04/28/2010

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Medicare FFS Call on HIPAA 5010 - 270/271 Eligibility Inquiry & Response Transaction Set

The Centers for Medicare & Medicaid Services (CMS) hosted its fifth national education call regarding Medicare Fee-For-Service (FFS) implementation of HIPAA Version 5010 and D.0 transaction standards on Wednesday, April 28, 2010. The call focused on the 270/271 Eligibility Inquiry & Response Transaction Set. Subject matter experts reviewed Medicare FFS specific changes and provided information to help the audience through the transition to implementation. The presentation was followed by a Q&A session.

Target Audience: Vendors, clearinghouses, and providers who need to make Medicare FFS specific changes in compliance with HIPAA Version 5010 requirements.

Agenda:

  • General Overview
  • Medicare Specific Changes
    • Service Type Codes
    • Patient Matching Rules
    • Error Handling
    • Response Changes
  • Timelines and Deadlines
  • What you need to do to prepare
  • 270/271 Errata
  • Q&A

Continuing Education Credits

Continuing education credits may be awarded by the American Academy of Professional Coders (AAPC) or the American Health Information Management Association (AHIMA) for participation in CMS National Provider Conference Calls.

Continuing Education Information for American Academy of Professional Coders (AAPC):

If you have attended or are planning to attend a CMS National Provider Conference Call, you should be aware that CMS does not provide certificates of attendance for these calls. Instead, the AAPC will accept your e-mailed confirmation and call description as proof of participation. Please retain a copy of your e-mailed confirmation for these calls as the AAPC will request them for any conference call you entered into your CEU Tracker if you are chosen for CEU verification. Members are awarded one (1) CEU per hour of participation.

Continuing Education Information for American Health Information Management Association (AHIMA):

AHIMA credential-holders may claim 1 CEU per 60 minutes of attendance at an educational program. Maintain documentation about the program for verification purposes in the event of an audit. A program does not need to be pre-approved by AHIMA, nor does a CEU certificate need to be provided, in order to claim AHIMA CEU credit. For detailed information about AHIMA's CEU requirements, see the Recertification Guide on AHIMA's web site.

Please note: The statements above are standard language provided to CMS by the AAPC and the AHIMA. If you have any questions concerning either statement, please contact the respective organization, not CMS.