Why are you so opposed to this?
Keeping the old system indefinetely does not preclude a parallel, HIPAA
compliant feature. Why do you insist on replacing a working, mature system
with unproven technology.  As long as routing and transport mechanisms for
EDI are not standardized through HIPAA, it will be even dangerous and
irresponsible to to "replace" and shut down a working technology that plays
an important part in the delivery of healthcare.
Implicitly demanding the shut-down of a perfectly fine, working system
because of HIPAA seems terribly dogmatic.
I just saw the online system of Blue Cross of Alabama. It's a marvel and
works impressively for eligibility, claims, status, authorizations and so
on. The system is matured and through code tied into the systems of all
major providers.  People dread the thought of turning it off just to please
the letter of the law. BC of AL should seriously consider to keep the system
running until electronic exchange according HIPAA is proven, (for several
years in all practicality). I think trading partner agreements that extend
TPO status across to the consumers of these legacy services will satisfy the
intent of the law if not the letter.

Martin Scholl
<mailto:mscholl@;martinscholl.com>
<http://www.martinscholl.com>
301-924-5537 Voice
301-570-0139 Fax
301-613-9572 Cell


-----Original Message-----
From: Del Texley [mailto:dtexley@;lipa.net]
Sent: Thursday, October 17, 2002 1:03 PM
To: [EMAIL PROTECTED]
Subject: State Online system



Our state has an online system to look at eligibility and
claims/encouter data.  It's just a mainframe/telnet session via dialup,
leased line or internet.

At a meeting yesterday we were given information about some minor
changes to the system and of course it was asked what would be
replacing it for HIPAA compliance.  Imagine our surprise when the
state informed us the system would continue in it's current form
indefinately.

When quizzed about HIPAA issues we were told the Dept. of Justice
had determined that the system was "not DDE" because "no claims
data was input via the system" and was not performing HIPAA
transactions because "no files were being transferred" and was
therefore exempt from HIPAA.

The stand of the contractors in the meeting was that regardless of
whether the system was or wasn't DDE (which it is), the system was
transmitting PHI in an electronic format and therefore was required to
adhere to privacy requirements, such as encryption of the data.

I'm gathering information to send to the contact person as part of a
request to revisit the classification of this system.  Anybody have
some suggestions on documentation sources or comments on the
situation?

Thanks


Del Texley
LIPA Information Systems
(541) 484 6430



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