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A Free Tunitas Group Seminar on the HIPAA Claims Attachment Standard Who should attend? Healthcare business managers; medical records staff; legal and compliance personnel; IT planners & consultants space is limited, so register today Attend at one of these Locations: October 25 ~ 9AM-11AM Community Medical Centers Fresno, CA October 26 - 10AM-12PM Mills-Peninsula Healh System Burlingame, CA October 27 ~ 10AM-12PM Sutter Health System Sacramento, CA October 31 ~ 10AM-12 PM Childrens Hospital of Orange Orange, CA Woodland Hills Exact date (week of Oct 31) & location TBD

a first look at: The HIPAA Claims Attachment Standard On September 23, CMS published its Notice of Proposed Rule Making for the HIPAA Standard regarding Healthcare Claims Attachments. This Rule promises to have considerable impact on the manner in which supplemental clinical information is requested by plans and supplied by providers. While allowing substantial flexibility, the Proposed Rule will place significant constraints on healthcare business process and application architectures. In particular, the Rule anticipates significant integration of business and clinical systems. Although CMS has been slow to publish HIPAA Final Rules and compliance is only required 2 years after Final Rule publication, the magnitude of changes necessitates long term planning. CMS will accept comments on the Attachment NPRM until November 22. Federal procedures obligate CMS to consider and respond to each submitted comment. The experience with other HIPAA Standards has been that CMS does not easily consider or respond to submissions past the statutory period. Tunitas Group offers this seminar, in part, to highlight some compliance issues and identify areas where your organization may want to provide comment. Topics covered in this seminar include: Scope of the Attachment Rule Separate Obligations of Plans and Providers Standards for transaction format and coding X12N.277(request) and X12N.275 (response) transaction formats Use of the BIN segment of the X12N.275 Structure and Use of LOINC codes for specifying requested information Structure and Use of HL7 CDA for formatting response Options for inclusion of scanned / image data Alternative application architectures and business process models Omissions and inconsistencies within the NPRM Open issues For more information, contact the Tunitas Group at (209) 754-9130 or seminar@Tunitas.com

Registration: Register online or by sending by eMail to seminar@tunitas.com your name, organization, phone, email address and the date of the session you wish to attend.