March 23, 2023

How To Complain, Revisited

Today, CMS reminds us that we can use their ASETT HIPAA Compliance site (Administrative Simplification Enforcement and Testing Tool) if you think a trading partner is forcing you to accept (or send) non-standard administrative transactions, such as ASC X12N 837 Claims or 835 Remittance Advice. The tool also validates against 60-plus clinical and non-clinical code sets, including ICD 10 diagnosis and procedure codes. Best of all, you can file a complaint directly with the CMS National Standards Group (NSG), whose job it is to police HIPAA Transaction and Code Sets violations.

CMS is not trumpeting this capability, but it looks like they also have an option to test your own EDI files (or perhaps ones you've received) without necessarily filing a complaint.

Back in the day, word on the street was that the ASETT tool's foundational architecture was based on the Edifecs validation engine technology. I can't confirm or deny that, but if you are using a different translation/validation technology, it might be a good idea to see if your streams are clean, as it were.

A Word from Our Sponsor: CarePrecise offers the sharpest healthcare provider tools in the shed. At CarePrecise, we are all about data integrity and validation. 

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