Over the last several months, the announcement that CMS was phasing out eligibility information currently available through Direct Data Entry (DDE) next April has driven providers to eligibility reporting solutions using the CMS HIPAA Eligibility Transaction System (HETS).
“HETS to replace Common Working File (CWF) for eligibility inquiries”
“How to Get Connected – HETS 270/271”
The providers and vendors who were early adopters of this technology noticed differences in the data reported through these two systems. Recently, I co-wrote an article for Health Data Management that described these systems, how they work, and the differences between them. It is available on our blog or through this link:
“A Primer on the HIPAA Eligibility Transaction System”