George, That is a very interesting point. Is your assumption that the clearinghouse creates the transactions and has control of the code sets? The fact that the clearinghouse has demonstrated the "capability" to use a certain code set does not necessarily mean that each one of the providers clients of that clearinghouse is using that same code set. I wish life was that easy.
One of the typical "HIPAA Myths" is that the clearinghouses can magically make the providers compliant. That is not the case. Let's make sure that all the players understand what is their own responsibility. If the expectations from providers are that their vendor or clearinghouse will take care of HIPAA much like they took care of Y2K, we will run into big problems when they wake up to the reality. Kepa On Monday 08 April 2002 02:58 pm, George Kaye wrote: > If a payer performs compliance testing with a clearinghouse for code set > effectivity for a professional claim (for example), has anyone thought > through the process of what that testing should consist of, so that the > payer can assume that those code sets will continue to be compliant from > that clearinghouse on an ongoing basis regardless of: the type of > professional claim (office visit, ambulance, physical therapy etc.), or > when the code is impacted by new code set releases by the DSMO's? To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?list=business and enter your email address. The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited.
