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Michelle,
The announcement didn't say so, but I would assume so (for
some indefinate transition period).
They will still have to accept paper claims from "small"
Providers, so the mechanism to process them has to remain in place.
From what I read in the announcement, the important thing is
that you are making a good-faith effort to become fully complient, and that you
are making progress toward that goal.
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]
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----- Original Message -----
Sent: Tuesday, September 23, 2003 09:38
AM
Subject: RE: MEDICARE ANNOUNCES PLAN TO
ACCEPT HIPAA NON-COMPLIANT ELECTRONIC
Marcallee,
Can we assume that post 10/16 we will be able
to submit paper claims for
transactions that had previously been submitted
on paper? (e.g. secondaries,
claims requring attachments) I am
concerned that the annoucement only
mentions non-compliant electronic
formats.
Michelle
>-----Original
Message-----
>From: Marcallee Jackson
[mailto:[EMAIL PROTECTED]
>Sent: Tuesday, September 23, 2003 10:02
AM
>To: WEDI SNIP Transactions Workgroup List
>Subject: MEDICARE
ANNOUNCES PLAN TO ACCEPT HIPAA NON-COMPLIANT
ELECTRONIC
>
>
>
>MEDICARE NEWS
>
>FOR
IMMEDIATE RELEASE
>CMS Public Affairs Office
>September 23,
2003
>
>
>MEDICARE ANNOUNCES PLAN TO ACCEPT HIPAA
NON-COMPLIANT ELECTRONIC
>TRANSACTIONS AFTER OCTOBER 16 COMPLIANCE
DEADLINE
>
>The Centers for Medicare & Medicaid Services (CMS)
announced today that
>it will implement a contingency plan to accept
noncompliant electronic
>transactions after the October 16, 2003
compliance deadline. This plan
>will ensure continued processing
of claims from thousands of providers
>who will not be able to meet the
deadline and otherwise would have had
>their Medicare claims
rejected.
>
>"Implementing this contingency plan moves us toward
the dual goals of
>achieving HIPAA compliance while not disrupting
providers' cash flow
>and operations, so that beneficiaries can continue
to get the health
>care services they need," said CMS Administrator Tom
Scully.
>
>CMS made the decision to implement its contingency plan
after reviewing
>statistics showing unacceptably low numbers of
compliant claims being
>submitted.
>
>"Medicare is able to
process HIPAA-compliant transactions," said
>Tom Grissom, director of
CMS' Center for Medicare Management, "but
>we need to work with our
trading partners to increase the percentage of
>claims in
production."
>
>The contingency plan permits CMS to continue to
accept and process
>claims in the electronic formats now in use, giving
providers additional
>time to complete the testing process. CMS
will regularly reassess the
>readiness of its trading partners to
determine how long the contingency
>plan will remain in
effect.
>
>The authority to implement a contingency plan was
provided by guidance
>issued by HHS on July 24. CMS recognized
that transactions often
>require the participation of two covered
entities and that
>non-compliance by one covered entity may put the
second covered entity
>in a difficult position. The guidance
stated that covered entities that
>make a good faith effort to comply
with HIPAA transactions and code set
>standards may implement
contingencies to maintain operations and cash
>flow.
>
>CMS
announced its contingency plan on September 11, but at that time
>had
not made a decision on whether the plan would be implemented.
>Today's
announcement means the CMS plan will be implemented on October
>16,
2003.
>
>"We encourage other plans to assess the readiness of
their trading
>partners and implement contingency plans if appropriate,"
Grissom
>said.
>###
>
>
>
>
>
>
>
>Marcallee
Jackson
>
>Director, Healthcare Solutions
>
>Edifecs,
Inc
>
>Office (425) 452-0632
>
>Cell:
(425)
681-4858
>
>[EMAIL PROTECTED]
>
>
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