Rishel,
1. Clearing House: By no means is there an attempt to eliminate the Clearing Houses on Day 1 !. It has not happened in other business so I guess it shall not happen here. Clearing Houses provide value so there is no business case for eliminating them. If that is the impression that has been created that was unintended. But I guess there are folks who do "communicate" with the payers directly. I have seen couple of mails in other discussion forums on this subject.
2. I concur that slide 3 and slide 4 look incompatible. Slide 4 is essentially a wish list or to be more precise a "long term objective". The folks in other industries are still struggling to get "third tier trading partners" into the EDI network. I agree there are some immediate dead lines and some of the points raised in the slide 4 may be at odds with the immediate deadlines.
3. My vote is Yes to "should" rather than "must".
Sanjeev N. Kulkarni
Chief Technical Officer
Advent Software Ltd.
+91-20-6119162
"Rishel,Wes" <[EMAIL PROTECTED]> wrote:
There was a lot of food for thought in this PPT.Some comments.It is not clear that entity neutrality is always the goal. The power relationship between payers and providers is not evenly balanced now and, although it is changed, it does not become evenly balanced as a result of HIPAA. If the author's intent would be to say that the approach should be neutral with respect to specific entities (e.g. specific certifying agencies) then I would agree up to a point. I would hate to see recommendations watered down solely because some one certifying agency couldn't handle a stronger recommendation.These recomendations include an apparent attempt to eliminate clearinghouses on day 1. A document developed with such a goal is likely to be less specific, and therefore less useful, than a set of recommendations that recognizes that we can only get to day 1 by relying on the clearinghouses. (We can have a great debate about what happens to clearinghouses over time, but for now the focus has to be on getting HIPAA implemented by the deadline or as close thereto as possible.)Slide 4 and following are inconsistent with slide 3, which limits the goal to achieving compliance with respect to the imp guides. Isn't the goal to make HIPAA work?Given the huge productivity gain associated with certification, at a time when productivity is desparately needed to meet the deadline, I would strongly favor a "should" use a certifying agency, although not a "must".-----Original Message-----
From: Sanjeev N Kulkarni [mailto:[EMAIL PROTECTED]]
Sent: Thursday, May 16, 2002 10:19 PM
To: [EMAIL PROTECTED]
Subject: Response to Testing_whitepaper040802KZ.doc
Hello Everyone,
Response to white paper attached.
Sanjeev N. Kulkarni
Chief Technical Officer
Advent Software Ltd.
+91-20-6119162-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent: Thursday, May 16, 2002 2:20 AM
To: [EMAIL PROTECTED]
Cc: [EMAIL PROTECTED]
Subject: Agenda for Next Testing SWG Meeting - 5/23/02
Hello everyone,
Our next Testing SWG Meeting will be held on 5/23 at 11 and we have a very full agenda. Please review the information below and try to come to the call prepared with you comments. Since we have two very large topics to discuss, we are going to place time limits for each subject. The call will start promptly at 11 eastern time so that we can allow sufficient time for
each subject. Thanks in advance for being punctual! :)
Agenda:
1) Gathering Test Data (30 minutes) - Sue and I had a long discussion today about the best way to approach this subject. As we all know, this has been one of our biggest challenges. Sue had a discussion with Kristin Becker and we have concerns as to WEDI's ability to give us the server space we will need for these. As a result, we need to discuss the ideas that Sue and I came up with. We thought it would be most beneficial to only collect HIPAA-compliant files. It is fairly simple to create negative test conditions from a compliant file. As far as housing the files go, we came up with the idea to either have people load their files onto their own web sites and we would link to the sites from the SNIP site or to ask for corporate sponsors from within the Testing SWG to volunteer to house the files. If you have any other ideas, please bring them up in the meeting.
2) Testing White Paper (30 minutes) - As you all know, Kepa has updated the Testing White Paper with a lot of information concerning Type 7 testing and certification. We need to review the paper and approve it as a group and move forward. However, I do not think we will get through the entire paper in 30 minutes so this will likely be continued into the next meeting. I will ask Kristin to post a link to the paper.
3) Sanjeev Kulkarni (5-10 minutes) - Sanjeev has an alternative testing approach he would like to introduce to us. We will give him a few minutes on the agenda to introduce the idea and we can add it to the next meeting for further discussion.
Also...FYI...I am updating the appendix to the Testing White Paper as it was prior to Kepa's changes with new vendor information and will be submitting it to the Transaction Co-Chairs for approval.
Thanks and I will see you next Thursday.
Kristin...please post a link to the white paper attached!! Thank you!
John
(See attached file: Testing_whitepaper040802KZ.doc)
_______________________________________________
John Lilleston
Technical Supervisor
Verizon Information Technologies, Inc.
Healthcare Solutions
813-979-3225
[EMAIL PROTECTED]
http://www.VerizonIT.com/
Do You Yahoo!?
LAUNCH - Your Yahoo! Music Experience ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
**********************************************************************
To be removed from this list, send a message to: [EMAIL PROTECTED]
Please note that it may take up to 72 hours to process your request.
Do You Yahoo!?
LAUNCH - Your Yahoo! Music Experience ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request.
