Are home infusion therapy claims currently submitted electronically?
In the commercial and Medicaid sectors, there is very little true electronic data interchange (EDI) for home infusion therapy. Most claims are submitted on paper, while in some cases the data is re-keyed into a proprietary computer system for non-standardized electronic submission. This situation is expected to dramatically improve during 2003 given HIPAA requirements for true EDI. For home infusion claims submitted to Medicare, many are sent electronically using a non-HIPAA-compliant electronic data format called NSF, and in 2003 these claims are being converted to the HIPAA-compliant format, called X12N 837 Professional.
Related Questions
- Through which electronic format are home infusion therapy claims submitted under HIPAA: X12N Professional or NCPDP Retail Pharmacy?
- What are the home infusion therapy fee schedule and contracting issues brought upon by standardization of coding under HIPAA?
- Why would a person need home infusion therapy services?
