----- Original Message -----
From: "Martin Scholl" <[EMAIL PROTECTED]>
To: <[EMAIL PROTECTED]>
Sent: Tuesday, April 23, 2002 10:59 PM
Subject: Re: HIPAA Compliance Tests


> Excuse me, Marsha!
> I just went in selfdoubt to the Claredi website--> Free stuff
> There were 50 837's under WEDI SNIP defined testfiles.  They all have an
> error condition listed.  Broken 837's in my lingo
> Under business scenarios where another 30 or so testfiles. Maybe I am
struck
> with blindness, but there are no 4,700 scenarios. There are another 100 +-
> transaction pending but no data available.
> Let me get on my soapbox too.
> I don't want to belittle anybody's effort or hurt their feelings for all
the
> volunteer work that they are doing.  I am a member of MAHI, the
Mid-Atlantic
> Hipaa Initiative,  the local WEDI-SNIP initiative.  I know about volunteer
> efforts.
> But let's be for real here.  In 1 1/2 years we want to move 14 % of GDP,
> Gross domestic product of the US of A,  from various file formats and
paper
> to EDI.  9 Protocols for sure, more in the making.  This is EDI, the most
> non-intuitive data format on earth.  The average implementation for
Wal-Mart
> business partners takes 9 months before things work smoothly.  The
> healthcare industry as a whole is supposed to make it in 18 months now.
> There are only very few testfiles out. Only of one transaction set.  The
> routing group does not know at this point which information goes into the
> ISA header, to make sure routing will work.  There is no national
repository
> for routing information.  Is it Dial-up, ftp, VAN or what? Encryption with
> VAN, not with Dail-up. What encryption, PGP??  The transaction group is
now
> talking ebXML and CPP's while 9 out of 10 hospitals haven't even evaluated
> how they will handle HIPAA.  Most providers have no idea about HIPAA. They
> trust their vendors.  Some vendors have no clue, groping for knowledge in
> the same conferences that I go to, participating in the same email groups
> that I am in. HIPAA certification is a vague concept.  Claredi is praying
to
> be the chosen one.
> Other vendors see this as a prime opportunity to perpetuate their revenue
> stream by spreading FUDD, fear, uncertainty and disinformation, to get
their
> customers hooked on a proprietary solution with a per transaction fee.
> HIPAA transaction sets, aka administrative simplification, are hard work.
> They take time to understand, more time to implement and even more to
test.
> Just having 50 broken 837's and 30 good ones is not going to make this
> transition work.
> It might very well be that there are forces in the government who have no
> interest in the success of HIPAA transaction sets. Who wish they would go
> the way of the metrification.  You remember: In the 1970's this country by
> act of Congress went from the imperial system to the metric system.  The
> last time I checked, the US and Burma alone in this world still measure
> distances in feet, weight in ounces, temperature in Fahrenheit.  Don't be
> assured that a similar fate is not in store for the Clinton Healthcare
> reform. We all might be working our behinds off to get things ready, while
> Congress decides to grant one delay after the other until the issue goes
> away.
> I am not shy to do the heavy lifting, read the IG's , write parsers, test,
> tie in business rules and so on.  But for an effort of this magnitude, I
> believe the equipment supplied so far, in the form of a few testfiles of
one
> out of 9 protocols make this a leap of faith.
> So, now I feel I can climb down from my soap box.
> Feel free to join in this discussion but please, lets not get into
personal
> attacks.  We are all working hard.
>
> Martin Scholl
> Scholl Consulting Group, Inc.
> 301-924-5537 Tel
> 301-570-0139 Fax
> [EMAIL PROTECTED]
> www.SchollConsulting.com
>
>
>
>
>
>
> ----- Original Message -----
> From: <[EMAIL PROTECTED]>
> To: "Martin Scholl" <[EMAIL PROTECTED]>
> Cc: "Craig Frey" <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>
> Sent: Tuesday, April 23, 2002 12:45 PM
> Subject: Re: HIPAA Compliance Tests
>
>
> >
> > Martin,
> > I take exception to your response to Craig's question.  Normally I would
> > not bother answering you but when you insult the efforts of a small
group
> > of volunteers in SNIP and Claredi who have put in hundreds of volunteer
> > hours developing test scenarios and actual test files for the public's
use
> > ... at NO charge ... you bring out a fierce reaction.
> >
> > WEDI SNIP's Transaction Testing subwork group has created, and Claredi
has
> > been kind enough to voluntarily develop, test files for both Business
and
> > Technical tests using the X12N 837 Implementation Guides.
> >
> > There are over 4,700 Technical scenarios available at claredi.com under
> the
> > 'tab' FREE STUFF.  So I guess that would equate to a "few" to some
people,
> > who did not volunteer their time to work on the project.
> >
> > The Technical tests are syntactical tests looking to ensure 5 conditions
> > are handled:
> >       length too short
> >       length too long
> >       invalid entry
> >       missing entry and finally a
> >       correct entry
> > These tests are for fields and segments within the three 837 types.
> >
> > The Business Cases are circumstances specific as they relate to the use
of
> > the Implementation Guide.... what is required to create an Ambulance 837
> as
> > opposed to a Med/Surg 837 or a Home Infusion service.
> >
> > "Broken 837s" ?!  This term implies these tests do not perform the
actions
> > for which they were designed.  Based on that definition I beg to differ.
> >
> > As far as having to 'resort to using the samples in the Implementation
> > Guide' .... that's what the X12 authors wrote them for, the public to
use
> > the samples!  What a poor choice of words.
> >
> > And finally NONE ... I repeat NONE of the WEDI SNIP test scenarios
require
> > you to be a Claredi Customer!  In fact you will soon be able to access
> this
> > information using a link from the SNIP website.
> >
> > The problem is all of the work is strictly on a volunteer basis and each
> > one of us in SNIP ... including the dedicated people with Claredi...
have
> > full-time jobs already so there are more scenarios which need to be
> written
> > by the Testing SWG and created by Claredi.  There are over 600 people on
> > the Testing ListServ but there are only a dozen some volunteers who do
the
> > work.
> >
> > Perhaps Martin if you are so anxious for more test scenarios you are
> > volunteering to help us!  The Testing Group has a call every other week
at
> > 8AM Mountain and Pacific / 11 AM Eastern at 703-736-7290  call code
> > 1315339.  The next scheduled call happens to be this Thurs 4/25.
> >
> >
> > Marsha Solomon
> > Verizon Information Technologies Inc.
> > Managed Care Division
> > Phoenix, AZ
> > Phone - 602.678.6042
> > Fax   - 602.678.6331
> > E-mail - [EMAIL PROTECTED]
> >
> >
> > Confidentiality Notice: This e-mail message, including any attachments,
is
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> > contact the sender by reply e-mail and destroy  all copies of the
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> > message.
> >
> >
> >
> >
> >
> >
> >
> >
> >
> >
> >                       Martin Scholl
> >                       <mscholl@martinsc        To:       Craig Frey
> <[EMAIL PROTECTED]>, [EMAIL PROTECTED]
> >                       holl.com>                cc:
> >                                                Subject:  Re: HIPAA
> Compliance Tests
> >                       04/22/02 06:57 PM
> >
> >
> >
> >
> >
> >
> >
> >
> > That seems to be the problem right now.  Claredi just has a few broken
> > 837's.  I heard that WEDI is supposed to publish more but I havn't seen
a
> > thing yet.
> > I resorted to using the samples in the Implementation guides.
> > I heard Claredi has a lot more if you sign up with them.
> >
> > Martin Scholl
> > Scholl Consulting Group, Inc.
> > 301-924-5537 Tel
> > 301-570-0139 Fax
> > [EMAIL PROTECTED]
> > www.SchollConsulting.com
> >  ----- Original Message -----
> >  From: Craig Frey
> >  To: '[EMAIL PROTECTED]'
> >  Sent: Monday, April 22, 2002 5:47 PM
> >  Subject: HIPAA Compliance Tests
> >
> >
> >
> >
> >
> >
> >
> >
> >  Hi folks,
> >
> >  I have seen references to your group developing tests for HIPAA
> compliance
> >  in my search of the internet, and have found a set of tests you
published
> >  for one transaction. I was wondering what was happening with tests for
> the
> >  other transactions? Are there plans for publishing any more test
suites?
> >  If not, do you know of any source of valid and/or invalid data sets to
> >  build my own test suites from?
> >
> >  Thanks for your time,
> >
> >
> >
> >
> >
> >  Craig Frey
> >  Quality Assurance Engineer
> >  QA/Monrovia
> >  ph: (626)471-6260
> >  [EMAIL PROTECTED]
> >
> >
> >
> >
> >
> >
> >
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> >
> >
> >
>


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