General EDI Outreach Activities

40.2.3 - General EDI Outreach Activities (Rev. 2803, Issued: 10-28-13, Effective: 09-17-13, Implementation: 09-17-13) A/B MACs, DME MACs and CEDI are to actively encourage providers to increase their use of EDI transactions. Also see § 60 of this Chapter for EDI Edit Requirements. Specific outreach requirements are included in the CMS requirements for implementation of new or revised EDI standards. A/B MACs, DME MACs and CEDI are also required to notify providers about the need to file most claims with Medicare electronically. See § 90 for specific referenced to Mandatory Submission of Medicare Claims. In general, A/B MACs, DME MACs and CEDI must: 1. Feature information on EDI during trade shows, vendor fairs, educational forums, and vendor association meetings that they sponsor or in which they participate; 2. Provide educational information on EDI to providers identified in internal analysis described in Section 40.2.3.1 as well as to the software vendors and clearinghouses that serve or market services to Medicare providers; 3. Make themselves available whenever possible, and invited to participate as an EDI speaker on the agenda of organized provider group meetings, such as state or local chapters of AAHAM, HFMA, MGMA, EDI user groups, state and local medical societies, and other provider and related vendor trade groups. DME MACs shall participate in regional meetings that entail supplier use of EDI; and • Include specific and meaningful EDI messages in provider newsletters, addressing the themes described in Section 40.2.3.4 below, other issues that may be pertinent to the A/B MAC (B), DME MACs, or A/B MACs (A) geographic area, and as directed in individual EDI instructions issued by CMS. A/B MACs, DME MACs and CEDI are expected to point out the advantages to providers in the use of EDI transactions. See the Medicare Beneficiary and Providers Communication Manual (100-09) for definitive guidance on Medicare’s provider outreach requirements. Provider outreach activities, including those that involve EDI are funded through the Provider Education and Training budget issued to Medicare contractors.