SECOND-ORDER CONE PROGRAMMING METHODS FOR TOTAL VARIATION-BASED ...
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Le téléchargement nécessite un accès à la bibliothèque YouScribe Tout savoir sur nos offres
- mémoire
- unconstrained minimization problem
- socp
- dual formulation
- order cone program
- interior point methods
- diagonal matrix
- min
- image
- problem
Electronic Data Interchange (EDI)
ANSI Version 5010
“Troubleshooting with Your Contractor”
July 20, 2011
WebEx Housekeeping
Audio will now be streamed through your PC! You do not have to
dial in or receive a call back. If you have already done so, please
disconnect your phone line. Select “Join Audio Broadcast” from
the Communicate Menu at the top of your WebEx screen.
The Q&A chat session will follow today’s presentation. Audio will
be disconnected but we will remain online in the WebEx
classroom to answer your questions about today’s presentation!
Copies of the slides will be under the EDI/ANSI 5010 link on the
Palmetto GBA Web Site.
Purpose
To prepare and assist providers, vendors, clearinghouses and
billing services with troubleshooting for the new ANSI Version
5010.
This training is the second of three sessions being offered to assist
with the ANSI Version 5010 implementation.
Agenda
Expectations of contractors and trading partners
Review of readiness checklist and timelines
Description of contractor transition/migration plan
Overview of reports
Top error message
Available support to trading partners
Useful resources
Q & A Chat Session
Expectations
Palmetto GBA will offer the following to our trading partners:
Outreach
Send out timely 999 and 277CA transactions
Review issues identified during testing (with each trading partner)
Keep an updated list of Frequently Asked Questions (FAQs) or a
troubleshooting guide for common issues that have been identified
Dedicated resources to provide technical support
Expectations (cont.)
Palmetto GBA requests the following of our trading partners:
Test with each MAC separately
Compile a representative set of business-relevant test cases to use for
testing
Address testing issues in a timely manner
Keep lines of communication open with contractor
Ensure all testing issues are resolved and approved for production
prior to October 1, 2011
Review their 999 and 277CAs
Comfortable with content in response reports
ANSI 5010
The Centers for Medicare and Medicaid Services (CMS) is
currently in implementation process to convert from Health
Insurance Portability and Accountability Act (HIPAA) Accredited
Standards Committee (ASC) X12 version 4010A1 to ASC X12
version 5010 and National Council for Prescription Drugs
Programs (NCPDP) version 5.1 to NCPDP version D.0.
ANSI 5010 (cont.)
The Secretary adopted version 5010 to replace the current version
of the X12 standard that covered entities must use when
conducting electronic transactions including: claims, claim status,
payments for providers, eligibility, referrals, enrollment and
disenrollment, Coordinator of Benefits and premium payments.
The Secretary of the Department of Health and Human Services
has adopted ASC X12 version 5010 and NCPDP version D.0 as
the next HIPAA standard for HIPAA covered transactions.
The final rule was published on January 16, 2009
ANSI 5010 (cont.)
The Secretary also adopted version D.0 to replace the current
version of the NCPDP standard covered entities must use for
pharmacy and supplier transactions including: claims, eligibility,
referral certification and authorization, and Coordinator of
Benefits.
The current versions of the standards version 4010/4010A1 and
the NCPDP version 5.1 are widely recognized as lacking certain
functionality that the health care industry needs.
Important Dates
Important dates in the implementation process are:
Activity Dates
Effective date of regulation May 17, 2009
Begin testing 5010 production claims January 1, 2011
Begin testing Errata 5010 production claims April 4, 2011
Begin submitting 5010 production claims
Last day to submit 4010A1 production claims December 31, 2011
ICD-10 cut-over October 1, 2013
