I would appreciate some input on a concern I have in regards to
"testing" with clearinghouses. One of our clearinghouses has sent us
documentation that they are "testing" our current data stream and they
will let us know which of the claims will fall out due to not being
compliant. Wonder of all wonders, we have not added a single data field
to our claims, but almost all are passing the tests. Having read the IG
guides and completed a gap analysis, I understand that this cannot be.
But it is VERY confusing to our systems analysts and CBOs when I tell
them we have problems and the word they are getting from the
clearinghouse is very different. Any suggestions on how to handle this?
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