Strategic%20Alternatives%20and%20Contingency%20Planning - PowerPoint PPT Presentation

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Strategic%20Alternatives%20and%20Contingency%20Planning

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The guides are not perfect and decisions are required to move forward. ... Request business partners provide timeline when they will be compliant. ... – PowerPoint PPT presentation

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Title: Strategic%20Alternatives%20and%20Contingency%20Planning


1
Strategic AlternativesandContingency Planning
  • Dan Petrosky
  • EDI Partners
  • 952-927-0784
  • partners_at_ix.netcom.com

2
Fact to Consider
  • Enforcement will initially be by complaint.
  • Severity will be based on effort.
  • CMS does not want an industry collapse.
  • CMS is aware that preparation is MUCH less than
    desired.
  • CMS guidance focuses on
  • Contingency Planning
  • Outreach
  • Testing

3
Immediate Considerations
Systems Documentation Notification
Protection
4
Systems
  • BUY DONT BUILD - There is not enough time to
    build, test, and implement EDI translation
    software.
  • Parallel Systems - Plan to continue operating
    existing systems for an indefinite period of
    time. Continue to pay and get paid.
  • Monitor the enforcement effort.

5
Documentation(with an eye on protection)
  • Document all efforts to update systems to
    become compliant.
  • Document all implementation decisions.
    The guides are not
    perfect and decisions are required to move
    forward.
  • Identify all efforts to implement test
    procedures, including both compliance
    verification services and applications systems.
  • Document all efforts to educate staff members, to
    include managers, technical support, sales and
    marketing, business managers, help desk and/or
    customer service.
  • Document all efforts to education business
    partners.

6
Notification (Outreach)
  • While not stopping existing systems (CMS desire)
    document all compliance violations and notify
    business partners (your protection.)
  • Provide information on the availability of
    testing support and procedures.
  • Develop and distribute information on companion
    guides.
  • Request business partners provide timeline when
    they will be compliant.
  • CONTINUE PERIODIC NOTIFICATION UNTIL CMS GUIDANCE
    AND ENFORCEMENT BECOMES CLEARER.
  • Document all Notification correspondence.
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