URGENT DOH / HIPAA UPDATE (This version has the corrected time of 1 pm) The Department of Health/Computer Sciences Corporation has scheduled another meeting for vendors and provider agencies to discuss HIPAA electronic billing and remittance transactions. The meeting will be held at 1 CSC Way, Rensselaer NY, beginning at 1 pm on August 7th. This will be another opportunity for you to present your questions and concerns to DOH/CSC on this very important subject. Please let your vendors know so they can participate or if you handle your own billing, contact John Brandone, OMRDD, by E-mail at
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if you will be attending the meeting. Click for Directions. On this issue, NYSACRA continues to have grave concerns about the ability of DOH and consequently vendors and providers, to be ready to bill on October 16, the deadline to have HIPAA compliant transactions. NYSACRA, with a coalition of other associations, has met with the Governor’s office, are developing a letter to Senators Clinton and Schumer, and are planning meetings with the NYS Department of Health and the Division of Budget. Additional information from DOH available recently around this issue is as follows: 1. The beginning of on-line "Open Provider Testing" via EDIFCS has been delayed—DOH said this on-line testing is now expected to be available to providers and vendors beginning on Friday, July 18, 2003. EDIFCS testing should enable providers to catch the majority of errors in billing submissions, but this testing is not a guarantee that a particular claim will be successfully processed and that payment will be made. 2. Previously, the Dept. of Health (DOH) and Computer Science Corporation (CSC) have said that, to be able to test via EDIFCS, a provider had to sign and return a trading partner agreement to DOH/CSC. However, because only about 20% of trading partner agreements have been returned thus far, DOH and CSC are now saying that a signed trading partner agreement is NOT required to test with EDIFCS. DOH is stating that signed trading partner agreements WILL BE REQUIRED to submit claims when the HIPAA-compliant transaction system "goes live" on September 27, 2003. DOH is saying consequently, that it is still important to sign and return a trading partner agreement to DOH/CSC. DOH/CSC will be sending out a letter reminding vendors and providers to submit trading partner agreements. A number of our members and their attorneys do not feel that they should sign the agreement with the "no claims, no damages" language that DOH put in there, and that it is unclear whether it is required by HIPAA. We recommend that your attorney review this agreement carefully before signing it. 3. Complete "end-to-end" testing for a select group of providers is still scheduled to begin in August. DOH said this group has been increased in size from 14 to 20 members, but hasn’t identified who were added to the group. In addition, there are reports from the field that some vendors are notifying clients about increased fees for HIPAA-compliant software--but with no guarantee from these vendors that use of the software will result in payment of claims. 4. CSC is sending out another letter to providers and vendors about another round of regional training sessions, similar to the ones held in April and May. These new sessions will be held during August. The training sessions will be held in: Manhattan, Rochester, White Plains, Suffern, Rensselaer, Syracuse, Hauppauge, Buffalo, and Watertown and we will get you further information when we have it. 5. Recognizing that there may be transmission problems in getting claims data to CSC beginning September 27, 2003, CSC will double the number of available phone lines.
Executive Level Job Postings: Two Positions at The Resource Center: For either, please submit salary history and expectations with a resume to: Carol Svensen-Smith, Director of Human Resources, The Resource Center, 880 E. Second St., Jamestown, NY 14701; Fax: 716-661-4647 or Email:
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. An equal opportunity employer – M/F/V/H http://www.resourcecenteronline.org ICF/DD PROGRAM ADMINISTRATOR
(The Resource Center)Dedicated and highly motivated individual needed for the operation of a 60-bed Intermediate Care Facility for developmentally disabled adults. Duties include directing and coordinating all aspects of daily program operations, including execution of the program budget, management of 165 staff, oversight of the provision of all clinical services and coordination with state regulatory agencies and other health care organizations. Qualified candidates will have proven leadership and program operation ability, an extensive knowledge of state and federal regulations, as well as strong administrative, organizational, and analytic skills. Excellent written and oral communication skills are necessary. Experience with developmentally disabled population and a minimum of 5 years ICF experience required. MA degree preferred. RN ADMINISTRATOR
(The Resource Center)RN Administrator sought to run medical department of 60-bed residential Intermediate Care Facility serving developmentally disabled adults. Responsibilities include serving as a member of interdisciplinary team, directing medical training, including medical guidelines, and assessing medical conditions to ensure individuals are receiving the highest quality of care. Current NYS-licensed Registered Nurse, Bachelor’s degree preferred. Licensure includes CPR training, child abuse and administering medication procedures. Two years hospital experience and one-year health care experience, preferably working with MRDD population, preferred. Supervisory experience required.
Director of Waiver & Family Support Services
(Independence Residences, Inc.)A Queen’s agency serving adults and children with developmental disabilities seeks a senior level professional to provide oversight for multiple waiver programs: MSC, Family Support, Day & In-Home Res Hab Services. Responsible for agency-wide consumer enrollments, participation and implementation of new programs, and managing benefits and entitlements. Requires knowledge of OMRDD regulations and relevant funding streams. Master’s required, CSW preferred. Send resume with salary requirements to: Heather Barker, HR Director, Independence Residences, Inc., 93-22 Jamaica Ave., Woodhaven, NY 11421. Fax: 718-805-2711. An equal opportunity employer. http://www.in-res.org
CFO/Treasurer
(Job Path, Inc.)NYC-based innovative mission driven not-for-profit seeks “big picture” CFO to oversee $3 million fiscal operation and its administrative services. Help shape our business strategies. Knowledge of Medicaid/Gov’t funding a plus. Related degree, minimum 5 years of fiscal management experience. High 80’s, excellent benefits. Send letter/resume to
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. We are an Equal Opportunity Employer.
NYSACRA will post Executive level jobs in our News,
space permitting.
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you Exec. job posting
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