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
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