Almost all the federal agencies including HHS/CMS have gotten failing or
near failing grades from the GAO for network/computer security.  I think
using the internet is just another portal they will have difficulty
keeping secure.  There have been serious discussions in DC about
building a secured private LAN just for the federal government to get
them off of the internet for internal communications.

Regards,

David Frenkel
Business Development
GEFEG USA
Global Leader in Ecommerce Tools
www.gefeg.com
425-260-5030

-----Original Message-----
From: William J. Kammerer [mailto:[EMAIL PROTECTED]] 
Sent: Friday, May 03, 2002 11:39 AM
To: WEDi/SNIP ID & Routing
Subject: Medicare says 'no' to using the open internet

I came across Christine Stahlecker's presentation entitled
"Telecommunication and HIPAA: Issues, Concerns, Recommendations," given
at the HIPAA SUMMIT WEST II on March 13 in San Francisco, at
http://www.ehcca.com/presentations/HIPAAWest2/stahlecker.ppt.  In there,
she gives some "buzz" to our modest little work effort. Clearly, Chris
shares our vision of Open-EDI and frictionless trading using the
Internet, while still accommodating the important role of Clearinghouses
in supporting providers and payers.

Unfortunately, from what I can gather from one of Chris' bullets, a fly
in the ointment is Medicare's (CMS) refusal to entertain use of the
Internet for the exchange of standard EDI transactions because of real
or perceived security concerns.  Unless and until CMS changes its mind
and authorizes the use of the Internet to exchange HIPAA transactions
with Medicare contractors, we might have to provide some capability in
our Delivery Channel ("EDI Address") to accommodate dial-up or leased
line protocols -  regardless of what I said in "Should we even waste
time defining Delivery Channels (EDI Addresses) to accommodate non-IP
protocols?" last Tuesday.

Does anyone have any inside insight on CMS' resistance to using the
Internet for the exchange of standard transactions?

William J. Kammerer
Novannet, LLC.
+1 (614) 487-0320


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