The vendor is required to provide data with market intelligence software must be able to perform the following capabilities:
• Functionality to maintain high volume of accounts with ability to import 837 files from epic system for each permanent facility identifier (PFI)
• System must be able to appropriately import 837 files for current and previous months to ensure accounts added, modified, not yet submitted or changed are accounted for within the data import
• System must be able to produce an exported 837r file, identifying account status (added, deleted, modified), to submit and import into the system for current and previous months accounts
• System is kept current with all edits and requirements
• Edits are applied via batch functionality.
• Accounts and edits to be provided for distribution throughout facility on accounting needing correction.
• Has data interface that utilizes x225 837r format to submit data to agency
• System must be able to provide a variety of reports for each PFI, such as:
o State reporting-, cm
• History of all submissions to is recorded, which allows a history of disclosures to be tracked in accordance with the health insurance portability and accountability act (HIPAA)
• Provides validation reports specific to state requirements for congenital malformations, tumor registry and procedure mortality
• Congenital malformations registry (CMR) data electronically
• Provide support to hospital to meet mandated submission guidelines and support in corrections to data if issues arise.
- Contract Period/Term: 1 year
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