Mimi, Providers have an easy solution: They can produce a claim with the "minimal data set" concept described in the Transactions Final Rule and know that the payer is required to accept that claim and pay it. Perhaps before writing a "companion document" it should be required to read the Transaction Final Rule again, with an emphasis on the minimal data set and the maximal data set.
Thoughts. Kepa On Friday 15 November 2002 12:15 pm, Jensen, Christine wrote: > Mimi > I'm with you on the guides we can't get. One of my many nightmares about transactions is we'll receive a companion guide from a payer the middle of September and won't have time to do proper analysis and testing. I had an opportunity a number of months ago to testify to a HHS Advisory Committee on Regulatory Reform regarding T&CS and addressed companion guides and the implications of no deadlines for getting them to providers, but since guides aren't even addressed in the rule, there seem to be no options. Unfortunately, I don't think there is any real "clout" that can be wielded by providers to encourage payers to make these available soon. I don't know that lack of timeliness will create additional chaos, but it certainly doesn't make the process any easier. > > Christine Jensen > HIPAA Project Manager > Denver Health > 303.436.7942 > > > -----Original Message----- > From: Mimi Hart [mailto:HartAM@;crstlukes.com] > Sent: Friday, November 15, 2002 10:43 AM > To: WEDI SNIP Testing Subworkgroup List > Subject: Re: Payer Edits (Type 7 or 8) > > > We need another "level" to test like ...well never mind. None of the > payer specific edits I have seen so far in companion documents appear to > reach the level of blatantly disregarding or changing what the Imp > Guides states. Instead, they are "we don't use this, so if you send, we > will ignore " or, "we will take this, but we won't validate on it", or, > the IG gives you 6 choices, we only pay on 4, or the IG says this can be > up to 20 characters, our payer specific # is only 13. What concerns me > are the companion documents I cannot get at this time.... > > > Mimi Hart ӿ�* > Research Analyst, HIPAA > Iowa Health System > 319-369-7767 (phone) > 319-369-8365 (fax) > 319-490-0637 (pager) > [EMAIL PROTECTED] > > > > --- > 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/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. > > You are currently subscribed to wedi-testing as: [EMAIL PROTECTED] > To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] > If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org > > -- 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. --- 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/. These listservs should not be used for commercial marketing purposes or discussion of specific vendor products and services. They also are not intended to be used as a forum for personal disagreements or unprofessional communication at any time. You are currently subscribed to wedi-testing as: [email protected] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
