Hi,

I am attaching some comments, observations and feedback to this white paper
which if possible we would like to discuss and clarify during the call
today.  It is possible that we are mis-interpreting certain items and
observations made within this white paper so clarifications by members of
this group and authors of this white paper during the call today will allow
us to resolve them.

I have attached a word document detailing the items.

Thanks,
sunny

-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]] 
Sent: Monday, June 10, 2002 12:12 PM
To: [EMAIL PROTECTED]
Subject: SNIP Testing Minutes 6/6/02



Transaction Testing SWG
Minutes from the Conference Call Meeting held Thursday, June 6, 2002

The purpose of this call was to review the version of the Certification and
Compliance Testing White Paper currently being developed.

John quickly re-explained the rationale behind issuing an updated version of
Appendix A, without waiting for the rest of the completely revised paper.
The group feels that Appendix A is so obsolete, and inaccurate that a more
current copy needs to go to the website as soon as possible and not be held
up by the extensive changes to the entire paper.

John also looked for volunteers to take over "coordinatorship" /
"ownership", the original writers focuses' have broadened out into many
other areas.  And again, there were no volunteers.  John resigned to taking
over the assignment himself.

The tone of the document was the primary topic much of the call.
-  being sure to include a 'vendor neutral' statement in the paper to
reiterate that we are not endorsing, sponsoring, or specifically singling
out one vendor over another.  We are all volunteers who are employed by
organizations, some of these organizations are in a position, and are
philanthropic enough to take advantage of the position, to lend their
support in more ways than by offering volunteers.  This additional support
should not be seen as an endorsement by WEDI SNIP of that organization or
its products.
-  being sure the tone of the new version is toward 'validation' downplaying
'certification'

This discussion led to another discussion about the approach to testing and
Type #7
-  Should the approach involve just the Implementation Guides or the Partner
compliance agreements (so-called Companion Guides)
-  Are Partner compliance agreements (so-called Companion Guides)
appropriate to the Business-To-Business Testing paper, while this Compliance
Testing paper should refer to the special payors/program testing
specifically referred to in the Rule (Medicare, Medicaid, Indian Health.)
-  Examples were given to illustrate that validating companion testing and
the Guides have many of the same aspects including standards validation.
-  Most on the call want the name/description for Type #7 changed
-  It seemed to be generally accepted that the compliance testing paper
would refer the reader to the B-2-B paper and have a more thorough
discussion in that paper.  However, we are going to stay focused on
completing and issuing the Compliance testing paper and not get sidetracked
with beginning to develop a new version of the B-2-B right now.
-  Comments were also made regarding the misconception of Certification
being mandated. Quoting from page 50342 of the TCS Final Rule: "Since the
HIPAA provisions do not require the Secretary to certify compliance with
HIPAA  standards, the Secretary is not conducting certification reviews or
recognizing private organizations that have decided to conduct such reviews.
Therefore, any certification of commercial entities performing validation
testing will remain in the private domain and be voluntary. While receivers
of transactions are likely to test whether a vendor that claims to be HIPAA
compliant is, in fact, producing compliant transactions, this is a matter of
business practice, and such tests are not being mandated in this rule."

John committed to issuing an updated document by the Monday before the next
call ... so Monday June 17.

The remainder of the time on the call was then turned over to Sanjeev
Kulkarni for a review of his concerns regarding Test Files received and made
available through SNIP.  He talked about need to statements about the
objective, purpose and description to accompany each file.  The Submitter
should also identify who validated the material in the file.  This way
entities who were interested in Home Infusion Therapy Tests would be able to
pick these files and not "waste" test time by picking a test file with
Ambulance Claims.  Claredi has indicated that they have adequate storage
available for the 'public' to submit their test files, and we won't have to
link to multiple sites.

Sanjeev will write and distribute his suggestions for us to review before
the next call.

The tentative agenda for the next call ... Thursday June 20th ... 8 AM
Pacific ... 11 AM Eastern at 703.736.7290 pass code 1315339 Review
Compliance Testing White Paper
      -  John's updates as well as
      -  Sanjeev's review
Review of Sanjeev's Test File recommendations

If you have any questions, or your notes don't agree with mine, please let
me know. Marsha


Verizon Information Technologies Inc.
Managed Care Division
Phoenix, AZ
HOME OF THE WORLD CHAMPION ARIZONA DIAMONDBACKS
Phone - 602.678.6042
Fax   - 602.678.6331
E-mail - [EMAIL PROTECTED]


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