Re: [Hardhats-members] VHA RFI for VistA
Well I read it and it is discussing part of billing I know little about, except the part where you get inaccurate information and have to spend a lot of time on the telephone with the insurance company. That is universal. I am curious if any insurers are geared up to provide this specific information that is not in the minimal HIPAA transaction. If they want to save money by denying payment, which I have little doubt that insurers do, what is their incentive to cooperate with the VA in providing this information freely and electronically? This seems destined NOT be an Open Source solution because the company providing this service will not want to make it easy to have this solution become generalized and save ALL parties trying collect from insurance companies money. It might put them out of business and save lots of money for everyone. There would not be the political will for making it work as an across the board solution. If there were, the HIPAA transaction set would not be minimal, it would be MANDATED by the Federal government to be SUFFICIENT and special requests for additional information would not be allowed to prevent encumber the billing process and delay paying. I am sure there were LOTS of lobbyists that made sure that HIPAA wasn't comprehensive. If the VA actually succeeded in coming up with a way to electronically query all insurance providers and were to force this solution to be Open Source, imagine the money that could be saved on healthcare by everyone, not just the VA. It could readily be adopted as a standard. Let's hope the VA will have the vision to force it to be a comprehensive and Open Source solution as they make their choices. On Saturday 18 February 2006 13:42, Nancy Anthracite wrote: I see now. Click on synopsis. The thing sure is hard to read. On my browser it is one big run on paragraph even though it is apparently numbered list, but I will give it a whirl. On Saturday 18 February 2006 13:18, Nancy Anthracite wrote: Do you have to register to see the full text of this, or maybe I have to do it from a Windows system? I just see a page with the number of RFI on it but no text an an offering to register. On Friday 17 February 2006 18:27, Richard Schilling wrote: Please see http://www.fbo.gov/spg/VA/VAAOAS/VADC/101%2D10%2D06/listing.html This is only an RFI, but I'd like to get some open discussion going about what the VA is wanting to accomplish and collect additional information about the existing setup. Unfortunately, VHA has declared (as part of the RFI) that it will not respond to questions or inquiries. Perhaps having an open discussion would be good, but I'd also be willing to have offline discussions as well. Here are some relevant text from the RFI announcement: "VHA has also used external vendors, primarily Public Consulting Group, to identify health insurance coverage for its patients. VHA is specifically interested in solutions that will leverage its investments in the HIPAA standard transactions and data integration. Technology Environment: VHA operates a distributed practice management software application, Veterans Health Information Systems and Technology Architecture (VistA) .. Within each VistA system, patient health insurance information is maintained, including data about the payer/health plan, insurance plan, coverage dates and benefits. This data is then used in the billing process to generate medical claims to the appropriate health plan. Like many healthcare provider organizations, VHA does not feel that they have had adequate return on investment for the implementation of the HIPAA standard eligibility inquiry and response. The following are issues that of particular interest that VHA would like responders to address in their responses to this RFI: * Limited Payer Access * Payer Identification * Unreliable Payer Responses VHA is open to a 'best of breed' approach to solutions. " Richard Schilling Cognition Group Seattle, WA phone: 206.774.5951 --- This SF.net email is sponsored by: Splunk Inc. Do you grep through log files for problems? Stop! Download the new AJAX search engine that makes searching your log files as easy as surfing the web. DOWNLOAD SPLUNK! http://sel.as-us.falkag.net/sel?cmd=lnk&kid=103432&bid=230486&dat=121642 ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members -- Nancy Anthracite --- This SF.net email is sponsored by: Splunk Inc. Do you grep through log files for problems? Stop! Download the new AJAX search engine that makes searching your log files as easy as surfing the web. DOWNLOAD SPLUNK! http://sel.as-us.falkag.net/sel?cmd=lnk&kid=103432&bid=230486&dat=121642 __
Re: [Hardhats-members] VHA RFI for VistA
You don't have to register. Click on the link that says "Synopsis" toward the bottom of the page. Richard Schilling Cognition Group Seattle, WA Nancy Anthracite wrote: Do you have to register to see the full text of this, or maybe I have to do it from a Windows system? I just see a page with the number of RFI on it but no text an an offering to register. On Friday 17 February 2006 18:27, Richard Schilling wrote: Please see http://www.fbo.gov/spg/VA/VAAOAS/VADC/101%2D10%2D06/listing.html This is only an RFI, but I'd like to get some open discussion going about what the VA is wanting to accomplish and collect additional information about the existing setup. Unfortunately, VHA has declared (as part of the RFI) that it will not respond to questions or inquiries. Perhaps having an open discussion would be good, but I'd also be willing to have offline discussions as well. Here are some relevant text from the RFI announcement: "VHA has also used external vendors, primarily Public Consulting Group, to identify health insurance coverage for its patients. VHA is specifically interested in solutions that will leverage its investments in the HIPAA standard transactions and data integration. Technology Environment: VHA operates a distributed practice management software application, Veterans Health Information Systems and Technology Architecture (VistA) .. Within each VistA system, patient health insurance information is maintained, including data about the payer/health plan, insurance plan, coverage dates and benefits. This data is then used in the billing process to generate medical claims to the appropriate health plan. Like many healthcare provider organizations, VHA does not feel that they have had adequate return on investment for the implementation of the HIPAA standard eligibility inquiry and response. The following are issues that of particular interest that VHA would like responders to address in their responses to this RFI: * Limited Payer Access * Payer Identification * Unreliable Payer Responses VHA is open to a 'best of breed' approach to solutions. " Richard Schilling Cognition Group Seattle, WA phone: 206.774.5951 --- This SF.net email is sponsored by: Splunk Inc. Do you grep through log files for problems? Stop! Download the new AJAX search engine that makes searching your log files as easy as surfing the web. DOWNLOAD SPLUNK! http://sel.as-us.falkag.net/sel?cmd=lnk&kid=103432&bid=230486&dat=121642 ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members --- This SF.net email is sponsored by: Splunk Inc. Do you grep through log files for problems? Stop! Download the new AJAX search engine that makes searching your log files as easy as surfing the web. DOWNLOAD SPLUNK! http://sel.as-us.falkag.net/sel?cmd=lnk&kid=103432&bid=230486&dat=121642 ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] VHA RFI for VistA
I see now. Click on synopsis. The thing sure is hard to read. On my browser it is one big run on paragraph even though it is apparently numbered list, but I will give it a whirl. On Saturday 18 February 2006 13:18, Nancy Anthracite wrote: Do you have to register to see the full text of this, or maybe I have to do it from a Windows system? I just see a page with the number of RFI on it but no text an an offering to register. On Friday 17 February 2006 18:27, Richard Schilling wrote: Please see http://www.fbo.gov/spg/VA/VAAOAS/VADC/101%2D10%2D06/listing.html This is only an RFI, but I'd like to get some open discussion going about what the VA is wanting to accomplish and collect additional information about the existing setup. Unfortunately, VHA has declared (as part of the RFI) that it will not respond to questions or inquiries. Perhaps having an open discussion would be good, but I'd also be willing to have offline discussions as well. Here are some relevant text from the RFI announcement: "VHA has also used external vendors, primarily Public Consulting Group, to identify health insurance coverage for its patients. VHA is specifically interested in solutions that will leverage its investments in the HIPAA standard transactions and data integration. Technology Environment: VHA operates a distributed practice management software application, Veterans Health Information Systems and Technology Architecture (VistA) .. Within each VistA system, patient health insurance information is maintained, including data about the payer/health plan, insurance plan, coverage dates and benefits. This data is then used in the billing process to generate medical claims to the appropriate health plan. Like many healthcare provider organizations, VHA does not feel that they have had adequate return on investment for the implementation of the HIPAA standard eligibility inquiry and response. The following are issues that of particular interest that VHA would like responders to address in their responses to this RFI: * Limited Payer Access * Payer Identification * Unreliable Payer Responses VHA is open to a 'best of breed' approach to solutions. " Richard Schilling Cognition Group Seattle, WA phone: 206.774.5951 --- This SF.net email is sponsored by: Splunk Inc. Do you grep through log files for problems? Stop! Download the new AJAX search engine that makes searching your log files as easy as surfing the web. DOWNLOAD SPLUNK! http://sel.as-us.falkag.net/sel?cmd=lnk&kid=103432&bid=230486&dat=121642 ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members -- Nancy Anthracite --- This SF.net email is sponsored by: Splunk Inc. Do you grep through log files for problems? Stop! Download the new AJAX search engine that makes searching your log files as easy as surfing the web. DOWNLOAD SPLUNK! http://sel.as-us.falkag.net/sel?cmd=lnk&kid=103432&bid=230486&dat=121642 ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
Re: [Hardhats-members] VHA RFI for VistA
Do you have to register to see the full text of this, or maybe I have to do it from a Windows system? I just see a page with the number of RFI on it but no text an an offering to register. On Friday 17 February 2006 18:27, Richard Schilling wrote: Please see http://www.fbo.gov/spg/VA/VAAOAS/VADC/101%2D10%2D06/listing.html This is only an RFI, but I'd like to get some open discussion going about what the VA is wanting to accomplish and collect additional information about the existing setup. Unfortunately, VHA has declared (as part of the RFI) that it will not respond to questions or inquiries. Perhaps having an open discussion would be good, but I'd also be willing to have offline discussions as well. Here are some relevant text from the RFI announcement: "VHA has also used external vendors, primarily Public Consulting Group, to identify health insurance coverage for its patients. VHA is specifically interested in solutions that will leverage its investments in the HIPAA standard transactions and data integration. Technology Environment: VHA operates a distributed practice management software application, Veterans Health Information Systems and Technology Architecture (VistA) .. Within each VistA system, patient health insurance information is maintained, including data about the payer/health plan, insurance plan, coverage dates and benefits. This data is then used in the billing process to generate medical claims to the appropriate health plan. Like many healthcare provider organizations, VHA does not feel that they have had adequate return on investment for the implementation of the HIPAA standard eligibility inquiry and response. The following are issues that of particular interest that VHA would like responders to address in their responses to this RFI: * Limited Payer Access * Payer Identification * Unreliable Payer Responses VHA is open to a 'best of breed' approach to solutions. " Richard Schilling Cognition Group Seattle, WA phone: 206.774.5951 --- This SF.net email is sponsored by: Splunk Inc. Do you grep through log files for problems? Stop! Download the new AJAX search engine that makes searching your log files as easy as surfing the web. DOWNLOAD SPLUNK! http://sel.as-us.falkag.net/sel?cmd=lnk&kid=103432&bid=230486&dat=121642 ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members -- Nancy Anthracite --- This SF.net email is sponsored by: Splunk Inc. Do you grep through log files for problems? Stop! Download the new AJAX search engine that makes searching your log files as easy as surfing the web. DOWNLOAD SPLUNK! http://sel.as-us.falkag.net/sel?cmd=lnk&kid=103432&bid=230486&dat=121642 ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
[Hardhats-members] VHA RFI for VistA
Please see http://www.fbo.gov/spg/VA/VAAOAS/VADC/101%2D10%2D06/listing.html This is only an RFI, but I'd like to get some open discussion going about what the VA is wanting to accomplish and collect additional information about the existing setup. Unfortunately, VHA has declared (as part of the RFI) that it will not respond to questions or inquiries. Perhaps having an open discussion would be good, but I'd also be willing to have offline discussions as well. Here are some relevant text from the RFI announcement: "VHA has also used external vendors, primarily Public Consulting Group, to identify health insurance coverage for its patients. VHA is specifically interested in solutions that will leverage its investments in the HIPAA standard transactions and data integration. Technology Environment: VHA operates a distributed practice management software application, Veterans Health Information Systems and Technology Architecture (VistA) .. Within each VistA system, patient health insurance information is maintained, including data about the payer/health plan, insurance plan, coverage dates and benefits. This data is then used in the billing process to generate medical claims to the appropriate health plan. Like many healthcare provider organizations, VHA does not feel that they have had adequate return on investment for the implementation of the HIPAA standard eligibility inquiry and response. The following are issues that of particular interest that VHA would like responders to address in their responses to this RFI: * Limited Payer Access * Payer Identification * Unreliable Payer Responses VHA is open to a 'best of breed' approach to solutions. " Richard Schilling Cognition Group Seattle, WA phone: 206.774.5951 --- This SF.net email is sponsored by: Splunk Inc. Do you grep through log files for problems? Stop! Download the new AJAX search engine that makes searching your log files as easy as surfing the web. DOWNLOAD SPLUNK! http://sel.as-us.falkag.net/sel?cmd=lnk&kid=103432&bid=230486&dat=121642 ___ Hardhats-members mailing list Hardhats-members@lists.sourceforge.net https://lists.sourceforge.net/lists/listinfo/hardhats-members
