To those who still believe a single minimum data set exists for each transaction:
While the concept of a single minimum data set is a wonderful academic excercise, that is about all it is.
At a high level a single minimum data set is philosphically beneficially, BUT in reality it will not work.
ACCORDING TO THE REGULATIONS AND THE IMPLEMENTATION GUIDES ...
HEALTH PLANS MUST BE ABLE TO ACCEPT AND PROCESS ALL ELEMENTS WITHIN A CLAIM NECESSARY TO PAY EACH CLAIM.
We could do a "no brainer" and create a minimum data set for all required and all situational elements.
Again, this will include elements not processed by some, and exclude optional elements required by others.
Medicaid and Medicare (both adminstered by CMS) probably cannot agree on a minimum data set just for CMS processing ALONE!
Medicare HAS ALREADY created their maps or partner data set. Meaning the "Medicare Minimum data set" is already available for the 837P and 837I.
My apologies to all who disagree, but....
Let's use our time more wisely, and assure each implementor follows the implementation guides to the letter of the law.
Julie
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