and/or memos for the local code conversions, and are you prepared to begin using the new codes, modifiers, and diagnosis?
Starting October 16th Local codes will not be excepted.
2. Is the billing staff trained to handle the new business processes?
3. Have you touched base with your clearinghouse to be sure you know how
it will be handling your claims on and after October 16? Ask if they are receiving and sending you 997 information.
4. If you do not plan to be HIPAA compliant on October 16, are you
maintaining a centralized file documenting your good-faith compliance efforts?
5. Do you have a contingency plan drawn up and on file with your other good-faith efforts?
6. If you are planning to file HIPAA-compliant claims on October 16, have you tested with your clearinghouse or the DSHS clearinghouse (ACS EDI Gateway) to be sure you can send clean claims that will be adjudicated and
paid by Medicaid?
7. Do you know how to track your claims so you can fix rejected files?
Don't forget you can call ACS at 800-833-2051 or MAA at 800-562-6188. Look at
