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Can a M+C organization submit physician and hospital outpatient data after July 1, 2002 to the existing processing system before RAPS is operational on October 1, 2002?

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Can a M+C organization submit physician and hospital outpatient data after July 1, 2002 to the existing processing system before RAPS is operational on October 1, 2002?

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No. As of close of business (5:00PM EST) on June 28, 2002, the current front-end system will no longer accept physician or hospital outpatient data. Begin submitting physician and hospital outpatient data to Palmetto’s front-end system on October 1, 2002. • Will the new format require Medicare provider numbers? No, the Medicare provider number is a required data element for the reduced data set that is effective July 1, 2002 for submission on October 1, 2002. It is the M+C organization’s responsibility to ensure that all data submitted came from providers that meet the definitions in the risk adjustment implementation instructions. • Is the proposed RAPS format on the www.mcoservice.com website? Yes. As additional information becomes available, it will be posted on the www.mcoservice.com website. • How will RAPS translate UB-92, NSF and ANSI submissions? The front-end system that resides at Palmetto will translate the data contained in these formats. The translator will extract all cor

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