What if an organization sells software both directly and through channels to
those same covered entities? Or teams with a consulting service or other
vendor for remediation or in-stream validation?  Are you saying that this
would create the conflict of interest that would not allow an organization
to call itself "independent"?  I am thinking that if you are saying this, I
might agree with you...

-----Original Message-----
From: William J. Kammerer [mailto:[EMAIL PROTECTED]]
Sent: Friday, December 20, 2002 11:11 AM
To: WEDI SNIP Testing Subworkgroup List
Subject: Re: Who's on Third?


The for-profit vs. non-profit distinction is irrelevant.  The
"3rd-party" testing vendors have to pay their bills and employees (and
if for-profit, bestow largesse upon their shareholders), and thus must
charge for their services.  As long as they are directly charging the
CEs or vendors who are being tested, they may credibly call themselves
"3rd-party" validators, testers, certifiers or whatever.

If on the other hand, a testing company received any kind of
remuneration from others - especially if it's hidden - for testing, not
only would that be unethical, but it would not deserve to call itself
"independent" or a "3rd-party."  As an example, if the testing company
steered the CE to a particular remediation or consulting outfit based on
the results of the testing - and perhaps took a cut of the consulting
fees under the table - that would indeed be highly problematical.

There's no such thing as a free lunch.  Make a decision whether it's
worth it to have an independent and objective "3rd-party" test your
HIPAA transactions, and if so, pay them.

William J. Kammerer
Novannet, LLC.
Columbus, US-OH 43221-3859
+1 (614) 487-0320

----- Original Message -----
From: "Chris Brancato" <[EMAIL PROTECTED]>
To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]>
Sent: Friday, 20 December, 2002 10:01 AM
Subject: RE: Who's on Third?


Bill/John,

Is it fair to say then that independent 3rd party should be defined as
one without commercial profit motive? Is that what I'm reading? I, too
am getting lost. As we know, non-profit does not mean you don't make a
profit.


Chris Brancato

-----Original Message-----
From: William J. Kammerer [mailto:[EMAIL PROTECTED]]
Sent: Friday, December 20, 2002 9:52 AM
To: WEDI SNIP Testing Subworkgroup List
Subject: Re: Who's on Third?

John, you're losing me.  There would a conflict only if a "3rd-Party"
tester were selling translators, practice management or adjudication
systems or whatever - or offering remediation services - the very things
supposedly being tested.   None of Claredi (the Lord Voldemort of HIPAA
Validation - "He-Who-Must-Not-Be-Named"), Foresight and Edifecs sell the
types of software they purport to test.  Thus, they can each credibly
call themselves an "independent 3rd-party," whether they're selling
hosted testing services or desktop validation software.

William J. Kammerer
Novannet, LLC.
Columbus, US-OH 43221-3859
+1 (614) 487-0320

----- Original Message -----
From: "John Singer" <[EMAIL PROTECTED]>
To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]>
Sent: Thursday, 19 December, 2002 12:42 PM
Subject: Re: Who's on Third?


William,

You are right. In most of the US the certification is 2nd party as
currently defined as communities are naming the certifiers and demanding
to use them. My point was they are not true 3rd parties, nor independent
because of the underlying motivation of being able to make a software
sale to the client instead of just being in the business of being an
independent certifier with no monetary enticement on the backend.

John Singer
Duluth, MN.
--

----- Original Message -----
From: "William J. Kammerer" <[EMAIL PROTECTED]>
To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]>
Sent: Thursday, 19 December, 2002 12:04 PM
Subject: Who's on Third?


The 1st and 2nd parties would be the covered entities testing standard
transactions.  The testing or certification service is a "3rd party."
No certification or testing service is self-appointed:  at least one of
the parties (the "1st" party, usually the payer) has selected (or
"appointed") the vendor to serve as a proxy for itself in order to vet
trading partners.

William J. Kammerer
Novannet, LLC.
Columbus, US-OH 43221-3859
+1 (614) 487-0320

----- Original Message -----
From: "John Singer" <[EMAIL PROTECTED]>
To: "WEDI SNIP Testing Subworkgroup List" <[EMAIL PROTECTED]>

Sent: Thursday, 19 December, 2002 11:26 AM
Subject: Re: NCQA Certifies Compliance SNIP Comes Up Short


Marcallee,

One of the other major problems is WEDI definition of "third party".
Third parties as defined currently is incorrect, no such thing as a
self-appointed third party, that is called 1st party testing and also
how can you be considered "independent" when you sell software as a
vendor? You are not independent you are trying to sell your products...

Third party certifier have an organization watching over their shoulder!



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