Compliance with Other Code Sets Clause Samples
The "Compliance with Other Code Sets" clause requires parties to adhere to additional coding standards or classification systems beyond those explicitly mentioned in the agreement. In practice, this may mean that services, products, or data must be compatible with or formatted according to recognized industry codes, such as medical billing codes or product classification systems. This clause ensures that all relevant coding requirements are met, reducing the risk of non-compliance and facilitating interoperability or regulatory approval.
Compliance with Other Code Sets a. A Health Plan System that is required to or otherwise contains the applicable data type shall conform to the following non-HIPAA-based standard code sets:
(1) As described in all AHCA Medicaid Reimbursement Handbooks, for all "Covered Entities", as defined under HIPAA, and which submit transactions in paper format (non-electronic format).
(2) As described in all AHCA Medicaid Reimbursement Handbooks for all "Non-covered Entities", as defined under HIPAA.
Compliance with Other Code Sets. Plan System that is required to or otherwise contains the applicable data type shall conform to the following non-HIPAA-based standard code sets:
Compliance with Other Code Sets. Health Plan systems that are required to or otherwise contain the applicable data type shall conform to the following non-HIPAA-based standard code sets:
a. As described in all Agency Medicaid reimbursement handbooks, for all “covered entities,” as defined under HIPAA, and which submit transactions in paper format (non-electronic format).
b. As described in all Agency Medicaid reimbursement handbooks for all “non-covered entities,” as defined under HIPAA. AMERIGROUP Florida, Inc. d/b/a Medicaid Non-Reform and Reform AMERIGROUP Community Care HMO Contract