Minnesota HIPAA Collaborative

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Minnesota HIPAA Collaborative

• NPI Testing Implementation Planning
• Allina John Moriarty
• Medica Dave Andersen

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Developing Plans

• Collaborative wanted to identify one best
  practice
• Began with 5 payers and 5 providers
• First draft looks pretty nice
• Second draft some differences
• Third draft so much for one size fits all

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Differences Discovered

• Timelines
• Test system availability
• Test system capabilities
• Test cases to be used
• Validation criteria available
• Results returned
• Volume of testing

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Who is Involved

• You
• Your trading partner
• Your clearinghouse(s)
• Your software system vendor(s)
• Impact of various players

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Transaction Sequence

• Claims
• Remittances
• Eligibility
• Claim Status

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Key Steps in Testing Plan

• Agree on expectations
• Agree on process/plan
• Get NPIs
• Exchange NPIs
• Send test transactions
• Review results
• Fix problems
• Agree on implementation criteria

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Sample Process
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Sample Process
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Sample Process
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Sample Process
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More Samples

• MN HIPAA Collaborative Web Site
• www.mnhipaacollab.org

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Questions?

• Dave Andersen Medica
• david.andersen_at_medica.com
• John Moriarty Allina
• john.moriarty_at_allina.com