John,

I totally agree with Steve that these are 3 huge issues for HIPAA
transactions implementation. But, are they really a "testing" issue versus a
"gap" issue. Certainly these issues should have been identified,
addressed/resolved prior to the start of testing?????!!!! One of the goals
of testing would be to verify that in fact these gaps had been correctly
addressed.

Thus, my question is - is the testing WG the appropriate group to deal with
these issues or do they truly belong to another WG, transactions, for
example?

Rachel
Rachel Foerster
Principal
Rachel Foerster & Associates, Ltd.
39432 North Avenue
Beach Park, IL 60099
Voice: 847-872-8070
Fax: 847-872-6860
eMail: [EMAIL PROTECTED] <mailto:[EMAIL PROTECTED]>
http://www.rfa-edi.com


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]]
Sent: Friday, September 06, 2002 10:27 AM
To: [EMAIL PROTECTED]
Subject: Comments on White Paper


Hello all,

Per our call yesterday, below are the comments we need to consider from
Steve Lazarus.  Give them some thought and we will discuss further on the
19th.

Page 4, near the top.  I think that there are at least three major problems
that need to be outline here to illustrate a point which is discussed, but
not emphasized.  It is one that is easily overlooked until one actually
gets into the testing process.  The three problems are:

      a. Translators do not support all of the data elements because some
         do not have one to one translations.
      b. Print files for UB92 and HCFA1500 do not contain all of the data
         elements required for the 837, nor do all the data elements have
         the same definitions as for the 837.  This is a huge issue which
         can not be addressed by sending the print file to the
         clearinghouse.
      c. Source systems, as well as billing applications, must be upgraded
         to provide for total data capture and the new definitions of the
         data elements.

         _______________________________________________

         John Lilleston
         Technical Supervisor
         Verizon Information Technologies, Inc.
         Healthcare Solutions
         813-979-3225
         [EMAIL PROTECTED]
         http://www.VerizonIT.com/
         _______________________________________________


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