Of course trading partner specific stuff is legal....this is where much of the situational items are defined. The only prohibition is that any trading partner specific stuff not violate any of the HIPAA specifications.
It's the trading partner specific stuff (most often from the payer) that results in companion documents which give guidance to the providers such that when they submit a HIPAA compliant claim it can pass through the payer's adjudication system as cleanly as possible. After all, the goal is not to send a HIPAA complaint claim, the goal is to get paid! Rachel Rachel Foerster Principal Rachel Foerster & Associates, Ltd. Professionals in EDI & Electronic Commerce 39432 North Avenue Beach Park, IL 60099 Phone: 847-872-8070 Fax: 847-872-6860 http://www.rfa-edi.com -----Original Message----- From: William J. Kammerer [mailto:[EMAIL PROTECTED]] Sent: Tuesday, July 16, 2002 9:07 PM To: [EMAIL PROTECTED] Subject: Re: Testing for levels 3, 4, and 6 Chris: Can we take this discussion to one or the other of the WEDI/SNIP mailing lists, in order to avoid cross-posting? I suggest "Transactions," simply because discussion may uncover bigger issues than simply testing. Having said that, I'm sure the various purveyors of HIPAA validation tools and services must have the HIPAA IGs in some machine readable format, replete with business rules and access to standard code sets. Otherwise, they wouldn't be able to do HIPAA compliance testing (unless they had really lousy programmers who hard coded everything in their application code!!). So the stuff (machine readable IGs) obviously exists - though the vendors may treat these materials as valuable intellectual property, considering a lot of business knowledge is tied up in them. And once an IG has been codified in some interoperable standard, like SEF, it is not rocket science to produce an IMPDEF version (or vice versa). But I really want to know just what the heck anyone else (besides testing or translator vendors) would want with machine readable HIPAA IGs? Why would a payer or provider want to promulgate her own "subsets" of the HIPAA IGs? What kind of trading partner specific junk would you expect to see in one of these? Is trading-partner specific stuff even legal under HIPAA? William J. Kammerer Novannet, LLC. Columbus, US-OH 43221-3859 +1 (614) 487-0320 ----- Original Message ----- From: "Christopher J. Feahr, OD" <[EMAIL PROTECTED]> To: <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]>; <[EMAIL PROTECTED]> Sent: Tuesday, 16 July, 2002 09:16 PM Subject: RE: Testing for levels 3, 4, and 6 Rachel, I have a few questions about this... - What sort of labor is required to convert the plain text version of an X12 IG into the IMPDEF format? - How is the logic represented... SQL statements? - Do commercial translators reliably read IMPDEF documents today? - Are there other approaches to "machine-readable IGs" in reasonably wide use besides IMPDEF? - Will the XML versions of the standards eventually render some of this moot? Since we would only be talking about a different presentation format, it would seem that X12 IGs could be translated to IMPDEF without any specific HHS authorization... right? (I'm sure there must be a slew of problems with doing this... or we would have done it. Where is the current discussion taking place within X12?) Thanks, Chris At 03:14 PM 7/16/2002 -0500, Rachel Foerster wrote: >BTW, a colleague of mine already has the HIPAA 270, 820, 834 and 835 ICs and >a portion of the 837D in IMPDEF form. Christopher J. Feahr, OD http://visiondatastandard.org [EMAIL PROTECTED] Cell/Pager: 707-529-2268 ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ====================================================== 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. ********************************************************************** To be removed from this list, send a message to: [EMAIL PROTECTED] Please note that it may take up to 72 hours to process your request. ====================================================== 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.
