Kepa and Deepan, Since all of level 6 Rules are present in the Implemetaion Guide, it is difficult to distinguish a Level 4 Rule from a Level 6 rule.
For example : Standard : 837 Proffesional loop : 2300 DTP : Data last seen is Required when claims involve services from an independent physical therapist, occupational therapist, or physician services involving routine foot care is level 6 rule. It involves Medical Speciality testing. CR2 : SPINAL MANIPULATION SERVICE INFORMATION Required on all claims involving spinal manipulation. Such claims could originate with chiropractors, physical therapists, DOs, and many other types of health care providers. Now this appears to be a level 6 rule as it too has Speciality testing. But actually is a ***level 4*** rule because it has a ***inter segment*** dependency on the following segment. DTP : DATE INITIAL TREATMENT which states that it is Required on all claims involving spinal manipulation. Hence a formal definition of level 4 and Level 6 rule is essential, to remove such conflicting issues in level checking. When does a inter segment Sitiuational dependency (Level 4) Rule become a Speciality (level 6) Rule. Manohar. ----- Original Message ----- From: Kepa Zubeldia <[EMAIL PROTECTED]> To: Deepan Vashi <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]> Cc: Deepan Vashi <[EMAIL PROTECTED]> Sent: Wednesday, June 12, 2002 9:38 PM Subject: Re: Business requirements for 6th level of testing for T&CS as per WEDI WhitePaper > Deepan, > > All of these requirements are in the HIPAA implementation guides. > > Kepa > > > > On Wednesday 12 June 2002 04:58 am, Deepan Vashi wrote: > > Dear Friends, > > WEDI has published a WhitePaper for 6 Levels of Testing of HIPAA Transaction > Sets. > > > > Can any one suggest from where can I gather business requirments of > following specialities > > as mentioned in Testing Whitepaper for level 6 compliance? > > > > Product Types / Types of Service testing. > > > > a.. ambulance > > b.. chiropractic > > c.. podiatry > > d.. home health > > e.. parenteral and enteral nutrition > > f.. durable medical equipment > > g.. psychiatry > > h.. and other specialties > > Suggestions for Web resources if any will be highly appreciated. > > > > Thanks and best regards > > > > Deepan > > > > -- > This email contains confidential information intended only for the named > addressee(s). Any use, distribution, copying or disclosure by any other > person is strictly prohibited. > > To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business > and enter your email address. > > 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/. > Posting of advertisements or other commercial use of this listserv is specifically prohibited. > > To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business and enter your email address. 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/. Posting of advertisements or other commercial use of this listserv is specifically prohibited.
