Health Information Management

CMS announces electronic data submission tool for providers

HIM-HIPAA Insider, March 1, 2011

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Currently, providers respond to documentation requests from review contractors such RACs and Medicare administrative contractors (MAC) via mail or fax. As evidenced in the past, providers have had a number of problems with this form of coordination. CMS announced last week a new option that allows certain providers to make electronic data submissions.

CMS is referring to the new option as “esMD,” (electronic submission of medical documentation.) Phase one of esMD will begin in April. During this phase, according to CMS, certain review contractors, including several RACs, will continue to send medical documentation requests via paper mail and providers will have the option to electronically send medical documentation back to the contractor.
 
Phase two of the initiative—which CMS hopes to implement in 2012—will entail  review contractors electronically sending documentation requests to providers when their claims are selected for review.
 
Read more on the Revenue Cycle Institute webpage.



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