Physician Practice

Take three steps to avoid batch-level rejections

Physician Practice Perspective, June 1, 2005

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If you submit healthcare transactions such as claims and eligibility inquiries in an electronic format, you need to comply with HIPAA's transactions and code sets (TCS) standards and relevant implementation guides to which the standards refer. If you submit those claims in batches, every single claim must meet TCS requirements. And if even one transaction contains an error that makes it noncompliant, your payer may reject the entire batch, even those that are HIPAA-compliant. That can interfere with your cash flow and create costly and time-consuming administrative problems.

This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Physician Practice Perspective.

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