For Arizona Medicaid, a certification form has been developed which may either be faxed or transmitted concurrently with the file. The certification form and file contains identifiers which allows the file to be linked with the form.
Currently data files are uploaded daily without human intervention. Data contained in the files is processed following the upload process.
An automated process to match electronically signed certification forms with data files is under development and will continue to allow uploading and file processing without human intervention. Unfortunately, many submitters are not currently able to electronically sign the certification form and transmit it concurrently with the file. A process to pause uploads is under development in order to allow a manual human intervention procedure that links the file with faxed certification form. Following the linking of file to certification form, files will be uploaded and processed.
Brent Ratterree
AHCCCS (Arizona Medicaid)
602.417.4571 v
602.417.4725 f
[EMAIL PROTECTED]
-----Original Message-----
From: Del Texley [mailto:[EMAIL PROTECTED]]
Sent: Monday, March 31, 2003 2:23 PM
To: WEDI SNIP Transactions Workgroup List
Subject: Re: BBA data certification and HIPAA trxs
We are already dealing with this under Medicaid here. We have to fax
a certification form for each file of claims (encounter) data we send to
the state. The organizations required to fax these forms have
questioned whether this is truly concurrent, but that's another issue.
I haven't seen anything in the 837 layout that could be used for this.
The requirement from CMS doesn't dovetail well with HIPAA.
> Does anyone have any ideas on how to comply with section BBA
> Medicare/Medicaid regs, section 438.606, which requires that data be
> certified as ..."to the accuracy, completeness and truthfulness of the
> data", and requires the certification to be sent "concurrently with
> the certified data" ? How can I put such a certification in, for
> example, an 837P?
>
> Thanks for any ideas,
>
> Jerry Schneider
>
>
> ---
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Del Texley
LIPA Information Systems
(541) 484 6430
---
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.
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---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]
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