Re: Information Contained in Ambulance Service
Electronic Claims Attachments Proposal

The list at the end of this message shows the primary data items that
are included in HL7's HIPAA-proposed Ambulance Service Claims
Attachment Additional Information Specification.

It would be a service to our industry if you and your colleagues
would take just a few minutes and determine if the list of Attachment
data below
(a) meets your claim payment, case management, medical review, or any
other needs, or
(b) whether some items in the list may be removed [perhaps because
they aren't needed, duplicate information already available in the
claim itself, or are data readily available from other sources],
and/or
(c) some new data items should be added.

As one of the alternatives specified in the HIPAA Claims Attachments
Notice of Proposed Rule Making (NPRM), kindly submit your opinion to
www.cms.hhs.gov/regulations/ecomments . Click "Go" for CMS-0050-P,
fill in some minimal demographics on a screen, and then click
"Continue" to type up to 4,000 characters into the displayed comment
box ... and/or include a file as an attachment. If it's easiest, you
can just copy and paste the list below into the comment box, and then
mark those data items to remove and list those data items you believe
should be added. Or do the same in a file and then attach the file to
the comment box.

[Note: Due to currently ongoing maintenance activities on CMS' web
site, the above url may not take you directly to the comment inputs
screens. Should that be the situation, as described in the NPRM,
telephone Lorraine Tunis Doo at 410-786-6597 for further instructions.]

Please comment no later than 5:00 p.m. Eastern time on Monday, 23
January 2006. Thanks in advance for your participation, and feel free
to forward this message to anybody else you believe would be interested
in opining.

Dave Feinberg
Rensis Corporation [A Consulting Company]
206-617-1717
DAFeinberg@...


AMBULANCE SERVICE CLAIMS ATTACHMENT DATA ITEMS

EMS TRANSPORT, BODY WEIGHT AT TRANSPORT
EMS TRANSPORT, TRANSPORT DIRECTION
EMS TRANSPORT, RATIONALE FOR CHOICE OF DESTINATION
EMS TRANSPORT, DISTANCE TRANSPORTED
EMS TRANSPORT, ORIGINATION SITE INFORMATION
EMS TRANSPORT, DESTINATION SITE INFORMATION
EMS TRANSPORT, REASON FOR SCHEDULED TRIP
EMS TRANSPORT, PURPOSE OF STRETCHER
EMS TRANSPORT, ADMITTED AT DESTINATION FACILITY
EMS TRANSPORT, ORDERING PRACTITIONER
EMS TRANSPORT, CONFINED TO BED BEFORE TRANSPORT
EMS TRANSPORT, CONFINED TO BED AFTER TRANSPORT
EMS TRANSPORT, DISCHARGED FROM ORIGIN INSTITUTION
EMS TRANSPORT, MEDICAL REASON FOR UNSCHEDULED TRIP
EMS TRANSPORT, JUSTIFICATION FOR EXTRA ATTENDANTS

{source: HL7's CDAR1AIS0001R021, May 2004, Table 2.3}
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