Please see the question below from a HAWK member. It is a great example of the situations providers are running into daily.
Best Regards, Miriam J. Paramore President & CEO PCI: e-commerce for healthcare 9001 Shelbyville Road iTRC Building Louisville, KY 40222 502-429-8555 www.hipaasurvival.com =========================================== This email contains confidential information intended only for the named addressee(s). Any use, distribution, copying or disclosure by any other person is strictly prohibited. ---- Original Message ---- From: [EMAIL PROTECTED] To: [EMAIL PROTECTED] Subject: FW: Re: Seventh HIPAA Implementation Roundtable-February 28, 2003 Date: Thu, 27 Feb 2003 14:04:29 -0500 As a medical practice I have been focusing most of my attention on complying with the Privacy regulations. I am now turning my attention to complying with the transaction and code set regulations. All along I have thought that my PMS and my clearinghouses would be doing all the work and all I would have to do is load an upgrade, test a time or two and "presto" - I'm compliant! I am being told by my PMS (Medic/Mysis) that we will no longer be able to transmit electronically to our clearinghouses (Zirmed and MMR). Due to HIPAA Regulations we will have to use Mysis for our electronic claims processing. It has something to do with codes such as the taxonomy code which are not required on a HCFA claim that are required on electronic claims. Mysis says they are not writing programs that will allow such codes to be downloaded and sent to another clearinghouse in a format that is HIPAA compliant. I would suppose that is their right. But I need to better understand what it is that I am asking Mysis to do in order to argue the reason why they should do it. Is it really that difficult for Mysis to write a program? Mysis uses a third party to process our claims electronically (probably someone like NEIC). Is it something that a provider could pay Mysis to write the program and it shouldn't be an unreasonable fee? Does Mysis' statement make sense to you? Can you better help me understand it? I can't fight something I don't understand. Obviously there are financial reasons for wanting to continue using the clearinghouses I currently use plus I don't like being told "no" and "do it or drop to paper" - that's your only choice. --- 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
