Common use of FUTURE ELECTRONIC ENCOUNTER SUBMISSION REQUIREMENTS Clause in Contracts

FUTURE ELECTRONIC ENCOUNTER SUBMISSION REQUIREMENTS. At the present time, the Centers for Medicare and Medicaid Services (CMS) continue to add and update electronic data standards for all health care information, including encounter data. The Contractor shall be responsible for completing and paying for any modifications required to submit encounter data electronically, according to the same specifications and timeframes outlined by CMS for the New Jersey MMIS.

FUTURE ELECTRONIC ENCOUNTER SUBMISSION REQUIREMENTS. At the present time, the Centers for Medicare and Medicaid Services (CMS) continue to add and update is pursuing a standardization of all electronic data standards for all health care information, including encounter data. The Contractor contractor shall be responsible for completing and paying for any modifications required to submit encounter data electronically, according to the same specifications and timeframes outlined by CMS for the New Jersey MMIS. with the contractor with respect to payment. Further, the contractor shall ensure that the cost to the enrollee is no greater than it would be if the services were furnished within the network.