[openhealth] Re: list of diagnoses and procedures

2006-12-09 Thread Alex Caldwell
I can confirm this from doing my own billing in my practice. Only the code numbers are used. The descriptions are not included, neither on the printed CMS 1500 claim forms, nor the electronic ANSI X12 837 format. Alex Caldwell --- In openhealth@yahoogroups.com, Rod Roark <[EMAIL PROTECTED]> wrote

Re: [openhealth] Re: list of diagnoses and procedures

2006-12-09 Thread Rod Roark
Payers will always invent excuses to reject claims. However in my experience the CPT description is not submitted as part of a claim. Rod www.sunsetsystems.com On Saturday 09 December 2006 14:53, Peter Holt Hoffman wrote: > I have a question about this though: don't at least some payers > rejec

[openhealth] Re: list of diagnoses and procedures

2006-12-09 Thread Peter Holt Hoffman
I have a question about this though: don't at least some payers reject claims where the description is not 100% identical to what the AMA publishes? -- Peter. --- In openhealth@yahoogroups.com, Rod Roark <[EMAIL PROTECTED]> wrote: > > I think, then, a good web-based community project w

Re: [openhealth] Re: list of diagnoses and procedures

2006-12-09 Thread Rod Roark
I think, then, a good web-based community project would be the creation of a whole new set of codes and descriptions. However the codes would happen to map one-to-one with the CPT codes, and the mapping would be created/shared only among those with CPT licenses. Publications that reference CPT co

[openhealth] Re: list of diagnoses and procedures

2006-12-09 Thread mspohr
Copyright covers "expressions" of ideas and as such covers the AMA's descriptions. Theoretically, if you wrote different descriptions, they would not be covered by the AMA copyright. However, the AMA has been very aggressive in defending their monopoly on the codes so they might threaten a commun

Re: [openhealth] [Fwd: HSSP Passes Major Milestone Today!]

2006-12-09 Thread David Forslund
Thanks, Will! These are good links, too. The links I sent got an extra '_' added at the end which messed up the links. If you remove that underscore, you can get to the documents on the OMG site. Dave Will Ross wrote: > > The OMG link to the RFP documents is not working for me. > > Here's an

Re: [openhealth] Re: list of diagnoses and procedures

2006-12-09 Thread Rod Roark
That leads me to ask: does the AMA claim copyright on the CPT codes themselves, or just on the descriptions of the codes? If the latter, I think there would be a lot of merit in a community project to create and maintain new descriptions. I've been told that the AMA's descriptions are not very ph

Re: [openhealth] Re: list of diagnoses and procedures

2006-12-09 Thread 80n
This reminds me of a similar situation in the UK with postcodes (their equivalent of zip codes). Unlike the US where zip codes are in the public domain, the British Post Office owns the postcode database and protects it agressively. An enterprising group of people recently started an initiative a

Re: [openhealth] Open Source (and available for download) CPOE system?

2006-12-09 Thread Bhaskar, KS
Look for more information on VistA at http://worldvista.org & http://hardhats.org and downloads at.http://sourceforge.net/projects/worldvista The VivitAs are ISO images ready to *boot* & run on a PC with a 512MB or larger USB drive. The SemiVivA distributions are ready to load onto a PC that al

[openhealth] Re: list of diagnoses and procedures

2006-12-09 Thread mspohr
The AMA CPT codes have a tortuous history and are currently in a legally ambiguous place supported by aggressive AMA lawyers. It is similar to the legally tenuous position of the RIAA that they can control what you can do with the music you have purchased. A short history. In testimony before co

Re: [openhealth] [Fwd: HSSP Passes Major Milestone Today!]

2006-12-09 Thread Will Ross
The OMG link to the RFP documents is not working for me. Here's an alternate link to the RFP for the EIS. http://hssp-eis.wikispaces.com/ The corresponding wikispaces site for the RLUS has not been updated with their RFP, but here it is anyway. http://hssp-rlus.wikispaces.com/ As a fra

Re: [openhealth] Re: list of diagnoses and procedures

2006-12-09 Thread Tim Cook
Tim Cook wrote: > > I should have provided a reference for my quote. It is from the > "clickable" license agreement on the AMA site. > I should have probably also noted that they are available from the AMA on CD in ASCII for less than $100 / year. So it would be cheaper to purchase them than

Re: [openhealth] Re: list of diagnoses and procedures

2006-12-09 Thread Tim Cook
Alex Caldwell wrote: > Thanks Tim, > > I was going by the agreement on this page on the CMS site which links > to the download for the Excel file: > > http://www.cms.hhs.gov/apps/ama/license.asp?file=http://new.cms.hhs.gov/apps/ama/report_xyz.pdf > > It did not seem to me as restrictive as what