• Document: Full Encounter Data (FED) Requirements
  • Size: 2.89 MB
  • Uploaded: 2019-02-13 17:00:03
  • Status: Successfully converted


Some snippets from your converted document:

Full Encounter Data (FED) Requirements FED Provider Partner Transition Project 05/24/2012 Version 10.2 SCAN FED Requirements _v10.1 Page 1 of 87 Revision History Date Version Description Author 10/06/2011 – Katie Parks and 1.0 Initial Draft 10/12/2011 Diana Sessions 10/20/2011 – Katie Parks and 2.0 Updates per review with Marc Carren and Char Beecher 10/26/2011 Diana Sessions Based on CMS Industry Update 10-27, (a) updated atypical NPI values, 10/27/2011 3.0 Katie Parks (b) added duplicate logic section. Updates per latest guidance from CMS and 11/16/2011 SCAN Webinar with Provider Partners. Sections added/updated include the following:  Section 2.6: Which Claims to Include in Full Encounter Data Submissions?  Section 2.7: The 13 Months From Date of Service Requirement  Section 2.9: Replacement and Void Encounters  Section 2.10: Edits Applied Against 5010 Encounter Data Katie Parks, Diana 11/23/2011 4.0  Section 2.12: Dollar Amounts Are Required and Must Balance in Sessions, & Char v5010 Full Encounter Data Beecher  Section 3.1.3: SCAN’s 837 v5010 Companion Guides  Section 3.2: National Provider Identification – NPI  Section 3.4: Billing Provider Address - 9-digit zip code  Section 3.5: Billing Provider Address - Physical Address Only  Section 3.10: Present on Admission Indicator  Section 4: SCAN and CMS Encounter Rejections (as well as subsequent sections 4.1 and 4.2)  Section 5: Appendix 12/15/2011 5.0 Added Section 4.3: Increase In Encounter Rejections Explained Char Beecher 12/21/2011, Added Section 2.13: Capitated Encounters in v5010 Full Encounter Data, 6.0 Char Beecher 12/29/2011 (updated claim balancing) SCAN FED Requirements_v10.1 Page 2 of 87 Date Version Description Author Updates per latest guidance from CMS and Jan & Mar 2012 SCAN Webinars with Provider Partners. Sections added/updated include the following:  Section 2.16: Top 10 CMS FED Requirements  Section 2.15: CMS Minimum Encounter Data Elements  Section 3.1: Overview  Section 3.6: Ambulance claims – Pick-Up and Drop-Off Locations  Section 3.6.5 Minimum Data Elements for Ambulance Services 3/21/2012 – Char Beecher & 7.0 Received on Paper Claims 4/13/2012 Katie Parks  Section 3.8: Professional Claims – Clinical Laboratory Improvement Amendment Number (CLIA)  Section 3.11: Diagnosis Code Pointers  Section 5: Submission of Supplemental Encounter Data (as well as subsequent sections 5.1 – 5.4)  Section 7.1: Data Mining Findings of Encounter Data Received in 2011  Section 7.2: References  Section 6: SCAN Business Rules  Section 6.1: Summary 05/11/2012 8.0  Section 6.2

Recently converted files (publicly available):