Re: Payors not compliant effective on provider

[Marcus E. McCrory]

Yes it is.   However, the HIPAA police wear funny hats, talk with British and German accents, belong to the Ministry of Silly Walks and all  wear badges with "Show me your ANSI files" in big yellow letters.  You have been warned. ----- Original Message ----- From: William J. Kammerer To: WEDI SNIP Transactions Workgroup List Sent: Wednesday, June 04, 2003 9:12 AM Subject: Re: Payors not compliant effective on provider Is this more HIPAA hysteria?  Since when would a violation of the TCS rule - however purposeful - result in a prison sentence? William J. Kammerer Novannet, LLC. Columbus, US-OH 43221-3859 +1 (614) 487-0320 ----- Original Message ----- From: "John Sherman" <[EMAIL PROTECTED]> To: "WEDI SNIP Transactions Workgroup List" <[EMAIL PROTECTED]> Sent: Wednesday, June 04, 2003 11:51 AM Subject: RE: Payors not compliant effective on provider After November 15, 2003, Providers still have the option of submitting claims on paper, but health plans must accept standard transactions from providers if the provider chooses to submit claims electronically.  If the provider submits electronically it must be in the standard format and content.  Health plans and providers may use healthcare clearinghouses to assist them if they so choose. The risk to the provider of submitting paper claims is that they may not be paid as quickly as they would if they submitted electronically. The plan not being compliant should be a red flag to the provider.  The plan is facing fines, possible prison for executives who ignored the law and the providers timely payment for claims is at risk. John Sherman HIPAA Project Manager Corporate Benefit Services of America (952)593-6478 Fax (952)582-2849 [EMAIL PROTECTED] -----Original Message----- From: Brenda K. Burton [mailto:[EMAIL PROTECTED] Sent: Wednesday, June 04, 2003 10:20 AM To: WEDI SNIP Transactions Workgroup List Subject: Payors not compliant effective on provider Please, if somebody could clarify/refer me to the answer (I'm sure this has been dicussed): If a payor is unable to handle electronic transactions by October 16, may they revert to paper unilaterally? What other A/R risks are present for the healthcare provider if a particular payor is not able to be compliant by October 16? Looking for contingency planning reasons. Thanks! Brenda Brenda K. Burton MEDEXTEND 877-491-7650 Join us for discussion at: http://groups.yahoo.com/group/compliantbilling/join Available on Instant Messenger as:  medextend --- 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