David, Tim,

Before you keep going too far on that line, there is a significant difference 
between "certifying" an entity or a product to "be" HIPAA compliant 
(personally I don't see how this would happen) and certifying that a specific 
set of transactions is in compliance with the HIPAA transaction 
implementation guides.

To verify whether a transaction is in compliance with the HIPAA Implementation 
Guide is a process that is totally deterministic and objective, and can be 
verified and validated by a number of third parties.  In any case, the 
process must be disclosed and verifiable by third parties and by the relying 
parties.  An entity relying on the certification of a transaction as being 
compliant should be able to know what was the exact content of the 
transaction that was certified.

And the certification of a transaction as compliant does not automatically 
extend to the software that generated the transaction in a generic mode.  
While you can say that the software is capable of generating HIPAA compliant 
transaction(s), you cannot say that all the transactions generated by that 
software will always be compliant.  However, if the sample size is 
sufficiently large and representative of the business of the provider or 
payer that generates these transactions, then you could establish a level of 
confidence that future transactions will also be compliant.  But, again, this 
does not extend to the software or the entity in as generic way.  For 
instance, the fact that you can generate compliant office visits does not 
mean much when you need to generate DME claims.

For this reason it is important that the certification of transactions as 
compliant be well documented and publicly disclosed.

So, lets qualify the statements.  When organizations claim to "be" HIPAA 
Certified, or to offer "certified" training, or to have certified HIPAA 
transactions they should try to "prove it".  I bet they will not be able to 
prove they "are" compliant, or that their software or training is certified, 
but we can prove their TRANSACTIONS are or are not compliant.

The testing and certification of TRANSACTIONS for HIPAA compliance is 
documented in the SNIP white paper on that topic.  There is a new version 
that has been approved for publication (version 3.0) that should be posted in 
the web site in the next few days.  Please understand that it does not 
address certification of entities, software, systems or training programs, 
only certification of transactions.

Kepa Zubeldia
Claredi

PS: cross posting of messages like this is spam.


On Friday 30 August 2002 11:19 am, David W. Loewy wrote:
From: "David W. Loewy" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>, "'Meyer, Perry'" <[EMAIL PROTECTED]>, 
<[EMAIL PROTECTED]>, <[EMAIL PROTECTED]>, <[EMAIL PROTECTED]>, <[EMAIL PROTECTED]>, 
<[EMAIL PROTECTED]>, <[EMAIL PROTECTED]>, <[EMAIL PROTECTED]>, 
<[EMAIL PROTECTED]>, <[EMAIL PROTECTED]>

> I agree as well, I am constantly amazed when I see organizations
> referring to being either HIPAA Certified or offering HIPAA
> Certification!!  And there are more than a handful I've seen recently!
> 
> 
> David W. Loewy
> President
> Health Providers Practice Management, LLC.
> Publishers of The HIPAA Survival Kit for Providers
> 617.739.6665 (voice)
> 601.415.0007 (mobile)
>  
> 
>  <http://www.hipaacertification.org/> 
> www.hipaacertification.org
> NOTE: The information contained in this message is intended only for use
> by the individual or entity to which it is addressed. This message may
> contain information that is privileged, confidential, and exempt from
> disclosure under applicable law. If you are not the intended recipient,
> you are hereby notified that any dissemination, distribution, or copying
> of this information strictly prohibited. If you have received this
> communication in error, please notify us immediately and delete the
> original message.
> 
>  
> 
> 
> -----Original Message-----
> From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] 
> Sent: Friday, August 30, 2002 12:58 PM
> To: Meyer, Perry; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED];
> [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED];
> [EMAIL PROTECTED]; [EMAIL PROTECTED]
> Subject: Certifications
> 
> 
> Perry, your point is very valid!
> 
> As stated by the agencies, it isn't the role of the government to
> "Certify" a product, service, or process relating to HIPAA.
> Certifications by their nature certifications require a process of
> accreditation, credentialing, and ideally broad support.  I have no
> knowledge of what the vendor in question bases their "certification" on,
> and without full disclosure of that basis I view its claim as suspect,
> however there is at least one validly certified training/education
> product in the market - certified/credentialed by a State University
> System.
> 
> However, this specific problem has resulted in the creation of a
> separate body to address this issue of developing HIPAA conformance
> certification standards.  This activity is complementary to the work of
> the other HIPAA bodies, and recognizing the urgency of this for covered
> entities and industry alike, has begun and hopes to publish a
> significant body of work rapidly.
> 
> This also raises another important point - full disclosure.  Some on
> this listserv express offense at participants including their company
> names in their replies and messages.  Personally, I want to know who it
> is that is expressing their opinions and who they represent, and in what
> capacity.  I appreciate a weblink also, making it easy to view their
> context.  Without this disclosure, we do not have the ability to
> properly weight their credentials or perspective in these issues.  Each
> of us needs to be able to evaluate each posted statement and not simply
> take everything said as fact or legal opinion - this one included.  So I
> would encourage all to be candid in their signatures for these reasons
> and recognize the difference between spam commercialism and simple
> honest disclosure.
> 
> Tim McGuinness, Ph.D.
> President,
> HIPAA Help Now Inc.
> [EMAIL PROTECTED]
> www.hipaahelpnow.com
> 
> Executive Co-Chairman for Privacy,
> HIPAA Conformance Certification Organization (HCCO)
> www.hipaacertification.org
> 
> 
> 
> 
> -----Original Message-----
> From: Meyer, Perry [mailto:[EMAIL PROTECTED]]
> Sent: Tuesday, August 27, 2002 8:24 AM
> To: '[EMAIL PROTECTED]'; [EMAIL PROTECTED]; [EMAIL PROTECTED];
> [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED];
> [EMAIL PROTECTED]; [EMAIL PROTECTED]; [EMAIL PROTECTED];
> [EMAIL PROTECTED]
> Subject: RE: WEDI SNIP Forum to be Rescheduled!!!
> 
> 
> Just curious, but does CMS or OCR recognize "certified" HIPAA training?
> I see no mention of this in the regs.  I think we need to be very
> careful in promoting something as "certified" when it comes to HIPAA.
> 
> Perry Meyer
> Senior Vice President
> Iowa Hospital Association
> 

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.

Reply via email to