Posting it here from the Biz issues listserv, as I mentioned in the conference call today morning. --Rama.
-----Original Message----- From: Jensen, Martin [mailto:[EMAIL PROTECTED] Sent: Friday, June 13, 2003 3:39 PM To: WEDI Business Issues Subworkgroup List Subject: RE: Who Pays for Testing? Peter - As usual, your arguments are well thought out, rational and reasonable. However, the law does not designate any single testing service as defining what "HIPAA Compliant" means. For the payer to insist (as only payers have the power to do) that providers use a PARTICULAR testing service, they have created an obstacle to my sending them a compliant transaction, which the regulations clearly disallow. Should the payer enter into a financial arrangement with said service to share the revenues thus generated, they have charged me for putting that obstacle between my compliant transaction and their front door. We invested a lot of research identifying a translator vendor that could validate against the X12N standards. We then invested a good deal more in the tool and its validation engine. We now continue to cross-check the output of that translator against one of the free services available to the industry. For a trading partner to insist that I subscribe to a different service, under the presumption that my transactions are noncompliant, represents an unfair burden on MY testing resources. When they accept money under that requirement, they violate Federal law. What is more, all our testing has proven that no one has cornered the market on HIPAA compliance. The only thing that matters is getting a claim past a particular payer's edits, whether they be loose, tight, or outright noncompliant. -----Original Message----- From: [EMAIL PROTECTED] To: WEDI Business Issues Subworkgroup List Sent: 6/13/2003 3:39 PM Subject: Who Pays for Testing? I am attaching excerpts from two papers that bear on the listserv discussion about who pays for testing. Both papers are available electronically on request and may be freely distributed. Peter Peter Barry Peter T Barry Company Independent Consulting Health Care and Information Systems Ozaukee Bank Building 1425 West Mequon Road Mequon Wisconsin 53092 (414) 732 5000 (national cell) [EMAIL PROTECTED] --- 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. You are currently subscribed to wedi-testing as: [EMAIL PROTECTED] To unsubscribe from this list, go to the Subscribe/Unsubscribe form at http://subscribe.wedi.org or send a blank email to [EMAIL PROTECTED] If you need to unsubscribe but your current email address is not the same as the address subscribed to the list, please use the Subscribe/Unsubscribe form at http://subscribe.wedi.org
