HIPAA Tx Sets From SQL Server

[clapag22]

Hi-

I don't know if this thread will get any responses but I was wondering if there is anyone else out there in healthcare that will be dealing with sending HIPAA compliant X12 EDI transaction sets using data that currently resides in SQL Server. If so, are you planning on using a 3rd party package (MS BizTalk, etc) to translate the data elements or are you going to go "freestyle" and just put something together using SP's?

I need to put together a 278 (Health Care Services Request for Review and Response) transaction set and also be able to import the 278 response.

Thanks!
Craig

 

[MHPGuy]

We haven't prepared it yet, but that is something that we are going to training for next month... there is a company describing all of the data and programming requirements


I have included the info sent with my reservation so that you can see if it is applicable to your problem. If so, give them a call...

********************************************
Centers for Medicare & Medicaid Services

Risk Adjustment Training
for Medicare+Choice Organizations

Radisson Hotel & Suites St. Louis Downtown
June 6-7, 2002

TRAINING REGISTRATION CONFIRMATION

This notice confirms your registration for the June 6-7, 2002 Risk
Adjustment Training for Medicare+Choice (M+C) organizations.

Training Schedule

This is a one and one half-day training that will be held at the Radisson
Hotel & Suites St. Louis Downtown. Registration will begin at 8:00 a.m. on
June 6th. On Thursday, June 6th, the training session will begin at 8:30
a.m. and conclude by 5:00 p.m. The following day (Friday, June 7th), the
training will begin at 8:30 a.m. and conclude at 12:45 p.m. Please refer to
the detailed training agenda online at

http://www.aspenxnet.com/meetingagenda.htm.

All attendees will be provided with a training notebook.

Training Objectives

The primary objective of the training is to improve the quality and quantity
of risk adjustment data. The specific training objectives for participants
are to understand:
h data requirements h submission
schedule
h coding requirements h submission
process
h risk score calculation h
the new Risk Adjustment Processing System (RAPS)

Topics

h Background of Risk Adjustment Methodology h Risk
Adjustment Processing System - Edits
h Overview of the Risk Adjustment Process h
Reports/Errors Resolutions
h Data Collection h HPMS
Overview
h Risk Adjustment Processing System File Format h Question & Answer
Sessions

Hotel Information

Radisson Hotel & Suites St. Louis Downtown: 200 North Fourth Street, St.
Louis, MO 63102, 314-621-8200

Hotel Website:

http://www.radisson.com/stlouismo

Room Rate for the Nights of June 5 and 6: $89 per night, plus tax,
single/double occupancy
The cut-off date for guestroom reservations at this discounted rate is
Wednesday, May 15, 2002. The number of discounted rooms is limited;
therefore, please make your reservation as soon as possible.

Reservations: 800-925-1395, group code "Regional Risk Adjustment Training."
Deposits will be forfeited for any reservation not canceled at least 48
hours prior to arrival.

Check-In: 3:00 p.m. Check-Out: 12:00 noon

Luggage Storage: After checking out of your hotel room, please see the
bellman to store your luggage in a secure location. We are not responsible
for any luggage placed in the training room.

Transportation Information

Airport: Lambert-St. Louis International Airport, approximately 20-30
minutes from hotel

Approximate Cab Fare to/from Airport: $30 Shuttle Service:
approximately $11-$15 one-way

Driving Directions:

http://www.radisson.com/stlouismo,

click on "location"
Hotel Parking: $8 per day

Each attendee is responsible for the cost and arrangement of their own
transportation, lodging and meals.

If you have any questions, please contact Kim Slaughter, Aspen Systems
Corporation, (301) 519-5388 or via e-mail encounterdata@aspensys.com.

**************************************************


Michael Phipps
Technical Business Analyst
Mercy Health Plans
3142148036

 

[clapag22]

Thanks, Michael... I'll check it out!

Craig

 

[foxdev]

We are using Mercator to import/export the data. I've spent a few days trying to learn the Mercator product, and it's like nothing I've seen before - its quite powerful and quite complex. Multiply that by the complexity of some of the HIPAA stuff (like 834) and it gets goopy quick.