James, The State of WA workers comp is also trying to become HIPAA compliant even though they are exempt although I heard about that before the big state budget deficit was announced.
Regards, David Frenkel Business Development GEFEG USA Global Leader in Ecommerce Tools www.gefeg.com 425-260-5030 -----Original Message----- From: King, James (LNI) [mailto:KINP235@;LNI.WA.GOV] Sent: Tuesday, October 22, 2002 12:04 PM To: '[EMAIL PROTECTED]' Subject: RE: 837 P - Local modifiers in SV1 We actually are changing our systems to be HIPAA compliant; have had a project going for some time and will be ready to test next April if not sooner. The department also sent in a request last year to get national codes for all our local codes that we could not crosswalk. We believed that they would have been granted, but so far we have been totally ignored. We will continue to request national codes if a code does not exist that meets the business need for Workers Comp. My point was that somehow the testing has to allow some local codes for those payers that are exempt, otherwise the providers may not receive the appropriate payment for services. We are only one state out of 50 and I doubt that the majority of the exempt payers are even listening to this discussion. -----Original Message----- From: David Frenkel [mailto:gefeg@;att.net] Sent: Tuesday, October 22, 2002 9:14 AM To: [EMAIL PROTECTED] Subject: RE: 837 P - Local modifiers in SV1 The Consolidation Appropriations Act of 2001 extends the maintenance and use of official HCPCS Level III procedures and modifier codes deadline to Dec. 31, 2003. CMS wants requests for temporary national codes, including a justification as to why a temporary national code is needed, by April 1, 20003. < from Advance for Health Information Professionals Oct 14, 2002. > Regards, David Frenkel Business Development GEFEG USA Global Leader in Ecommerce Tools www.gefeg.com 425-260-5030 -----Original Message----- From: King, James (LNI) [mailto:KINP235@;LNI.WA.GOV] Sent: Tuesday, October 22, 2002 8:58 AM To: '[EMAIL PROTECTED]' Subject: RE: 837 P - Local modifiers in SV1 I know that Workers Comp programs are small players in the transactions, but I need to remind the group that these programs are exempt from HIPAA and can use local codes. So far the CMS has been reluctant to grant national codes for our local codes because of our exempt status. There has to be someway for you to test local codes to make sure they are not all stripped from the data stream. Thank you -----Original Message----- From: Martin Scholl [mailto:Martin.Scholl@;HIPAASuite.com] Sent: Wednesday, March 01, 2000 8:17 PM To: [EMAIL PROTECTED] Subject: RE: 837 P - Local modifiers in SV1 Yes, to remove local codes is one of the main goals of HIPAA standardization. Study the codes that are available and see if they don't cover your situation. If not, you could theoretically ask the standards body for new codes to be authorized, but this is a lengthy process and I wouldn't count on it. Martin Scholl [EMAIL PROTECTED] <mailto:mscholl@;martinscholl.com> www.martinscholl.com <http://www.martinscholl.com> 301-924-5537 Voice 301-570-0139 Fax 301-613-9572 Cell -----Original Message----- From: Deanna Braun [mailto:Deanna.Braun@;sharp.com] Sent: Monday, October 21, 2002 7:12 PM To: [EMAIL PROTECTED] Subject: 837 P - Local modifiers in SV1 We are currently sending 3051 claims with "local" modifiers for some procedures in the SV1 segment. We are in the process of testing 4010 and our certifying authority is rejecting the local codes. Is it true that sending these code will be considered non-compliant? Thanks for your help. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. 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