purplekitty7772008
Well-Known Member
Haha, I cant' find it either. I think I accidentally clicked back
then it reloaded the whole page so I lost my spot.
I'll post it as soon as I find it.
Obama's Certificate of Live Birth...
- Thread starter TreesOfLife
- Start date
then it reloaded the whole page so I lost my spot.
I'll post it as soon as I find it.
purplekitty7772008
Well-Known Member
http://www.opencongress.org/bill/111-h3200/text?version=ih&nid=t0:ih:500
Try this...when I clicked it, it took me right to the section I found that excerpt on...
Try this...when I clicked it, it took me right to the section I found that excerpt on...
purplekitty7772008
Well-Known Member
does anyone see those bars blinking in
my above post or is it just me?
my above post or is it just me?
jrh72582
Well-Known Member
But this is the way it is with EVERY private insurance. They can take your card and look up your information REAL TIME! They can. They do every time you visit the doctor. It's the same, but you're arguing as if it's horribly different. It's the same! Please concede this one point for God's sake. No one is right all the time.
Green Cross
Well-Known Member
Yeah, That's crazy looking! loldoes anyone see those bars blinking in
my above post or is it just me?
jrh72582
Well-Known Member
Yes, I was wondering why. I think they're tracking you Kitty. They heard you spreading false rumors about the health care plan and aren't happy. Do you hear the knock on your door?does anyone see those bars blinking in
my above post or is it just me?
purplekitty7772008
Well-Known Member
LOL.
Did that link work for anyone?
IT should bring you to section 173 (I think those are the numbers)
purplekitty7772008
Well-Known Member
hanimmal
Well-Known Member
Yeah you have to post it then go back and edit the bars out (backspace) it to get rid of them.
SEC. 163. ADMINISTRATIVE SIMPLIFICATION.
- (a) Standardizing Electronic Administrative Transactions
- (1) IN GENERAL- Part C of title XI of the Social Security Act (42 U.S.C. 1320d et seq.) is amended by inserting after section 1173 the following new section:
‘SEC. 1173A. STANDARDIZE ELECTRONIC ADMINISTRATIVE TRANSACTIONS.
- ‘(a) Standards for Financial and Administrative Transactions-
‘(b) Limitations on Use of Data- Nothing in this section shall be construed to permit the use of information collected under this section in a manner that would adversely affect any individual.
- ‘(1) IN GENERAL- The Secretary shall adopt and regularly update standards consistent with the goals described in paragraph (2).
- ‘(2) GOALS FOR FINANCIAL AND ADMINISTRATIVE TRANSACTIONS- The goals for standards under paragraph (1) are that such standards shall--
- ‘(A) be unique with no conflicting or redundant standards;
‘(B) be authoritative, permitting no additions or constraints for electronic transactions, including companion guides;
‘(C) be comprehensive, efficient and robust, requiring minimal augmentation by paper transactions or clarification by further communications;
‘(D) enable the real-time (or near real-time) determination of an individual’s financial responsibility at the point of service and, to the extent possible, prior to service, including whether the individual is eligible for a specific service with a specific physician at a specific facility, which may include utilization of a machine-readable health plan beneficiary identification card;
‘(E) enable, where feasible, near real-time adjudication of claims;
‘(F) provide for timely acknowledgment, response, and status reporting applicable to any electronic transaction deemed appropriate by the Secretary;
‘(G) describe all data elements (such as reason and remark codes) in unambiguous terms, not permit optional fields, require that data elements be either required or conditioned upon set values in other fields, and prohibit additional conditions; and
‘(H) harmonize all common data elements across administrative and clinical transaction standards.- ‘(3) TIME FOR ADOPTION- Not later than 2 years after the date of implementation of the X12 Version 5010 transaction standards implemented under this part, the Secretary shall adopt standards under this section.
- ‘(4) REQUIREMENTS FOR SPECIFIC STANDARDS- The standards under this section shall be developed, adopted and enforced so as to--
- ‘(A) clarify, refine, complete, and expand, as needed, the standards required under section 1173;
‘(B) require paper versions of standardized transactions to comply with the same standards as to data content such that a fully compliant, equivalent electronic transaction can be populated from the data from a paper version
‘(C) enable electronic funds transfers, in order to allow automated reconciliation with the related health care payment and remittance advice;
‘(D) require timely and transparent claim and denial management processes, including tracking, adjudication, and appeal processing;
‘(E) require the use of a standard electronic transaction with which health care providers may quickly and efficiently enroll with a health plan to conduct the other electronic transactions provided for in this part; and
‘(F) provide for other requirements relating to administrative simplification as identified by the Secretary, in consultation with stakeholders.- ‘(5) BUILDING ON EXISTING STANDARDS- In developing the standards under this section, the Secretary shall build upon existing and planned standards.
- ‘(6) IMPLEMENTATION AND ENFORCEMENT- Not later than 6 months after the date of the enactment of this section, the Secretary shall submit to the appropriate committees of Congress a plan for the implementation and enforcement, by not later than 5 years after such date of enactment, of the standards under this section. Such plan shall include--
- ‘(A) a process and timeframe with milestones for developing the complete set of standards;
‘(B) an expedited upgrade program for continually developing and approving additions and modifications to the standards as often as annually to improve their quality and extend their functionality to meet evolving requirements in health care;
‘(C) programs to provide incentives for, and ease the burden of, implementation for certain health care providers, with special consideration given to such providers serving rural or underserved areas and ensure coordination with standards, implementation specifications, and certification criteria being adopted under the HITECH Act;
‘(D) programs to provide incentives for, and ease the burden of, health care providers who volunteer to participate in the process of setting standards for electronic transactions;
‘(E) an estimate of total funds needed to ensure timely completion of the implementation plan; and
‘(F) an enforcement process that includes timely investigation of complaints, random audits to ensure compliance, civil monetary and programmatic penalties for non-compliance consistent with existing laws and regulations, and a fair and reasonable appeals process building off of enforcement provisions under this part.
‘(c) Protection of Data- The Secretary shall ensure (through the promulgation of regulations or otherwise) that all data collected pursuant to subsection (a) are--
- ‘(1) used and disclosed in a manner that meets the HIPAA privacy and security law (as defined in section 3009(a)(2) of the Public Health Service Act), including any privacy or security standard adopted under section 3004 of such Act; and
- ‘(2) protected from all inappropriate internal use by any entity that collects, stores, or receives the data, including use of such data in determinations of eligibility (or continued eligibility) in health plans, and from other inappropriate uses, as defined by the Secretary.’.
- (2) DEFINITIONS- Section 1171 of such Act (42 U.S.C. 1320d) is amended--
- (A) in paragraph (7), by striking ‘with reference to’ and all that follows and inserting ‘with reference to a transaction or data element of health information in section 1173 means implementation specifications, certification criteria, operating rules, messaging formats, codes, and code sets adopted or established by the Secretary for the electronic exchange and use of information’; and
(B) by adding at the end the following new paragraph:- ‘(9) OPERATING RULES- The term ‘operating rules’ means business rules for using and processing transactions. Operating rules should address the following:
- ‘(A) Requirements for data content using available and established national standards.
‘(B) Infrastructure requirements that establish best practices for streamlining data flow to yield timely execution of transactions.
‘(C) Policies defining the transaction related rights and responsibilities for entities that are transmitting or receiving data.’.- (3) CONFORMING AMENDMENT- Section 1179(a) of such Act (42 U.S.C. 1320d-8(a)) is amended, in the matter before paragraph (1)--
- (A) by inserting ‘on behalf of an individual’ after ‘1979’; and
(B) by inserting ‘on behalf of an individual’ after ‘for a financial institution.’- (b) Standards for Claims Attachments and Coordination of Benefits -
- (1) STANDARD FOR HEALTH CLAIMS ATTACHMENTS- Not later than 1 year after the date of the enactment of this Act, the Secretary of Health and Human Services shall promulgate a final rule to establish a standard for health claims attachment transaction described in section 1173(a)(2)(B) of the Social Security Act (42 U.S.C. 1320d-2(a)(2)(B)) and coordination of benefits.
- (2) REVISION IN PROCESSING PAYMENT TRANSACTIONS BY FINANCIAL INSTITUTIONS-
- (A) IN GENERAL- Section 1179 of the Social Security Act (42 U.S.C. 1320d-
is amended, in the matter before paragraph (1)-
(B) EFFECTIVE DATE- The amendments made by paragraph (1) shall apply to transactions occurring on or after such date (not later than 6 months after the date of the enactment of this Act) as the Secretary of Health and Human Services shall specify.
- (i) by striking ‘or is engaged’ and inserting ‘and is engaged’; and
(ii) by inserting ‘(other than as a business associate for a covered entity)’ after ‘for a financial institution’
hanimmal
Well-Known Member
Cool so now we have something to go off of. Reading that amendment it looks like it is all under the "Administrative simplification" and just a long list of ways that they can streamline and update the technologies.
And having a machine reading card it will allow this to happen faster since they will just have to swipe it and you won't have to fill out that form for the 1 millionth time that they always make you fill.
That actually sounds really nice to me. I would love to get all that garbage out of the way before I see the doctor so that I can just leave afterwards and not be billed or wait for 20 minutes afterwards to get it taken care of.
And also to make sure that you are in the right place before you see the Doctor is that last part. If they don't accept your coverage there. Say you are out of town and not sure you are covered, they can tell you in advance with a swipe of the card.
Reading that in context it appears that this is saying, when you go to the doctors office or hospital, they collect your card, swipe it and tell you exactly how much that visit will cost you (your financial responsibility) similar to a co-pay. The point of service is the cashier at the hospital, and they are trying to get it to stop being, oh btw you owe $150 bucks, when you thought that it was only going to be a $15 co-pay.
And having a machine reading card it will allow this to happen faster since they will just have to swipe it and you won't have to fill out that form for the 1 millionth time that they always make you fill.
That actually sounds really nice to me. I would love to get all that garbage out of the way before I see the doctor so that I can just leave afterwards and not be billed or wait for 20 minutes afterwards to get it taken care of.
And also to make sure that you are in the right place before you see the Doctor is that last part. If they don't accept your coverage there. Say you are out of town and not sure you are covered, they can tell you in advance with a swipe of the card.
jrh72582
Well-Known Member
And I thought I explained this well enough
.
hanimmal
Well-Known Member
Nah you covered it perfectly, but I wanted to read the entire part myself and make sure it was in the context that the bill was written. Besides lets face it you have pissed her off so much I don't really think that she will give you much respect. So I thought that I would just do my part in explaining it too.And I thought I explained this well enough
purplekitty7772008
Well-Known Member
(D) enable the real-time (or near real-time) determination of an individuals financial responsibility at the point of service and, to the extent possible, prior to service, including whether the individual is eligible for a specific service with a specific physician at a specific facility, which may include utilization of a machine-readable health plan beneficiary identification card;
What it seems like it is saying to me, is they will access your checkings
account before they give you service to make sure you are able to pay...
"determination of an individuals financial responsibility at the point of service".
How will they be able to determine your ability to pay without
accessing your account?
Reading on a few lines after this one, it seems as though
"The secretary" is the one who will decide if it is appropriate
to access any information they may want.
(F) provide for timely acknowledgment, response, and status reporting applicable to any electronic transaction deemed appropriate by the Secretary;
What it seems like it is saying to me, is they will access your checkings
account before they give you service to make sure you are able to pay...
"determination of an individuals financial responsibility at the point of service".
How will they be able to determine your ability to pay without
accessing your account?
Reading on a few lines after this one, it seems as though
"The secretary" is the one who will decide if it is appropriate
to access any information they may want.
(F) provide for timely acknowledgment, response, and status reporting applicable to any electronic transaction deemed appropriate by the Secretary;
hanimmal
Well-Known Member
is not the same as
What you are saying would be a mathematical equation that would have to input all the data, past tax returns, current job salary, money in the account, cash in your pocket, stocks you own, ect.
But to determine the financial responsibility is what you are supposed to pay.
They never said anything about a checking account, your putting that in yourself. They seem to simply be referring to the deductable you are going to have to pay dependent on which insurance plan you have. At the hospital they would have no way to access all of your financial information and come up with a number that you have to pay.
Since this is all under SEC. 163. ADMINISTRATIVE SIMPLIFICATION. and subset of ‘SEC. 1173A. STANDARDIZE ELECTRONIC ADMINISTRATIVE TRANSACTIONS.
Then any electric transaction you make, would need to provide a timely acknowledgment (not take forever) in the specified time that the secretary has said it needs to get to you by.
This entire section is about streamlining the processes that are already in place.
How many times have you been billed months after you were at the doctors office. I can think of at least two for me where a bill came about 4 months after I was at the doctors office that completely caught me off guard.
dgittings
Active Member
Yes other presidents have sealed to tried to seal presidental papers. For instance President Nixon. Didn't work out so well for him. As I see it, your job is in the publics eye. Your the President of the United States for christs sake. If a student wants to write a study on the thesis the President wrote in college, he should be able to read that document. And again, the topic of health care should be a non topic as we are broke!!!!!!! We have no money. Canada and Europe can have socailized health care because they don't have the massive defence budget that we have.
hanimmal
Well-Known Member
Tired argument, we already pay far more for our system. This would not need to cost anything more, because again we already are paying for everyone that doesn't have insurance.
Also this is not socialized health care. It is an insurance plan.
And all that set aside, if you get sick and have no money you still have to seek help, since until you get better you cannot work to get more money. Extrapolate that out over the entire population and you can see that it is important for several reasons, but at the front is the economy to get ourselves healthy.
CrackerJax
New Member
It's not all the same...
Nixon or any other President has not SEALED ALL papers which refer to their origin of birth....... k? there's difference...a BIG ONE.
You are right though, it didn't work out for Nixon, and it won't work out for Obama.
He's starting to get stress cracks in his own party. It won't take too long...
jrh72582
Well-Known Member
It's not all the same...
Nixon or any other President has not SEALED ALL papers which refer to their origin of birth....... k? there's difference...a BIG ONE.
You are right though, it didn't work out for Nixon, and it won't work out for Obama.
He's starting to get stress cracks in his own party. It won't take too long...
Delusions of grandeur. You're losing touch with reality.
It's not all the same...
Nixon or any other President has not SEALED ALL papers which refer to their origin of birth....... k? there's difference...a BIG ONE.
You are right though, it didn't work out for Nixon, and it won't work out for Obama.
He's starting to get stress cracks in his own party. It won't take too long...
take long for what? are we impeaching again. AAAAAA HAHHAHAHAHHAHHAHAHA
hanimmal
Well-Known Member
I love that you say he "SEALED ALL papers which refer to their origin of birth" when there is that green certificate of live birth.It's not all the same...
Nixon or any other President has not SEALED ALL papers which refer to their origin of birth....... k? there's difference...a BIG ONE.
You are right though, it didn't work out for Nixon, and it won't work out for Obama.
He's starting to get stress cracks in his own party. It won't take too long...
That would be a paper that deals with his origin of birth, but your omnipotence has determined through a wiji board that it cannot be true.
And you continue to ignore that a unanimous house vote declared that he was born in Hawaii. So if the politicians can 100% agree on that one, I really see absolutely no way that you will ever see anything come from this.