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It's just a press release. Expect it to be
fleshed out in the coming days/weeks/in tomorrow's call.
----- Original Message -----
Sent: Tuesday, September 23, 2003 8:24
AM
Subject: RE: MEDICARE ANNOUNCES PLAN TO
ACCEPT HIPAA NON-COMPLIANT ELECTRO NIC
Perhaps someone on the list can address my questions. The
release addresses
inbound transactions but does not address the fact that
the vast majority
(actually none) of the Medicare contractors
cannot:
a. Produce a fully compliant Part A or Part B outbound
837COB file.
b. Can not or will not supply COB test files to their
trading partners.
We have existing trading partner agreements with all
Part B and 90% of the
Part A contractors yet we have received test files
for less than 50% of the
Part B and only four test files for the Part
A. Of the files we have
received none have been compliant although
for the most part we can extract
enough useable data to process our claims
for the Part B but we have not
received enough test files for the Part A to
assess this. Anyone have a
clue what CMS intends to do in this
situation? All I keep finding are memos
addressing the inbound
claims.
Thanks!
> -----Original Message-----
>
From: Torning, Kate [SMTP:[EMAIL PROTECTED]
> Sent: Tuesday,
September 23, 2003 10:52 AM
> To: WEDI SNIP Transactions Workgroup
List
> Subject: RE: MEDICARE ANNOUNCES PLAN TO ACCEPT HIPAA
NON-COMPLIANT
> ELECTRO NIC
>
> There is also no mention of
testing with Medicaids. Thanks for getting
> the
> early
word out, Marcallee!
>
> -----Original Message-----
> From:
Michelle Butler-Gorman [mailto:[EMAIL PROTECTED]
> Sent: Tuesday,
September 23, 2003 10:38 AM
> To: WEDI SNIP Transactions Workgroup
List
> 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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