Group,

I have a question regarding "accepting" and standard transaction and
"processing" a standard transaction.

I was under the impression that in order to meet the HIPAA guidelines, a
covered entity only had to be able to accept a standard transaction, but not
necessarily process with all the data elements that come in.  Also, my
understanding was that from a payer's perspective, HIPAA does not mandate
that payers completely change their core business processes in order to
process a standard transaction.  Am I off-base?

For example, if a payer only processes claims that come in at the line-level
and it receives claims at the claim-level, is the payer still obligated to
pay the claim-level claims, or can it just accept the claim-level claim
(meeting HIPAA requirements) but not pay?

Another example would be when anesthesia charges are billed on a claim,
certain health plans currently require the surgical CPT code rather than the
anesthesia CPT code.  If a provider, post October 16, 2003, sends an
anesthesia CPT code, payers have to accept the claim with the anesthesia
codes (understood), but do they have to pay?  Can they say that their
systems only process using surgical CPT codes, so in order to get paid,
providers must send anesthesia charges using surgical CPT codes?

Wouldn't these two examples be instances where "companion guides" might be
used?

Any insight is appreciated.

Thanks,
Paul



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