Jonathan,
Since the modified 997 to allow for reporting against an IG did not achieve
final X12 approval, then in the given situation, the modified 824 would
appear to be the only alternative. In this situation, I would also always
return a 997 and then the appropriate 824. There are too many applications
systems, especially in health care, with hard-coded EDI to not always return
a 997 to the originator, regardless of whether they wish to get it or not.
It then becomes the business decision of the receiver of the 997 as to what
they want to do with it.
Rachel Foerster
Rachel Foerster said:
>
> The real question is that the value of a 997 in the case of HIPAA standard
> transactions which reports ONLY against the full X12 standard is
> insuffficient. Rather, the question and the need is for a 997 to report
> compliance not only against the X12 standard but ALSO the appropriate
HIPAA
> IG.
Many passioned arguments have been put forward to allow the 997 to legally
perform just this function. We all know in practice that the 997 is used
in this way 90% of the time. Equally passioned arguments were made for
the purity of the 997 as originally written. The latter prevailed.
Now everyone knows: to use the 997 to report against anything other than the
bare X12 standard is an X12-illegal operation - a statutory non-compliance.
> My personal opinion is that the 997 that will be of most value would be
one
> reporting against the HIPAA IG and not just against the standard.
HIPAA will have to adopt TS 824 if reporting against the IC is required.
There seems to be no alternative.
Jonathan
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