Peter,
I
found your paper full of great ideas and I am circulating it within my own
organization. I do have one concern regarding the gathering of status
information.
I work
for a provider organization and we do use a clearinghouse but our clearinghouse
only knows what our status is with them. However,
there are many steps that lead up to the point of even submitting claims to our
clearinghouse to test.
1)status of our PMS HIPAA
upgrade,
2) our competence level with the IGs
3)status of our payer surveys and the collection and
review of Companion Guides
4)data gathering related to the requirements laid out
in the companion guides
5) completion of a gap analysis and all the other
countless things I have forgotten to mention.
If our CH uploads information regarding our HIPAA
status with them to the Data Gathering Website, it would not be a true
reflection of where we (the provider) are in the implementation efforts. If we
are trying to determine how ready the industry is then it seems to me we need to
know this type of information as well.
For example, we have done a Work Flow Inventory, a Gap
Analysis, modified many of our Patient Registration Forms to collect new date,
developed a comprehensive training program to train staff to collect the new
data, developed materials to explain to patients why we are asking all these new
questions, begun testing with a third party organization (prior to sending to
our CH), etc...
We are in a very different place than many of the other
providers that submit to the same CH that we use, but the CH does not record or
store this type of detail.
If we are going to take the time to gather industry
wide detail on where we are, don't we need to know this type of
information? Would the Clearinghouses be expected to gather this type of
information about their providers?
Susan
--------Original Message-----Attached is an updated copy of the Transition paper I presented at the WEDI conference last week. This builds on WEDI positions, but it does not in any way represent anyone's opinion by my own, errors and all. If it is useful to you, you may freely distribute it.
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
Sent: Thursday, May 29, 2003 1:44 PM
To: WEDI SNIP Transactions Workgroup List
Subject: Transiion Paper
Besides its recommendations, it may offer helpful description of the transition problem and business strategies to deal with it. It also addresses the contest between technical perfection and general conduct of business, the latter prevailing to my thinking.
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]
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