Rx2000HIPAA Digest, Volume 15 > > #1 From: ejohnson@mh.state.al.us Subject: Calling Lane Hatcher > #2 From: DSchneck@gsrmc.dcnhs.org Subject: Cell Phones -Reply > #3 From: jdmill01@pop.uky.edu Subject: Re: Rx2000HIPAA Digest, Volume 14 > #4 From: Petehc@aol.com Subject: Re: Claim Encounters > #5 From: JamesAlexander@bxhosp.nashville.org Subject: RE: Rx2000HIPAA Digest, Volume 14 > #6 From: Woosleew@aol.com Subject: Re: Encounters > #7 From: henrybasset@chesapeake.net Subject: Cell Phone and Pager use policy > #8 From: brider@jhmi.edu Subject: Re: Claim Encounters > > > ********** Message #1 ********** > From: ejohnson@mh.state.al.us > To: > Subject: Calling Lane Hatcher > Date: Mon, 1 May 2000 08:50:53 -0500 > > The way this list is configured, members are unable to learn the EMail > addresses of those who post. This means we must use the list publicly for > messages that really should be sent privately to hold down the noise. > > Would Lane Hatcher from Wilford Hall USAF Medical Center please contact > me? I was a member of the team that managed the 1976 Addition/Alteration > project. Specifically I did the communications system design and > acquisition. Just want to chat. > > Eric Johnson > ejohnson@mh.state.al.us > > > ********** Message #2 ********** > From: DSchneck@gsrmc.dcnhs.org > To: > Subject: Cell Phones -Reply > Date: ycl, 02 rea 2000 12:31:58 -0500 > > We do not allow the use of cell phones in the hospital whatsoever. This = > resolves any issue with the phones disturbing other diagnostic equipment = > as well as breech of confidentiality by giving information over the cell = > phone. We know cell phones are not secure, why chance it?\=20 > > ********** Message #3 ********** > From: jdmill01@pop.uky.edu > To: Rx2000HIPAA@rx2000.org > Subject: Re: Rx2000HIPAA Digest, Volume 14 > Date: Wed, 03 May 2000 06:27:17 -0400 > > As a clinician, I would say that an encounter is the visit itself. The > record is simply documentation of the encounter. I do not believe it has > anything to do with whether it is payable. > > > > > >From: PRESSER@GNYHA.org > >To: Rx2000HIPAA@rx2000.org > >Subject: RE: Claim Encounters > >Date: Sat, 29 Apr 2000 20:24:11 -0400 > > > > > >An encounter is nothing more than the record of a healthcare visit. It is > >usually viewed as the document that is generated at the time of the visit to > >record the demographic and treatments rendered to the patient. The claim is > >generated from the "encounter" data. > > > >-----Original Message----- > >From: Rx2000HIPAA@rx2000.org > >To: Rx2000HIPAA@rx2000.org > >Sent: 04/28/2000 2:11 PM > >Subject: Claim Encounters > > > > > >I'm sure this is a really basic question so please forgive me, but could > >someone please clarify for me the terminology of claim transactions and > >encounters? I'm quite familiar with a claim, but specifically, what > >is meant by an "encounter"? Thanks! > > > >From: Pam.Klugman@blueshieldca.com > >To: Rx2000HIPAA@rx2000.org > >Subject: RE: Claim Encounters > >Date: Mon, 1 May 2000 08:41:12 -0700 > > > >An encounter is a 'non-payable' claim. In other words, if you have a member > >covered by a capitated arrangement the provider of service, whether > >institutional or professional, etc., is required to submit a record of that > >`encounter' to the health plan.[...] > > > > J.D. Miller (606)837-8264 Home > P.O. Box 250 (606)837-2108 Work > Ages-Brookside, KY 40801 (606)837-2111 Fax > JDMill01@pop.uky.edu > > > ********** Message #4 ********** > From: Petehc@aol.com > To: Rx2000HIPAA@rx2000.org > Subject: Re: Claim Encounters > Date: Tue, 2 May 2000 20:49:31 EDT > > This was very important information for me to know vis-a-vis the feds going > after payors, in the context of Billings Errors and Omissions, for failsure > to police their providers billing practices on behalf of the feds. If you > have time please give me a call as I would like to go into this further. Pete > Biagiotti, Aon Healthcare Insurance Services, 818-363-9435. I am an insurance > broker. > > ********** Message #5 ********** > From: JamesAlexander@bxhosp.nashville.org > To: Rx2000HIPAA@rx2000.org > Subject: RE: Rx2000HIPAA Digest, Volume 14 > Date: Wed, 3 May 2000 12:26:37 -0500 > > Agree with this latest and from the previous "The claim is generated from > the "encounter" data." > > Also, urge all to identify yourselves. Frequently, the ID puts comments > (healthcare provider, IS vender, payor)in perspective. > > > *********************************************** > James R. Alexander > Nashville Metro Bordeaux Hospital > 1414 County Hospital Rd. > Nashville, TN 37218 > Tel. 615-862-7012 Fax. 615-862-6960 > Office Email: JamesAlexander@bxhosp.nashville.org > > Home Email: j.r.alexander@worldnet.att.net > > > > -----Original Message----- > From: Rx2000HIPAA@rx2000.org [mailto:Rx2000HIPAA@rx2000.org] > Sent: Wednesday, May 03, 2000 5:27 AM > To: Rx2000HIPAA@rx2000.org > Subject: Re: Rx2000HIPAA Digest, Volume 14 > > > > As a clinician, I would say that an encounter is the visit itself. The > record is simply documentation of the encounter. I do not believe it has > anything to do with whether it is payable. > > > > > >From: PRESSER@GNYHA.org > >To: Rx2000HIPAA@rx2000.org > >Subject: RE: Claim Encounters > >Date: Sat, 29 Apr 2000 20:24:11 -0400 > > > > > >An encounter is nothing more than the record of a healthcare visit. It is > >usually viewed as the document that is generated at the time of the visit > to > >record the demographic and treatments rendered to the patient. The claim is > >generated from the "encounter" data. > > > >-----Original Message----- > >From: Rx2000HIPAA@rx2000.org > >To: Rx2000HIPAA@rx2000.org > >Sent: 04/28/2000 2:11 PM > >Subject: Claim Encounters > > > > > >I'm sure this is a really basic question so please forgive me, but could > >someone please clarify for me the terminology of claim transactions and > >encounters? I'm quite familiar with a claim, but specifically, what > >is meant by an "encounter"? Thanks! > > > >From: Pam.Klugman@blueshieldca.com > >To: Rx2000HIPAA@rx2000.org > >Subject: RE: Claim Encounters > >Date: Mon, 1 May 2000 08:41:12 -0700 > > > >An encounter is a 'non-payable' claim. In other words, if you have a > member > >covered by a capitated arrangement the provider of service, whether > >institutional or professional, etc., is required to submit a record of > that > >`encounter' to the health plan.[...] > > > > J.D. Miller (606)837-8264 Home > P.O. Box 250 (606)837-2108 Work > Ages-Brookside, KY 40801 (606)837-2111 Fax > JDMill01@pop.uky.edu > > > > ********** Message #6 ********** > From: Woosleew@aol.com > To: Rx2000HIPAA@rx2000.org > Subject: Re: Encounters > Date: Wed, 3 May 2000 13:26:51 EDT > > In a message dated 5/3/00 12:45:32 PM Eastern Daylight Time, > Rx2000HIPAA@rx2000.org writes: > > > As a clinician, I would say that an encounter is the visit itself. The > > record is simply documentation of the encounter. I do not believe it has > > anything to do with whether it is payable. > > As a former Medical Group Manager and Hospital Director, I agree with you. > The "visit" is the "encounter". You record it on the Encounter Form or > Superbill. Payment source (or lack thereof) has no bearing on it. As I > understand it, a transaction (as referred to by HIPAA) and an encounter are > not the same. A transaction would be any electronic exchange or transmission > of medical and/or financial information, which contains information that > identifies a patient. This is a somewhat simplified definition. > > > Errick E. Woosley, MPA > 3X HCSG > (513) 587-3100 > > ********** Message #7 ********** > From: henrybasset@chesapeake.net > To: "Rx2000HIPAA@rx2000.org" , , , , , , > Subject: Cell Phone and Pager use policy > Date: Tue, 02 May 2000 19:52:16 -0400 > > There has been a tremendous amount of activity on the list regarding the use > of cell phones and pagers, as well as the HIPAA ramifications. > > Anyone have a good policy on this issue? Care to share it with the > community. The Healthcare ISAC will open a second collaborative project in > this area. For those that don't remember the last one, we will take the > initial reports, open an RFC on them for one month, the merge them together > for community approval. Many heads are better than one. > > If your facility has a written policy on this, please forward it to me at > jstutzman@bigfoot.com for posting to the self-help site at rx2000.org and > the Healthcare ISAC at www.info-security.net > > Thanks, > > Jeff Stutzman > Healthcare ISAC > www.info-security.net > > > > ********** Message #8 ********** > From: brider@jhmi.edu > To: Rx2000HIPAA@rx2000.org > Subject: Re: Claim Encounters > Date: Thu, 04 May 2000 11:17:06 -0400 > > This seems like a quick way to alert everyone (for those who haven't = > heard) to the new "I Love You" virus that is proliferating. > This one's real - no hoax - IF YOU GET AN EMAIL WITH "I LOVE YOU" IN THE = > SUBJECT LINE WITH A REQUEST TO > OPEN THE ATTACHMENT - DON'T.....THE VIRUS IS INFECTED - DELETE FROM YOUR = > MAILBOX....THEN DELETE FROM YOU TRASH FILE. > Sorry to interrupt the dialogue - but I'm trying to catch as many > people as I can, as quickly as I can. THANKS..... > > Bill Rider > Mgr, Info Security/DR > Johns Hopkins Hospital > (410) 955-1691 > brider@jhmi.edu > > >>> 05/02/00 08:49PM >>> > > This was very important information for me to know vis-a-vis the feds = > going > after payors, in the context of Billings Errors and Omissions, for = > failsure > to police their providers billing practices on behalf of the feds. If you > have time please give me a call as I would like to go into this further. = > Pete > Biagiotti, Aon Healthcare Insurance Services, 818-363-9435. I am an = > insurance > broker. > >