What recent changes in legislation require electronic submission of claims? what are the benefits of submitting claims electronically? which provider types are exempt from submitting claims electronically and why?

1. What recent changes in legislation require electronic submission of claims?

- The Administrative Simplification Compliance Act (ASCA) under section 3 of PL-107-105 requires the initial submission of claims for reimbursement under Medicare to be electronic effective on October 16, 2003.

2. What are the benefits of submitting claims electronically?

- Electronic submission of claims means quicker claims submission and faster reimbursement. It also eliminates lengthy process of paper claims and submission. Lost claims and consequent paper work is also eliminated. Lastly, the simplified process of electronic submission of claims lowers the cost of manpower due to reduced clerical time and processing.

3. Which provider types are exempt from submitting claims electronically and why?

- Providers that furnish services outside of the United States, to Medicare managed health plans, health plans other than medicare, dentists, a participant in the Medicare demonstration project, provider that gives mass immunization, provider that submits claims with more than one payer, and small providers with less than 25 full time employees are not covered by this requirement. This is because these types of providers may not qualify yet for EDI enrollment and also, may not satisfy CMS requirements due to the nature of their business.

what was the

1. read the following excerpt from franklin d. roosevelt's "fireside chat 19":

on the other side of the picture, we must learn also to know that guerilla warfare against the germans in, let us say serbia or norway, us; that a successful russian offensive against the germans us; and that british successes on land or sea in any part of the world strengthen our hands.

remember always that germany and italy, regardless of any formal declaration of war, consider themselves at war with the united states at this moment just as much as they consider themselves at war with britain or russia. and germany puts all the other republics of the americas into the same category of enemies. the people of our sister republics of this hemisphere can be honored by that fact.  

the true goal we seek is far above and beyond the ugly field of battle. when we resort to force, as now we must, we are determined that this force shall be directed toward ultimate good as well as against immediate evil. we americans are not destroyers — we are builders.

analyze the effectiveness of this excerpt. how does it function within the speech as a whole? how does the structure of the excerpt to convey the speech's purpose and key points? support your argument with evidence from the speech. (10 points)