Rachel - My first message was my way of saying "cool it".  I know that
you know there are few on the list that enjoy a good debate the way I
do, so I'm not going to take your comments on that personally.  I'm also
not going to beat a dead horse so let's move on to the issue of
"certification". Separating product from process, if I understand the
assertion being made for certification, it is that:

1.  Certification summarizes for the tester the results of the business
scenarios included in the test.
2.  Certification allows an aggregate report of capabilities, thereby
protecting PHI.
3.  Certification assumes a less than 100% compliant file is to be
expected and so the pass rate should be identified and clients should be
certified if even one transaction proves to be compliant.

But I don't understand a few things:

1.  In the example given earlier, the provider was able to produce HIPAA
compliant primary claims but not secondary claims.  Shouldn't the
secondary claims have failed the test?
2.  89% of consultations failed certification.  Shouldn't those have
failed the test?
3.  Is it OK to be compliant with some of the transactions you send, or
are CE's required under the law to be fully compliant?
4.  If in fact an entity with a less than 1% pass rate can announce to
the 
World that it has met "certification" requirements through a third party
testing and certification authority, what does that mean for the
industry?
5.  Doesn't certification imply some independent analysis and
verification of validity?  If so, how do we know that the certifying
entity used real data?  What's to stop a vendor, provider or payer from
building rather than producing a compliant transaction and certifying
it?  

Hope this sets an example of vendor free jargon and assists in the
discussion on this topic.

Marcallee




-----Original Message-----
From: Rachel Foerster [mailto:[EMAIL PROTECTED]] 
Sent: Monday, November 25, 2002 5:43 PM
To: WEDI SNIP Testing Subworkgroup List
Subject: RE: VALIDATION or Certification

Kepa's message was not a discussion of the quality of its
products/services.
Rather, it seemed to me to be a very detailed description of Claredi's
capabilities and ultimately, of one supplier's capabilities pertinent to
analysis and debate of the concepts of testing and certification. If I
was a
competitor I would certainly go to school on his message. If other
vendors
then wish to describe in similar detail what their capabilities are, the
industry will then become a much more informed consumer...and industry
feedback will only serve to further improve the vendor's
products/services
for the good of all.

Personally, I don't think vendors will overly abuse this forum to purely
pitch their products/services, since in doing so would most likely have
the
opposite effect of what they wish to have happen....driving potential
buyers
away from them rather than bringing buyers to them.

I don't believe that by allowing freer debate, argument, discussion and
disclosure of capabilities will open any floodgates of vendor
propaganda,
but rather actually be a force for vendors to engage with the industry
in
open discussion to gain agreement on critical concepts and methods with
those who would actually use their solutions. This type of openness is
prevalent and encouraged in many other national and global discussion
lists
where standards are actually developed, resulting in much better
standards
and solutions.

BTW, what do you mean when you say " . . .it seems the real topic here
is to
what extent does analysis need to occur?" Analysis of what? It seems to
me
that analysis is exactly what is starting to take place: analysis of
what is
testing (truly), what is certification (truly), what should it be
(actually)
and most importantly, a forum and venue for the end users (providers and
health plans) to have a voice into these topics. Rather than being
afraid of
a bit of commercialism, perhaps we should embrace it. People on this
list
are perfectly capable of telling a vendor to "cool it" if they become
too
self-serving. I think we should have a little bit of faith in the
discernment and judgment of people here to weed out the snake merchants
from
the others.

Rachel Foerster

-----Original Message-----
From: Marcallee Jackson [mailto:[EMAIL PROTECTED]]
Sent: Monday, November 25, 2002 10:34 AM
To: WEDI SNIP Testing Subworkgroup List
Subject: RE: VALIDATION or Certification


I don't think this is an appropriate use of the list serve.  Though I
understand Kepa's message was in response To Rama's, this kind of email
is too close to a sales pitch.  It gives other vendors no choice but to
respond in kind.  Now, if we want the list to turn into a forum for
vendors to discuss the quality of their products and benefits of its
features in comparison to others, we can make that choice, but unless
we're ready to open the door to everyone with a testing product to plug,
I suggest this discussion change direction.

Whether you call it testing or certification, it seems the real topic
here is to what extent does analysis need to occur?  That's a valid
discussion but product comparisons do not belong here.


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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/.   These listservs should not be used for 
commercial marketing purposes or discussion of specific vendor products and services.  
They also are not intended to be used as a forum for personal disagreements or 
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