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Don't know how many of you received the thread below from last week. Either way, I thought I'd update you on a couple of items that have transpired since.
A. X12N just this afternoon voted to publish their two new version 004050 Implementation Guides for use with HIPAA "Claims Attachments". Thus along with HL7's already approved XML-based Specifications, the key Standards Development Organization materials appear ready for reference in a Notice of Proposed Rule Making. See item #8 in the thread below.
B. I've received a number of inquiries about my company's presentation mentioned in the thread: "HIPAA TCS -- What's Next? Products, Processes, and Prognostications". For those who may be interested, following are some specifics about it.
Presentation Content:
A discussion of future TCS regulations, the processes that will be
followed in promulgating them, the methods by which progress
may be tracked, and some personal predictions on what to look
for when.
followed in promulgating them, the methods by which progress
may be tracked, and some personal predictions on what to look
for when.
Presentation Duration:
Approximately 1.5 hours.
Presentation Costs:
Presentation Costs:
Fixed fee plus travel expenses depending on sponsoring organization
type and location. Contact me should you desire specifics for your
organization.
That's it for this week of the February X12 Trimester Meeting.
Dave Feinberg
Rensis Corporation [A Consulting Company]
206-617-1717
Author of "Understanding HIPAA Communications"
----- Original Message -----
Sent: Wednesday, January 28, 2004 8:30 AM
Subject: Re: Review Periods and Implementation Timeframes for 4050 Version
Cory, et. al.,
I'd certainly be interested in the sources of the rumors you're reporting, below. As with all 'good' rumors, they seem a bit garbled from what I'm aware of. I'll do my best to explain what I can.
1. The Data Interchange Standards Association (DISA) is Accredited Standards Committee X12's secretariat. As such, among other functions, they publish X12's standards documents three times each year. [Release 005010 is just coming off the press as I write.]
2. X12's Insurance Subcommittee (X12N) has contracted with Washington Publishing Company to publish X12N's Implementation Guides: both adopted for HIPAA and not [the majority, actually]. DISA does not publish X12N's Implementation Guides.
3. There are never any addenda to the X12 standards -- from DISA or any other source; just new releases every four or so months. [The next future ones will be releases 005011, 005012, and 005020.]
4. Based on hard won experience from 2001 [a HIPAA odyssey?], X12N has sworn-off ever doing Implementation Guide addenda again! So far that oath is holding and I know of no Implementation Guide addenda in the works -- or even contemplated [other than in horror].
5. X12N has approved for publication a bunch of new Implementation Guides at varying versions subsequent to 004010. A complete set of version 004050 Implementation Guides that correspond to the 004010 + 004010A1 set adopted by HIPAA is among them. These version 004050 Implementation Guides are complete Implementation Guides, not addenda.
6. For many reasons too lengthy to list in this message, X12N has elected that the corresponding 004050 Implementation Guides not be proposed for adoption under HIPAA.
7. For many reasons too lengthy to list in this message, X12N has also decided, with two possible exceptions, to not propose any Implementation Guides for new transactions (e.g., claim acknowledgement, coordination of benefit verification, provider information, enrollment / eligibility roster), for consideration for HIPAA adoption at this time. [These new Implementation Guides can, of course, still be used voluntarily by anybody at any time.]
8. Depending on the outcome of the Informational Forum scheduled for next Tuesday afternoon, 2/03/2004, in Seattle, X12N may vote to publish -- via Washington Publishing Company and not DISA -- the two new version 004050 "Claims Attachments" Implementation Guides [what you refer to as 277 and 275; although that's a bit of a misnomer], and, if that occurs, may also vote to propose that they be considered for HIPAA adoption. Should both votes go this direction, then CMS' Office of HIPAA Standards (OHS), after a few predecessor hoops, would complete it's ongoing efforts to issue a Notice of Proposed Rule Making (NPRM) as a first step in promulgating them for HIPAA. [But please please don't ask me when such an NPRM would be issued; nobody can know yet.]
9. And finally, OHS has continued to inform X12N that they are keeping a 'rolling' NPRM slot available in case they need to propose changes to TCS regulatory policy -- only. At the present time, should any such NPRM be issued during the next year or two, it almost certainly would not mention any different X12N Implementation Guides: complete nor addenda.
I hope the above makes some sense. The processes involved are very complex and involve a multitude of organizations. Should you, or anybody, wish to learn more about all of this, my company has a new presentation, "HIPAA TCS -- What's Next? Products, Processes, and Prognostications" that you may contact me off list to arrange.
Also feel free to forward this complete message thread to others, including to those "various ListServs", whom you believe might find it useful.
As I carefully tell all my clients ... there's a lot of HIPAA information floating around out here. Be sure to know your sources so you can calibrate what you read. [For anybody wishing my professional vitals for this purpose, please contact me off list.] Good luck.
Dave Feinberg
Rensis Corporation [A Consulting Company]
206-617-1717
----- Original Message -----From: Dekker, CorySent: Tuesday, January 27, 2004 4:19 PMSubject: RE: Review Periods and Implementation Timeframes for 4050 VersionDavid,The rumor that we've seen in various ListServs is that there will be an "Addenda" release for HIPAA by DISA this year, but that instead of being based on 4010 versions of the covered transactions, they are looking at the 4050 versions. Additionally, it is expected that they will also add a few new transactions to HIPAA, including the 277A and 277/275. I suspect that Jim is asking about what you might know about these DISA efforts. In reading your response, it sounded more focused on the X12N side of these transactions, rather than the DISA/HIPAA side.Anything that you can share about the DISA side, either privately, or to the ListServ, would be appreciated.Thanks,-CoryCory Dekker
GWHIS HIPAA Project Analyst-----Original Message-----
From: David A. Feinberg, C.D.P. [mailto:dafeinberg@...]
Sent: Tuesday, January 27, 2004 4:21 PM
To: WEDI SNIP Transactions Workgroup List
Subject: Re: Review Periods and Implementation Timeframes for 4050 VersionJim,X12N's version 004050 Implementation Guides that correspond to those adopted under HIPAA are presently all already approved for publication. Their X12N public comment periods took place 12/02/2002 through 1/08/2003.At the moment, there are no plans to propose these version 004050 Implementation Guides for HIPAA adoption, so there will be no NPRM for them and hence no government sponsored review period.The next opportunities to get involved with X12N Implementation Guides are at the Trimester Meetings where versions 004060 and 005010 are presently being written. Information about these meetings can be found at http://x12.org/x12org/meetings/x12trimt/index.cfm .Hope this is what you were trying to find.Dave FeinbergRensis Corporation [A Consulting Company]206-617-1717----- Original Message -----From: Berlinger, JimSent: Tuesday, January 27, 2004 9:37 AMSubject: Review Periods and Implementation Timeframes for 4050 VersionGreetings to all,
I have looked through my email history of the various listservs but have not been able to locate them all. Can someone point me to where I can find out what the review periods are or going to be for changes to the 4050 version for the 837, 835, claim status, and authorization transactions?
I found info on the 270/271, 277 Request for Additional Information, and the 275 but have had no luck on the others.
As always, any help would be appreciated.
Regards,
JimJim BerlingerAMERIGROUP Corporation757.473.2737x33264 Office757.478.1926 Mobile757.233.6309 FAX
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