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VA Code in Flight Submission - Medical ePayments Compliance (IB*2*529 and PRCA*4.5*304 KIDS builds)
Please use this identifier to cite or link to this publication: http://hdl.handle.net/10909/11001
Submitted by OI&T EPMO Lean Systems Engineering Open Source Coordination Office on 12-05-2014.
This patch contains changes to the ePayments (835 and EFT) program area
to ensure compliance. Specifically, enhancements to the Veterans
Health Information Systems and Technology Architecture (VistA) Third Party
EDI Lockbox module to increase timely and accurate processing of payments
for electronic pharmacy claims in compliance with Health Insurance
Portability and Accountability Act (HIPAA) and Veterans Health
Administration (VHA) Fiscal Accounting policies will also be required.
The ePayments system is used by Accounts Receivable (AR) staff to process
payments from third party payers for both medical and pharmacy claims. The
objectives of the requested ePayments software modifications are to
expedite accurate payments by enhancing the ePayments software to
streamline the user's ability to process the pharmacy 835 while:
Complying with HIPAA legislative requirements to meet patient
needs and secure Protected Health Information (PHI).
Conducting payment accounting in accordance with the Office of
Management and Budget (OMB) directives.
Systematically enforcing VHA Fiscal Accounting policy.

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