Subpart J of the regulations specifies that nonmedical code sets be valid at
the time of transaction initiation (see below).

This seems straight forward until the supply chain process is examined.  If
a claim is not sent directly to the final destination, the claim is likely
to go through at least 1 hop before reaching the final destination, causing
subjectivity to the definition of the transaction initiation date.  Is the
transaction initiation date the date in which the provider initiated the
transaction or the initiation date of the last hop in the cycle before the
transaction reaches the final destination?

The importance of this definition comes into play when the code changes
between the time the transaction initiated from the provider to the time the
payor receives the claim, since the lag time could be days.  If transactions
were always received the same day transactions were sent, this would not be
an issue.

If this topic has already been discussed, please direct me to the thread.

Thank you for your input.

Subpart J-Code Sets
� 162.1000 General requirements.
When conducting a transaction covered by this part, a covered entity must
meet the following requirements: 
(a) Medical data code sets. Use the applicable medical data code sets
described in � 162.1002 as specified in the implementation specification
adopted under this part  that are valid at the time the health care is
furnished. 
(b) Nonmedical data code sets. Use the nonmedical data code sets as
described in the implementation specifications adopted under this part that
are valid at the time the transaction is initiated.

Stacy

Questions or comments contained herein are not the opinion or position of
John Deere Health Care, Inc. or John Deere Health Plan, Inc.

Stacy Cruise
John Deere Health
3800 23rd Ave
Moline, Illinois 61265
Phone:  309-765-0465
Fax:  309-749-1239
E-mail:  [EMAIL PROTECTED]




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