Because payers have different data requirements, some of which are based on interpretation (which makes for interesting discussions) but are understandable because the guides after all is said and done are just that, guides.
The companion guides that I have had to work with so far have discussed:- Which internal identifiers to use. The number of modifiers they may or may not ignore. The number of diagnosis codes they will ignore. Which segments they will ignore, e.g. PWK. How claims with a frequency of "7" are treated. The type of physician data they expect to see. Numerous other data requirements. Then there are issues such as naming convention of files, using new connectivity options that are typically more secure, different confirmation reports - typically a 997 & something else, new error lists etc.. ----- Original Message ----- From: "William J. Kammerer" <[EMAIL PROTECTED]> To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]> Sent: Friday, November 15, 2002 2:23 PM Subject: Companion Guides: What the heck are they good for, anyway? > If the payer were required to accept a "minimal data set," and more > importantly, pay it, why would anyone agonize over companion guides - > least of all, the provider? > > William J. Kammerer > Novannet, LLC. > Columbus, US-OH 43221-3859 > +1 (614) 487-0320 > > ----- Original Message ----- > From: "Kepa Zubeldia" <[EMAIL PROTECTED]> > To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]> > Sent: Friday, 15 November, 2002 03:24 PM > Subject: Re: Payer Edits (Type 7 or 8) > > > Mimi, > > > Providers have an easy solution: They can produce a claim with the > "minimal data set" concept described in the Transactions Final Rule and > know that the payer is required to accept that claim and pay it. Perhaps > before writing a "companion document" it should be required to read the > Transaction Final Rule again, with an emphasis on the minimal data set > and the maximal data set. > > Thoughts. > > Kepa > > > > --- > 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/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. > > You are currently subscribed to wedi-testing as: [EMAIL PROTECTED] > To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] > If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org > --- 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/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-testing as: [email protected] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
