Linda, I'd like the answer to that question, too. This may be one of those FUD (Fear, Uncertainty and Doubt) moments. Sure, there are all sorts of sections in the TCS rule regarding the conducting of electronic transactions as standard, but nothing comes right out and says you're in big trouble if you accept non-standard transactions.
But, gosh, they keep on talking about "standard," so I think they're pretty serious that you shouldn't just be a scofflaw and keep taking in NSF or print image UB-92 claims. But I bet you knew that already, and just wanna know what says you're gonna go to prison if you happen to let an imperfect HIPAA X12 transaction in, and - Lord forbid - actually pay it. Probably nothing is going to happen, regardless of what all the fear-mongers might say. The TCS penalty process is complaint-driven - and who's around to complain? The provider got paid, and if he has any legitimate gripes it won't be because you allowed extra blanks after the provider's last name or ignored trailing sub-element delimiters! If you're "into" citations, consider that � 162.923(a) says covered entities have to conduct "covered" transactions as standard. And � 162.925(a)(1) says the health plan must conduct a "covered" transaction as standard (as opposed to paper, I suppose), if requested to do so. There's nothing explicitly saying that you need to reject inbound transactions that are not perfectly HIPAA compliant. And who's perfect - or needs to be - anyway? This isn't blood type matching, after all. There is a big "negative" in there, though: you MUST always take in *perfectly* complying transactions - 'cause if you don't, the provider will be ticked off and will be sure to complain. It might help if you gave us an example of what you're thinking of letting "slide" in after H-day. William J. Kammerer Novannet, LLC. Columbus, US-OH 43221-3859 +1 (614) 487-0320 ----- Original Message ----- From: "Linda Young" <[EMAIL PROTECTED]> To: "WEDI SNIP Transactions Workgroup List" <[EMAIL PROTECTED]> Sent: Thursday, 13 March, 2003 12:40 PM Subject: Non-compliant inbound transactions I would really appreciate your help on this very basic question. As part of HIPAA compliance I understand that we must send compliant outbound EDI transactions. My question is, are we supposed to reject inbound transactions that are not HIPAA compliant? Can anyone point me to a section in the final rule or federal register (or any HIPPA official document or IG) that states that we should reject inbound transactions that are not HIPAA compliant? Thanks Linda --- 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-transactions 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
