Pennsylvania HIPAA Project Update - May 7, 2003

Introduction

This is an R/Client HIPAA Project Status Update designed to keep you informed of project progress and to make sure you are aware of specific actions you may need to take in order to be ready for HIPAA compliance this October. Topics in this update include:

• Project Status
• Pennsylvania EDS Provider Electronic Solutions Application
• Pennsylvania HIPAA Certification Process
• Next Steps

Project Status

The pace of activity has picked up considerably in the last few weeks. rolex replica sale Most recently a number of test files designed to test conformance to HIPAA standards and to confirm requirements for special situations (e.g. PA MA Old/New Way billing for Early Intervention) have been uploaded to the OMAP's test system. replica watches sale Both the certification team's staff and computer systems have proven to be very responsive to date.

PA EDS Provider Electronic Solutions Application

As many of you know, EDS has released a free software package for PA MA providers that supports the HIPAA transaction standards. fake omega Specifically, this software can be used to check client eligibility, to submit electronic claims and to receive electronic remittance advises. cartier replica sale As with previous versions, the electronic claims module is designed for providers that do not have other electronic billing software. The eligibility verification software replaces the current EVS software that most of you are probably using.

The HIPAA compliant electronic claims module for R/Client is designed to do the same thing the EDS software does - except that it uses charge and claim data produced within R/Client without additional data entry. tag heuer replica sale R/Client users will not need to use the EDS software for electronic claim submission.

It will, however, be necessary to obtain and use the new state software as a replacement to Pennsylvania's current Eligibility Verification System. The EDS Provider Electronic Solution software is available from the HIPAA page at OMAP's web site.

Pennsylvania MA HIPAA Certification Process

Pennsyvania's MA HIPAA Certification Process requires that both software vendors and provider agencies go through the certification process. omega replica sale One good reason for this is the fact that setup information specific to each provider agency must be correctly entered into the electronic claim software before it can successfully submit claim forms. It is strongly recommended that each provider agency that has not registered for certification do this as soon as possible. Please refer to the Pennsylvania HIPAA Certification Process page for more information.

Next Steps

While software development continues at SymServe it is recommended that each provider agency do the following things:

1. Review and become familiar with OMAP's HIPAA Web Site.
2. Register for the HIPAA Certification Process
3. Obtain and become familier with the state's PES software for checking client eligibility.

Modified: 05/07/2003