EDI/HIPAA
Claims Not Showing Up on C-SNAP or the Medicare IVR System? (08/20/07)
Medicare Remit Easy Print (MREP) - Version 2.4 is now available for download.
Billing Software
PC-Ace Pro 32
- Important Information for PC-ACE Users: Upgrade now to v1.90!
- PC-Ace Pro32 Software Package
PC-Ace Pro32 is a "stand alone" software package that creates a patient database and allows your office to electronically submit Medicare Part B claims in a HIPAA compliant format. - PC-Ace Pro 32 V1.90 is Now Available Online!
Medicare Remit Easy Print (MREP)
- Medicare Remit Easy Print: Version 2.4 Available (04/21/08)
- Remittance Advice Reminder (05/30/06)
- Medicare Remit Easy Print (MREP) Update (CMS MLN Matters)(05/15/06)
- Medicare Remit Easy Print (MREP) Software (05/15/06)
- Understanding the Remittance Advice Guide Now Available in CD ROM (05/08/06)
- Medicare Remit Easy Print (MREP) Version 1.7 is Now Available for Download! (05/08/06)
- Medicare Remit Easy Print (MREP) Reminder (05/01/06)
- Options for Physicians/Suppliers Affected by CR 4376 (05/01/06)
- Stop Paper Remittance for Electronic Remittance Receivers! (04/10/06)
- Medicare Learning Network Publication: Understanding the Remittance Advice (04/03/06)
- Suppression of Standard Paper Remittance Advice (SPR) to Providers and Suppliers Also Receiving Electronic Remittance Advice (ERA) for 45 Days or More (CMS MLN Matters) (03/27/06)
- Electronic Remittance Advice (ERA) Requests Only Processed When Received From Providers (03/20/06)
- Medicare Remit Easy Print (MREP) Software Available (03/06/06)
- Medicare Remit Easy Print (MREP) Enhancements, and Clarification of Check Issue/Electronic Funds Transfer (EFT) Effective Date (CMS MLN Matters) (02/20/06)
- The Medicare Remit Easy Print (MREP) Brochures Are Now Available (01/16/06)
- Still Doing Things the Old Fashioned Way? (01/13/06)
- Medicare Remit Easy Print Software
Information Regarding CMS Medicare Remit Easy Print Software - how to download (updated 11/10/05) - Medicare Remit Easy Print Software - Article (10/06/05)
Claim Submission
CMS-1500 Crosswalk to ANSI X12 4010
- CMS-1500 Crosswalk to ANSI X12 4010 (Updated 06/19/06)
ANSI X12N 270/271: Eligibility Inquiry and Response
- Revision to Chapter 31 - Addition of Hospice Data to HIPAA 270/271 Eligibility Inquiry and Response Transactions (CMS MLN Matters) (01/13/06)
- Access Process for HIPAA 270/271 (Extranet Only) (10/06/05)
- Health Care Eligibility/Benefit Inquiry and Response (01/13/05)
ANSI X12N 276/277: Health Care Claim Status Request and Response
- Remittance Advice Remark Code and Claim Adjustment Reason Code Update (CMS MLN Matters) (03/06/06)
- Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update (CMS MLN Matters) (03/06/06)
- Claim Status Category Code and Claim Status Code Update (CMS MLN Matters) (01/30/06)
- American National Standards Institute X12N 276/277 Health Care Claim Status Request and Response Version 0004010X093 Companion Document (12/15/05)
- April 2005 Update of Health Care Claims Status Codes and Health Care Claims Status Category Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277 (CMS MLN Matters) (12/30/04)
- Remittance Advice Remark Code and Claim Adjustment Reason Code Update for April 1, 2004 (02/19/04)
- Remittance Advice Remark Code and Claim Adjustment Reason Code Update (12/05/03)
- American National Standards Institute X12N 276/277 Health Care Claim Status Request and Response Version 0004010X093 Companion Document (10/10/03)
ANSI X12N 835: Health Care Claim Payment/Advice
- American National Standards Institute X12N 835 Health Care Claim Payment/Advice Companion Document (07/04/03)
ANSI X12N 837: Professional Health Care Claim Companion Document
- Change in 837 4010 EMC Pre-Pass Editing Missing NPI & Entity Type Mis-Match (03/31/08)
- Revised American National Standards Institute X12N 837 Professional Health Care Claim Companion Document (01/14/08)
- Change in 837 4010 EMC Pre-Pass Editing Missing NPI and Entity Type Mis-Match (01/14/08)
- Your 837 4010 EMC Pre-Pass Report (04/23/07)
- Your 837 4010 EMC Pre-Pass Report (01/22/07)
- Change in 837 4010 EMC Pre-Pass Editing (10/02/06)
- MCS 837 4010A1 Prepass Edits (08/07/06)
- Medicare Secondary Payer (MSP) Required to Have CAS Segments and Balance New Prepass Edits (CR 4261) (05/15/06)
- Revised American National Standards Institute X12N 837 Professional Health Care Claim Companion Document (03/27/06)
- Revised American National Standards Institute X12N 837 Professional Health Care Claim Companion Document (05/20/04)
General Claim Submission Information
- Healthcare Provider Taxonomy Codes (HPTC) (03/31/08)
- Claims Adjustment Reason Codes and Remittance Advice Remark Codes (03/31/08)
- How to Submit Notes Electronically (07/30/07)
- Electronic Media Claims (EMC) NPI Approved Vendors, Billing Services, and Clearinghouses (07/30/07)
- Returning Paper Claims Received From Clearinghouses (CMS MLN Matters) (11/13/06)
- Electronic Data Interchange (EDI) Media Changes (10/23/06)
- Many Procedure Codes (Including 90772) Affected by the National Correct Coding Initiative (CCI) Edits for 2006 (02/13/06)
- Shared Systems Medicare Secondary Payer (MSP) Balancing Edit and Administrative Simplification Compliance Act (ASCA) Enforcement Update (CMS MLN Matters) (02/13/06)
- Correction to Chapter 17, Section 80.2.3 of the Medicare Claims Processing Manual Regarding MSN/ANSI X12 Denial Messages for Anti-Emetic Drugs (CMS MLN Matters) (01/30/06)
- Healthcare Provider Taxonomy Codes (HPTC) Update (CMS MLN Matters) (01/30/06)
- Electronic Data Interchange (EDI) New Prepass Edits (04/21/05)
- Hematocrit Value Required on Claims, Electronic Billing of EPO Claims for ESRD (12/03/04)
- Medlearn Matters: Information for Medicare Providers Who Use Vendors, Clearinghouses, or Other Third-Party Billers (04/23/04)
- HIPAA Updates: 835 and 837 Transaction Information and Common Medicare Submitter Claim Testing Problems (01/16/04)
- Medigap Claims and Electronic Submission (10/17/03)
- http://www.wpc-edi.com/codes
- Healthcare Provider Taxonomy Codes (HPTC)
- Claim Adjustment Reason Codes
- Claim Status Category Codes
- Claim Status Codes
- Remittance Advice Remark Codes
- Health Care Services Decision Reason Codes
At this web address you will find.
National Provider Identifier (NPI)
Visit our NPI page by clicking here
.Information for Non-Electric Claim Submitters
- Change Payment Floor Date for Paper Claims (CMS MLN Matters) (02/20/06)
- To All Non-Electric Submitters: There's No Time Like the Present (02/13/06)
- Preliminary System Updates in Preparation for Ending the Medicare Contingency Plan in October 2005 (08/11/05)
- Paper Claims Submission and Enforcement Clarified (06/23/05)
- Correction to the Use of Group Codes for the Enforcement of Mandatory Electronic Submission of Medicare Claims (CMS MLN Matters) (05/26/05)
- ASCA Enforcement of Mandatory Electronic Claims Submission Begins July 1, 2005 (02/10/05)
- Medlearn Matters: Modification of CMS' Medicare Contingency Plan for HIPAA Implementation (03/04/04)
- HIPAA Alert: If You are Still Submitting Paper Claims, You Need to Read This Important Article (01/23/04)
- Switching from Electronic to Paper Claim Format not Recommended (05/19/03)
General EDI/HIPAA Information
- Your 837 4010 EMC Pre-Pass Report and NPI Errors (06/18/07)
- Stage 3 National Provider Identifier (NPI) Changes for Transaction 835, and Standard Paper Remittance Advice (RA) (CMS MLN Matters) (06/11/07)
- Important Notice for Electronic Medicare Secondary Payer (MSP) Submitters (05/21/07)
- Your 837 4010 EMC Pre-Pass Report (05/14/07)
- Attention Electronic Billers (05/07/07)
- Reminder: EDI Questions
- MSP Pre-Pass Edits on Electronic Claims (02/12/07)
- Where Can I Find EDI's Most Frequently Requested Websites? (12/18/06)
- Change in Batch Detail Control Listing EMC Pre-Pass Report
- New Medicare Edit M387 - Clarification (11/06/06)
- Change in Batch Detail Control Listing EMC Pre-Pass Report (09/25/06)
- WPS Medicare Part B - New Medicare Edit M387 (09/25/06)
- Standard Paper Remittance (SPR) Suppression
- EDI Hotline has High Call Volume (07/17/06)
- Important News Regarding HIPAA Contingency for Remittance Advice (07/10/06)
- EDI Information (04/17/06)
- Termination of the Medicare Health Insurance Portability & Accountability Act (HIPAA) Incoming Claim Contingency Plan, Addition of a Self-Assessable Unusual Circumstance, Modification of the "Obligated to Accept as Payment in Full" (OTAF) Exception, and Modification of Administrative Simplification Compliance Act (ASCA) Exhibit Letters A, B and C (CMS MLN Matters) (01/13/06)
- Keeping EDI Informed is a Requirement (11/10/05)
- EDI Important Reminders and FYI (11/10/05)
- EDI Tips (10/13/05)
- Clarification on Termination of Incoming HIPAA Contingency Plan and Impact upon ASCA Reviews
- Electronic Medical Records (EMR) (07/07/05)
- Electronic Funds Transfer is Available for All Medicare Providers (05/26/05)
- Medicare Electronic Remittance Advice Recipients (11/24/04)
- Electronic Remittance Advice (ERA) Input Sheet (05/07/07)
- HIPAA On Line Presentation: Electronic Transactions and Code Sets (08/18/04)
- Clarification on the HIPAA Contingency (12/12/03)
- Medicare Electronic Data Interchange (EDI) Enrollment Requirements (08/05/03)
- Letter from Tom Scully, Administrator of the Centers for Medicare & Medicaid Services (CMS) (08/01/03)
- HIPAA Handbook (07/25/03)
- HIPAA Information on Business Associate Agreements and Trading Partner Agreements (05/30/03)
- General HIPAA Information (05/01/03)
- Latest HIPAA News from CMS
- HIPAA Listserv
- HIPAA Information Series for Providers
- HIPAA 101
- Key HIPAA dates and tips for getting ready
- What you need to know about testing
- Provider HIPAA Checklist
- Frequently Asked Questions
- Askhipaa@cms.hhs.gov
Request answers via e-mail to your HIPAA Administrative Simplification questions. - Department of Health and Human Services Website-HIPAA Information
Learn about the latest HIPAA Administrative Simplification outreach materials and events by joining the CMS HIPAA outreach listserv.
The HIPAA Information Series for Providers, consisting of 10 papers, covers a number of important issues, including:
Page Last Updated: Monday, 28-Apr-2008 10:44:20 CDT
