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VA Code in Flight Submission - Medical ePayments Compliance Phase 2 Iteration 2 Patches IB*2*529 and PRCA*4.5*304 (code and docs)
Please use this identifier to cite or link to this publication: http://hdl.handle.net/10909/11064
Submitted by OI&T EPMO Lean Systems Engineering Open Source Coordination Office on 03-24-2015.
The Medical ePayments Compliance (Phase 2, Iteration 2) project ensures VA's compliance with Electronic Funds Transfer (EFT) & Electronic Remittance Advice (ERA) Operating Rules and enables VA to more effectively use ERA data, resulting in better revenue and cash flow management; provides the infrastructure foundation for electronic exchange of claim payment information and promotes an interoperable system; reduces the time elapsed between receipt of the Electronic data interchange (EDI) 835 Electronic Remittance Advice Transaction and receipt of the Cash Concentration or Disbursement (CCD+) transaction;ensures that trace numbers between payments and remittances can be used by VA, reducing the level of open accounts receivable and allowing claim denials to be more quickly addressed; and standardizes EFT & ERA enrollment, reducing workload burden on VA staff.

Patches IB*2*529 and PRCA*4.5*304 contain 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.

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