Department of Health & Human Services (DHHS) Centers for Medicare & Medicaid Services (CMS) Transmittal 876 Date: April 22, 2011

Transcription

1 anual ystem Pub One-Time Notification epartment of ealth & uman ervices () enters for edicare & edicaid ervices () Transmittal 876 ate: pril 22, 2011 hange equest 7347 UBJT: Upgrade of Optical haracter ecognition (O) and ntelligent haracter ecognition () ystems in Preparation for P ersion 5010 (nalysis Only). UY O NG: hared system maintainers (s) and ommon dit and nhancement odule () are requested to develop and submit an analysis regarding the upgrade of the O processes for version T T: * October 1, 2011 PLNTTON T: October 3, 2011 isclaimer for manual changes only: The revision date and transmittal number apply only to red italicized material. ny other material was previously published and remains unchanged. owever, if this revision contains a table of contents, you will receive the newrevised information only, and not the entire table of contents.. NG N NUL NTUTON: (N if manual is not updated) =, N=N, =LT-Only One Per ow. N PT TON UBTON TTL N. UNNG: or iscal ntermediaries (s), egional ome ealth ntermediaries (s) andor arriers: Not pplicable. or edicare dministrative ontractors (s): The edicare dministrative ontractor is hereby advised that this constitutes technical direction as defined in your contract. does not construe this as a change to the tatement of ork. The contractor is not obligated to incur costs in excess of the amounts allotted in your contract unless and until specifically authorized by the ontracting Officer. f the contractor considers anything provided, as described above, to be outside the current scope of work, the contractor shall withhold performance on the part(s) in question and immediately notify the ontracting Officer, in writing or by , and request formal directions regarding continued performance requirements.

2 . TTNT: One-Time Notification *Unless otherwise specified, the effective date is the date of service.

3 ttachment One-Time Notification Pub Transmittal: 876 ate: pril 22, 2011 hange equest: 7347 UBJT: Upgrade of Optical haracter ecognition (O) and ntelligent haracter ecognition () ystems in Preparation for P ersion 5010 (nalysis Only) T T: October 1, 2011 PLNTTON T: October 3, GNL NOTON. Background: hared system maintainers (s) and ommon dit and nhancement odule () are requested to develop and submit an analysis regarding the upgrade of the O processes for version This analysis will be used by to develop an implementation change request for a future release. The s and developers shall consider the following issues in the analysis, proposed business requirements, and written recommendation: The format of the file which will come from O (flat file or X12 transaction); hould claims go through or bypass it; hould claims bypass eceipt, ontrol, and Balancing; The future business requirements which will apply to B s and s will be provided by. B. Policy: The dministrative implification provisions of P require the ecretary of to adopt standard electronic transactions and code sets for administrative health care transactions. The ecretary may also modify these standards periodically.. BUN QUNT TBL Number equirement esponsibility (place an X in each hared- ystem OT B aintainers ontractors shall provide a written analysis to regarding the upgrade of O processes for 5010.

4 Number equirement esponsibility (place an X in each hared- ystem OT B aintainers The analysis shall contain at a minimum: the implementation options for upgrading O; the impact of on an O upgrade; all associated and developer business requirements needed to complete a future implementation change request The analysis shall be sent in icrosoft ord format to: brian.reitz@cms.hhs.gov.. PO UTON TBL Number equirement esponsibility (place an X in each hared- ystem OT B aintainers None.. UPPOTNG NOTON ection : or any recommendations and supporting information associated with listed requirements, use the box below: N X-ef equirement Number ecommendations or other supporting information: None. ection B: or all other recommendations and supporting information, use this space: expects to implement X12 ersion transactions over multiple releases. The intent is for to be ready to exchange X12 ersion transactions after ecember 31, 2010.

5 uring the transition period, expects to exchange P test and production transactions in both and versions.. ONTT Pre-mplementation ontact(s): Brian eitz, Brian.eitz@cms.hhs.gov, Post-mplementation ontact(s): ontact your ontracting Officer s Technical epresentative (OT) or ontractor anager, as applicable.. UNNG ection : or iscal ntermediaries (s), egional ome ealth ntermediaries (s), andor arriers: Not applicable. ection B: or edicare dministrative ontractors (s): The edicare dministrative ontractor is hereby advised that this constitutes technical direction as defined in your contract. does not construe this as a change to the tatement of ork. The contractor is not obligated to incur costs in excess of the amounts allotted in your contract unless and until specifically authorized by the ontracting Officer. f the contractor considers anything provided, as described above, to be outside the current scope of work, the contractor shall withhold performance on the part(s) in question and immediately notify the ontracting Officer, in writing or by , and request formal directions regarding continued performance requirements.