And in the spirit of what Paul describes below... remember that all IG's
that eventually make their way to be adopted by HHS for HIPAA will first go
through the DSMO process. This means all DSMOs, X12N included, will have
an opportunity to provide commentary and input to whether the guide and its
content is appropriate for HIPAA use.
The point is that when you want content changed on any IG whether it's
X12N/ HL7 or NCPDP you can also enter those requests for changes into the
DSMO Change Request System. The reason HHS named DSMOs and charged them
with developing a process to manage the maintenance the EDI standards
adopted for use in HIPAA is so that there can be a single point of entry
for everyone to enter change requests, and also so that a much larger group
of committees and broader industry representation can provide input to the
discussion around the business need for data. Of course the SDOs can also
be the point of entry if that's the path the requester chooses - that's
perfectly fine, just remember this is what the DSMO process was developed
for.
>From the MOU developed by all DSMOs and HHS: (the MOU is available at
the Change Request System : www.hipaa-dsmo.org)
Purpose and Scope
The purpose of this MOU is to outline a framework of cooperation between
and among the Standards Development Organizations (SDOs) and Data Content
Committees (DCCs) designated by the Secretary of HHS (the Secretary) to
play an active role in the HIPAA Administrative Simplification transactions
maintenance process. These organizations agree to work together to manage
the change request process affecting the transaction standards adopted by
HHS under HIPAA. This includes all necessary and appropriate modifications
to the standard implementation guidelines/manuals and documentation as well
as the related data dictionaries. It also includes review of requests to
add new functionality or new transactions to the HIPAA standards. This MOU
documents the overall process for coordinating the review of HIPAA Standard
Change Requests among these organizations. More detail of the coordination
process can be found in Annex 1. Specific information on how each SDO and
DCC will handle its review can be found on each organization's Web site.
The URLs for those Web sites are listed in Annex 2.
Maria
Maria Ward
PricewaterhouseCoopers, LLP
Healthcare Consulting Practice
312.298.2586
Chair, DSMO Steering Committee
"Paul Weber"
<wediweb@singapore To: <[EMAIL PROTECTED]>
.com> cc: [EMAIL PROTECTED]
07/11/2002 06:03 Subject: RE: req vs. situation -
companion documents
PM
Please respond to
transactions
A friendly reminder: DHHS has nothing to do with converting fields from not
used to used in implementation guides or addenda. These are not DHHS nor
HIPAA implementation guides, but X12 guides.
The X12 transaction implementation guides are industry guides written by
volunteers at X12. DHHS may choose to adopt our X12 industry guides for use
under HIPAA, but do not control content.
Paul Weber
916-449-6970
----- Original Message -----
From: [EMAIL PROTECTED]
Date: Thu, 11 Jul 2002 15:44:33 -0700
To: <[EMAIL PROTECTED]>
Subject: RE: req vs. situation - companion documents
> I believe your payer is incorrect. 'Not used' would mean just that,
unless
> DHHS converted it to a used field in a future addendum or update.
> Your payer client needs to understand that this is a national standard -
> not his company's private application.
> I work for a payer too and I can assure you that your client will not be
in
> compliance if he requires use of a 'not used' field.
>
>
>
>
> Janie Miller
> <Janie.Miller To:
"'[EMAIL PROTECTED]'" ><[EMAIL PROTECTED]>
> @QCSI.com> cc:
> Subject: RE: req vs.
situation - companion documents
> 07/11/2002
> 03:39 PM
> Please
> respond to
> transactions
>
>
>
>
>
>
> I work for a vendor providing payer solutions. One of our clients has
> stipulated this as one of their business requirements within an 834. I
> just
> wanted to be sure to understand the legal side of it.
>
> -----Original Message-----
> From: David Frenkel [mailto:[EMAIL PROTECTED]]
> Sent: Thursday, July 11, 2002 3:23 PM
> To: [EMAIL PROTECTED]
> Subject: RE: req vs. situation - companion documents
>
>
> Janie,
> You don't have to mention names but has somebody asked you use 'NOT
> Used' fields?
>
> Regards,
>
> David Frenkel
> Business Development
> GEFEG USA
> Global Leader in Ecommerce Tools
> www.gefeg.com
> 425-260-5030
>
> -----Original Message-----
> From: Janie Miller [mailto:[EMAIL PROTECTED]]
> Sent: Thursday, July 11, 2002 1:02 PM
> To: '[EMAIL PROTECTED]'
> Subject: req vs. situation - companion documents
>
> Probably ignorant questions, but I must clarify for my own sanity:
>
> In a companion document, is it HIPAA compliant for a covered entity to
> "require" certain "situational" loops/segments/data elements of its
> trading
> partner(s)? What about when the covered entity wants to "require"
> certain
> specific data in "NOT USED" description fields?
>
>
>
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