HIPAA Eligibility Transaction System (HETS)

On December 4, 2010, a new release of this system was installed.  The system 
had been extensively tested with a number of clearinghouses.  Although it 
performed well in the test environment, the system could not support the 
production traffic and was backed out on Monday, December 6th.

The system upgrade was designed  to address increasing demands (e.g. volume of 
transactions) and  correct connection problems that have been especially 
problematic during peak hours (9am-2pm EST).

CMS is aware of the impact of the current performance and connection problems 
on Medicare providers using this system to get needed beneficiary eligibility 
information.  We regret the inconvenience and want to assure the provider and 
clearinghouse community that correcting HETS problems  is a top priority for 
CMS. Your continued patience is appreciated.  HETS status information will be 
communicated to HETS submitters as information becomes available.




December

It's a Busy Time of Year. Make each office visit an opportunity to talk with 
your patients about the importance of getting the seasonal flu vaccination and 
a one-time pneumococcal vaccination. Remember, Medicare pays for these 
vaccinations for all beneficiaries with no co-pay or deductible. The seasonal 
flu and invasive pneumococcal disease kill thousands of people in the United 
States each year, most of them 65 years of age or older. The Centers for 
Disease Control and Prevention (CDC) also recommends that health care workers 
and caregivers be vaccinated against the seasonal flu. Protect your patients. 
Protect your family. Protect yourself. Get Your Flu Vaccine - Not the Flu.



Remember - Influenza vaccine plus its administration are covered Part B 
benefits. Note that influenza vaccine is NOT a Part D covered drug. For 
information about Medicare's coverage of the influenza vaccine and its 
administration, as well as related educational resources for health care 
professionals and their staff, please visit the following CMS websites: 
http://www.cms.gov/MLNProducts/Downloads/Flu_Products.pdf and 
http://www.cms.gov/AdultImmunizations.





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