RE: Cut off dates for TCS

[Brandi Wyatt]

Title: Message

The first part of Doug's statement for both medical and non-medical code set use by "date" is correct. I'd like to take it one step further for clarification:   1. Medical code sets are validated by a) date of service, and b) each code is valid by the dates specified by the organization responsible for maintaining that code list (per the FR � 162.1011)   2. Non-medical code sets are validated by a) date of transaction and b) each code is valid by the dates specified by the organization responsible for maintaining that code list (per the FR � 162.1011)   Supporting documentation can be found via the FR, Subpart J - Code Sets, section � 162.1000 General Requirements - also found in the Preamble on Page 50323 under "Proposed Code Sets Response"   Thanks -   Brandi Wyatt Edifecs     -----Original Message----- From: Doug Webb [mailto:[EMAIL PROTECTED] Sent: Monday, June 02, 2003 10:06 AM To: WEDI SNIP Transactions Workgroup List Subject: Re: Cut off dates for TCS Miriam, It depends.  If the code set is "Medical" (such as CPT codes) , the cut-off is based on the Date of Service; for "Non-medical" codes (such as ZIP codes and Provider Taxonomy), the cut-off is based on the Date of Transaction. For claims crossing a transition date, confusion reigns.  I would ensure that the two different code sets were in different claims (codes that appear in Subscriber level segments or below), or Transactions (codes that appear in higher-level segments).   The opinions expressed here are my own and not necessarily the opinion of LCMH.   Douglas M. Webb Computer System Engineer Little Company of Mary Hospital & Health Care Centers [EMAIL PROTECTED]   "This electronic message may contain information that is confidential and/or legally privileged. It is intended only for the use of the individual(s) and entity(s)  named as recipients in the message. If you are not an intended recipient of the message, please notify the sender immediately,  delete the material from any computer, do not deliver, distribute, or copy this message, and do not disclose its contents or take action in reliance on the information it contains. Thank you."     ----- Original Message ----- From: Miriam Paramore To: WEDI SNIP Transactions Workgroup List Sent: Monday, June 02, 2003 11:44 AM Subject: Cut off dates for TCS Have heard conflicting reports from lots of experts that I respect... So...   Is use of the HIPAA code sets dependent on the date of service of the claim, or the transmission date of the file?  What happens when the file contains a mix of dates of service and some of those claims use the HIPAA codes and some do not?     Best Regards, Miriam J. Paramore (Co-Founder and President of HAWK) 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.   --- 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