Voice response and faxback systems need not comply with the transaction standards, as 
the FAQ states.  Any computer to computer transactions must meet the format and 
content requirements of the standards.  

Web based portals that serve as direct data entry systems would need to meet the data 
content portions of the standards, but not the format.

Stanley Nachimson
HIPAA Project Team, CMS
410-786-6153

>>> <[EMAIL PROTECTED]> 05/02/02 06:32PM >>>
Ok, so in reading these two sections, does that mean HTML still must
conform?  If the format is XML, playing semantics, would it be exempt
because it is not expressly identified?  What about a closed system where
the data is NOT for billing purposes at all?

I'm in the process of spec'ing a system for a New England Public Health
Department that would be impacted by this.  Of course, privacy and security
are being built-in, however, since it is a closed system, not transactional
considerations were given thus far.

TMc

-----Original Message-----
From: Mosesso, Laura [mailto:[EMAIL PROTECTED]] 
Sent: Thursday, May 02, 2002 4:53 PM
To: [EMAIL PROTECTED] 
Subject: TCS: Voice Response Systems


> I am in search of clarification regarding Voice Response System
> requirements under the TCS rule.
>
> Page 50315 of the 8/17/00 Federal Registrar states that telephone voice
> response [systems] must conform to the data content portion of the
> standard, but not the format.
>
>       "Certain technologies present a special case for the use of standard
> transactions. We proposed that telephone voice response, ''faxback'', and
> Hyper Text Markup Language (HTML) interactions would not be required to
> follow the standard. We have since reevaluated this position in light of
> the many comments on this position and on developments in the EDI industry
> which continue to expand the options in this area. We have decided that,
> instead of creating an exception for these transmissions, we will
> recognize that there are certain transmission modes in which use of the
> format portion of the standard is inappropriate. However, the transaction
> must conform to the data content portion of the standard."
>
> But a 12/28/00 DHHS FAQ response states:
>       "Fax imaging and voice response transmissions are not subject to the
> HIPAA transactions standards but may have to meet privacy and security
> standards. Health plans may continue to offer these services, however,
> they must still be able to accept and send the HIPAA standard
> transactions."
> And the Medicare Managed Care FAQ's posted 3/26/02 states:
>       "Voice response or fax systems do not have to meet the data content
> requirements of the HIPAA standard."
>
> Can someone help clarify this seemingly conflicting information?
>
> Your feedback is appreciated.
>
> Laura A. Mosesso
> Coventry Health Care
> HIPAA/EDI Compliance Manager
> Email:  [EMAIL PROTECTED] 
>
>
>
>


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