|
Michelle,
I don't think there has been one -- "real soon now"
hasn't happened.
I do know that WPS, who handles Illinois Medicare B, hasn't
figured out how to handle more than one previous payer if the payers are of
different types, and wants those MSP claims to continue on paper. If
they're the same type, they have a bunch of rules for combining all the previous
payers into one 'P' entry.
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 -----
Sent: Tuesday, June 03, 2003 06:13
PM
Subject: RE: Paper Claims to
Medicare?
Just
curious if there has been any further definition of the "exceptions" mentioned
in the CMS FAQ below:
effective October 16, 2003, Medicare is
prohibited by law from paying paper claims except for those from small
providers and under certain other limited circumstances. After that
date, any provider that does not meet the �small provider� or other
exception would have to return to electronic claims submission in order to
continue to receive Medicare reimbursement.
I am
unable to find an update.
Please let me know.
Thank you.
Michelle
Tiffany,
I'm not sure about CMS, but Congress didn't allow for any
exceptions unless explicitly approved by the Secretary. So far, no
exceptions have been forthcoming.
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 -----
Sent: Monday, April 21, 2003 01:41
PM
Subject: RE: Paper Claims to
Medicare?
Kathy -
Do you know if CMS is going to require all
secondary claims electronically by this date as well?
Tiffany
Tiffany Gutraj Rosik
http://www.amicore.com
200 Minuteman Rd
Andover, MA. 01810
Hi
Michael,
I
have pursued this issue with CMS, and their response has been that all
claims must be submitted electronically as of 10/16/03, no
exceptions.
The
837 transaction supports indicating on the claim that paper
documentation will follow the claim. See the PWK segment in the 2300
loop. Your system would
need to provide a report of claims that need documentation, so you can
submit the documentation to be matched by Medicare to the claim.
Thank
you,
Kathy Carlin,
Principal Consultant
Siemens Medical
Solutions
UCLA Phone
310-301-5219
UCLA email: [EMAIL PROTECTED]
Siemens Voicemail
610-219-2067
Siemens email:
[EMAIL PROTECTED]
-----Original
Message-----
From:
Costa, Michael [mailto:[EMAIL PROTECTED]
Sent: Thursday, April 17, 2003
11:47 AM
To: WEDI SNIP
Transactions Workgroup List
Subject: Paper Claims to
Medicare?
I work for an
organization that manages multiple physician practices. Several
practices that submit electronic claims to Medicare currently submit
claims in excess of $10K via paper. Their justification for this
is that Medicare automatically rejects claims that are equal to or
greater than $10K, requesting supporting documentation before they'll
even look at them. So, rather than go through the rejection
process, the practices just drop these claims to paper and send them
along to Medicare with the supporting paper documentation.
Although these practices are preparing to submit their electronic claims
via the 837P format, their preference would be to continue with the
status quo to limit the extra steps.
Does anyone
know if HIPAA/ the ASCA permits providers to submit high cost claims to
Medicare via paper? If this isn't permissible under HIPAA, than
can anyone speak to how they're handling this
issue?
Thanks
all
Mike Costa,
RHIA
---
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 ---
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
---
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 ---
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 ---
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
---
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
|
