George,
Just a point of clarification regarding the DSMO's role in maintaining the standards and how that relates to code sets. We (the DSMO's) do not have any role in the maintenance of existing code sets nor are we involved in the timing of their releases. All code set maintainers do this according to their procedures. The only role the DSMO's play relative to code sets and HIPAA is when there is a request for recognizing a NEW code set to be adopted as a HIPAA standard. A recent example would be the request for the addition of ABC codes as HIPAA standard codes. We recognize that this may not be clear to many in the industry so we are developing documentation to serve as guidance for anyone requesting the addition of a code set via the DSMO website. As soon as it is complete it will be posted on the DSMO website. Maria Ward Chair, DSMO Steering Committee "George Kaye" <[EMAIL PROTECTED]> on 04/08/2002 03:58:24 PM To: [EMAIL PROTECTED] cc: Subject: Code Set effectivity compliance testing 1 file attached If a payer performs compliance testing with a clearinghouse for code set effectivity for a professional claim (for example), has anyone thought through the process of what that testing should consist of, so that the payer can assume that those code sets will continue to be compliant from that clearinghouse on an ongoing basis regardless of: the type of professional claim (office visit, ambulance, physical therapy etc.), or when the code is impacted by new code set releases by the DSMO's? ------------------------------------------------------------------------------ CONFIDENTIALITY NOTICE: This message is intended only for the use of the individual or entity to which it is addressed and may contain information that is privileged, confidential or exempt from disclosure under applicable law. If the reader of this message is not the intended recipient or the employee or agent responsible for delivering the message to the intended recipient, you are hereby notified that you are strictly prohibited from printing, storing, disseminating, distributing or copying this communication. If you have received this communication in error, please notify us immediately by replying to the message and deleting it from your computer. Thank You, Antares Management Solutions. ============================================================================== To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?listusiness and enter your email address. The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited. (See attached file: C.htm) ---------------------------------------------------------------- The information transmitted is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmission, dissemination or other use of, or taking of any action in reliance upon, this information by persons or entities other than the intended recipient is prohibited. If you received this in error, please contact the sender and delete the material from any computer.
| Q If a payer performs compliance testing with a clearinghouse
for code set effectivity for a professional claim (for example), has
anyone thought through the process of what that testing should consist of, so
that the payer can assume that those code sets will continue to be compliant
from that clearinghouse on an ongoing basis regardless of:
To be removed from this list, go to: http://snip.wedi.org/unsubscribe.cfm?listusiness and enter your email address. The WEDI SNIP listserv to which you are subscribed is not moderated. The discussions on this listserv therefore represent the views of the individual participants, and do not necessarily represent the views of the WEDI Board of Directors nor WEDI SNIP. If you wish to receive an official opinion, post your question to the WEDI SNIP Issues Database at http://snip.wedi.org/tracking/. Posting of advertisements or other commercial use of this listserv is specifically prohibited. ------------------------------------------------------------------------------ |
