blue Cross
Ph: 215.241.9453
Fx: 215.241.4239


-----Original Message-----
From: Christopher J. Feahr, OD [mailto:[EMAIL PROTECTED]]
Sent: Saturday, October 12, 2002 7:24 PM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Subject: RE: Code set effective dates


Dawn,
Please pardon the cross-post to "transactions", but this reminds me of a 
couple other version-date issues that I'd like to bounce off the 
transaction gurus.  If the code-set version is determined by "date of 
service", what will drive the choice of code-set for transactions sent in 
advance of the actual service... like the 270? In any case, it appears that 
senders will have to maintain current and [possibly several] previous 
code-sets so that claims submitted [up to a year, possibly] after a 
code-set update can be created with the codes that were in effect on the 
date of service... right?

My other question is regarding the correct transaction version to use, 
which (if I understand correctly) is driven by the date of the transaction, 
as opposed to the service-date.  So, does this mean that a claim 
REsubmitted after the required implementation date of new transaction 
version, would have to be reformatted for the new transaction version?

Would there ever be a scenario in which a sending system's translator or a 
receiving system's validator would have to be able to support BOTH old and 
new transaction versions?  If so, which date-field in the interchange 
determines the choice of transaction version?

Thanks,
-Chris

Christopher J. Feahr, OD
Optiserv Consulting
[For the vision care industry]
Santa Rosa, CA
707-579-4984
707-529-2268 (cell/pager)
http://VisionDataStandard.org
http://Optiserv.com


At 03:09 PM 10/11/2002 -0400, Ratayski, Dawn wrote:
>Hi Dawn,
>
>I had the same concern and have brought it to the BCBSA association along
>with many other Blues plans nationwide to address with CMS. CMS is choosing
>not to change their practices at this time.
>
>HIPAA does not address this. CMS is a covered entity under HIPAA and the
>regs state the codes must be valid for the date of service for which they
>are billed. This means NO grace period.  CMS is sending and inconsistent
>message to the provider community by continuing to allow a grace period.
>
>[EMAIL PROTECTED]
>TCI Project Developer
>Blue Cross of Northeastern Pennsylvania
>
>
>
>-----Original Message-----
>From: Ossont, Dawn x405 [mailto:[EMAIL PROTECTED]]
>Sent: Friday, October 11, 2002 1:12 PM
>To: '[EMAIL PROTECTED]'
>Subject: Code set effective dates
>
>
>Hello,
>
>I'm looking for any information regarding the effective dates of ICD-9-CM
>and HCPCS code sets.  CMS currently allows providers to utilize a grace
>period.  For example, providers are not required to use HCPCS codes until
>4/1 (and they can start submitting 1/1).  How does HIPAA address this?
>
>Thanks!
>
>Dawn Ossont
>Reimbursement Team Leader
>Preferred Care
>
>phone:  716.327.2405
>fax:  716.327.2289
>e-mail:  [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
>
>
>
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