Hi Julie - re: education and mediation services that HCCO might offer, I
hear you re: the appropriateness/importance of providing such a service.
For any covered entity, rat-ing a trading partner out to CMS is an extreme
measure to take, especially if all a covered entity wants to do is avoid
being pulled in multiple directions by multiple trading partners as details
of hipaa transaction conformance are ironed out.

I firmly believe that this mediation process must meet the following
standards:
1) It must integrate the HIPAA-mandated DSMO Change Request system
http://www.hipaa-dsmo.org/crs/, and respect the change request dispositions
made through that system since those decisions carry the force of law
2) It must provide feedback to the DSMOs (X12/HL7/NCPDP)
3) Its recommendations must be made open to the public (easily done through
submission of DSMO Change Requests)
If it doesn't meet these standards, how can the mediation process avoid
creating shadow standards?

Regarding your comment that HCCO will act as a completely neutral third
party whose goal is the achieve
 compliance with the standard and maintain the cost savings/reduction
originally planned in the legislation through the implementation of a single
transaction standard for all covered entities - How does that differ from
SNIP's mandate?

If HCCO and SNIP tackle this independently, for each issue one of two things
will happen
1) Great minds will think alike and a single resolution will be
independently developed.
2) Intelligent people will differ, and when they come together through the
DSMO process to debate their differences, the more rational argument will
win.  (as long as enough folks are willing to give their time to participate
on the mediation committees!)

Because the HIPAA legislation gives issue resolution authority to SNIP and
the DSMOs, I think the HCCO folks who would be willing to take on mediation
responsibility would be best advised to work instead through SNIP, since in
the end SNIP will have the force of law.  What's stopping HCCO'ers from
chairing SNIP subcommittees?  I know the SNIP Business Issues committee,
which considers and resolves some of the DSMO CRS-captured issues, had
committee chair positions open not too long ago - I don't know whether or
not they've been filled...

Best wishes!

Cynthia Korman
[EMAIL PROTECTED]

----- Original Message -----
From: "Julie Thompson" <[EMAIL PROTECTED]>
To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]>
Sent: Thursday, December 05, 2002 2:06 PM
Subject: RE: HCCO Value Proposition


> Correct other email dialogue offer the the FAQ in which CMS stated:
>
> CMS FAQ: How would someone file a complaint against a covered entity?
> CMS will develop a web-based complaint management process, and will
provide
> information on this process as part of our HIPAA outreach activities.
>
> As a part of HCCO due diligence to serve its members, we will offer
> education and mediation services which go beyond Medicaid and Medicare
> requirements.
>
> PLEASE, PLEASE DO NOT INTERPRET THIS AS THE HIPAA POLICE!
>
> This is purely, clearly intended to be a front line anonymous arbitration
> effort for our members. Many HCOs are unwilling to get directly involved
in
> trading partner issues. The relationships are too important!
>
> HCCO will act as a completely nuetral third party whose goal is the
achieve
> compliance with the standard and maintain the cost savings/reduction
> originally planned in the legislation through the implementation of a
single
> transaction standard for all covered entities.
>
> All is favor, Say "I"!
>
> THANKS!
>
> Julie A. Thompson
>
>
>
>
>
>
> From: "Rachel Foerster" <[EMAIL PROTECTED]>
> Reply-To: "WEDI SNIP Testing Subworkgroup List"
> <[EMAIL PROTECTED]>
> To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]>
> Subject: RE: HCCO Value Propistion
> Date: Thu, 5 Dec 2002 11:07:27 -0600
>
> I believe such an organization already exists - WEDi SNIP. Post 10/16/03
> complaints regarding non-compliance should be directed to the CMS
> enforcement arm headed up by Jared Adair.
>
> Rachel Foerster
>
> -----Original Message-----
> From: Julie Thompson [mailto:[EMAIL PROTECTED]]
> Sent: Wednesday, December 04, 2002 3:50 PM
> To: WEDI SNIP Testing Subworkgroup List
> Subject: HCCO Value Propistion
>
>
> I am working on several client implementations. There major concern is
lack
> of compliance (or none at all) from their trading partners.
>
> They do not want to cause a problem with their payors.
>
> What if there was an organization who they could report their concerns to,
> and this organization would act as a first level of education and/or
> mediation???"?
>
> Julie
>
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>
> ---
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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
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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 
unprofessional communication at any time.

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