Medicare FFS Contractors (A/B MAC, DME MAC, CEDI) Medicare FFS Contractors A/B MACs, DME MACs, CEDI or other contractors if designated by CMS are responsible to support the exchange of CMS approved electronic transactions. This support includes testing, certifying, and retention of an audit trail for the electronic data interchange platforms. Medicare FFS Contractors if … Read More →
276/277 HIPAA Transaction Notes (Washington State Health Care Authority) 276/277 HIPAA transaction guides state that when the trading partner submits the 276 request by any one of the specified methods the 276 request will be validated using EDI validator (up to levels HIPAA validation level 1 & 2), translated and will be processed. The positive … Read More →
Acknowledgement Procedures 270/271 Transaction Notes (Washington State Health Care Authority) Acknowledgement Procedures 270/271 transaction subject general HIPAA standard requirements as well as Health Care Authority 270/271 transaction guidelines. HIPAA EDI allows covered entities to submit and retrieve the HIPAA mandated transactions from Washington State Medicaid. Covered entities (clearinghouses, providers, health plans) are required to successfully complete EDI testing for … Read More →
HIPAA Billing Specific Guides For Washington State Health Care Authority HIPAA Billing specific notes are specified for each Washington State Health Care Authority mandated 270/271 transaction. Implementation guides contain information related to: Format and content of interchanges and functional groups Format and content of the header, detailer and trailer segments specific to the transaction Code sets and … Read More →