FINAL AGENDA
NATIONAL COMMITTEE ON VITAL AND HEALTH STATISTICS
Subcommittee on Standards
Holiday Inn Rosslyn at Key Bridge Hotel
1900 Fort Meyer Drive
Arlington, VA 22209
Phone: (703) 807 2000
www.hirosslyn.com
November 17 – 18, 2011
Printable Acrobat Agenda
HEARING 1 – CLAIMS ATTACHMENTSTranscriptMeeting Minutes |
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Click here to view presentations for Thursday, November 17, 2011Click here to view presentations for Friday, November 18, 2011 |
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Thursday, November 17, 2011 |
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| 1:00 – 1:05 p.m. | Call to Order Welcome/Introductions**Members of the HIT Standards & Policy Committees though invited, are not able to attend because of a conflict with their annual meeting. NCVHS co-chairs will coordinate a follow up meeting. |
Judith Warren, Co-Chair Walter Suarez, Co-Chair |
| 1:05 – 1:15 p.m. | Historical Perspective on Claim Attachments | Wes Rishel, Gartner |
| 1:15 – 1:25 p.m. | ONC Perspectives on Attachments and Clinical Messages | Doug Fridsma |
| SESSION 1 | Current Business Practices in Claim Attachments: Priority attachments, business practices, mechanisms for request and submission, other | |
| 1:25 – 3:05 p.m. | Provider PerspectivePayer Perspective Medicare Perspective Clearinghouse Perspective Claims Attachment Pilot Medicare EsMD projectMedicaid Perspective VA |
Rob Tennant, MGMA and Robert Barbour, AMA Gail Kocher, BCBSA Chris Stahlecker, Medicare Debbie Meisner, Emdeon Laurie Darst & Laurie Burckhardt Melanie Combs-Dyer, CMS Craig Miller, Vangent/ONC Elizabeth Reed and Donna Schmidt Ruth-Ann Phelps |
| 3:05 – 3:15 p.m. | Questions by subcommittee members | |
| 3:15 – 3:25 p.m. | Break | |
| SESSION II | Claim (and other) Attachment Standards and Operating Rules: Current Developments and Future Directions | |
| 3:25 – 4:35 p.m. | HL7 SDO corporate perspective HL7 Claims Attachments Work Group X12 WEDI CAQH/COREOther attachment types Prior Auth – Rx (ePA) Other pharmacy |
John Quinn, Charles Jaffe Durwin Day, Jim McKinley Mary Lynn Bushman, Margaret Weiker Don Bechtel Gwen Lohse Tony Schueth, Point of Care Lynne Gilbertson |
| 4:35 – 4:50 p.m. | Additional Questions by the Subcommittee | |
| 4:50 – 5:00 p.m. | Public Comment | |
HEARING 2 – SECTION 10109 OF THE AFFORDABLE CARE ACTTranscript |
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Click here to view presentations for Thursday, November 17, 2011Click here to view presentations for Friday, November 18, 2011 |
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Friday, November 18, 2011 |
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| 8:15 – 8:30 a.m. | Call to order | Judith Warren, Co-Chair Walter Suarez, Co-Chair |
| SESSION 1 | Provider enrollment forms | |
| 8:30 – 9:30 a.m. | CAQH/CORE X12 AMA/AHA HBMA ACH/banks Health Plans Medicare Medicaid |
Gwen Lohse Gail Kocher Mary Savickis/George Arges Dave Nicholson, HBMA Irfan Ahmad, TCH Jeanette Thornton, AHIP Zabeen Chong, CMS (telephone) Pat Squires, DC Medicaid |
| 9:30 – 9:45 a.m. | Questions by the Subcommittee | |
| SESSION II | Applicability of standards to other insurance types | |
| 9:45 – 11:05 a.m. | Workers CompProperty & CasualtyAuto Insurance X12 WEDI NCPDP |
Greg Krohm, IAIABC Bruce Wood, AIA Lisa Wichterman, State of Minnesota Sherry Wilson, Don St. Jacques, JopariKeith Bateman, PCIAA Jon Bergner , NAMIC (telephone) Susan Maynard, State Farm Margaret Weiker Debbie Meisner Lynne Gilbertson |
| 11:05 – 11:15 a.m. | Questions by the Subcommittee | |
| 11:15 – 11:25 a.m. | BREAK | |
| SESSION III | Transparency of claim edits, publication of plan payment rules, standardized forms for audits | |
| 11:25 – 12:50 p.m. | A. CLAIM EDITS/PLAN PAYMENT RULESHealth Plans Providers Pharmacy HBMA Coders Vendors State Initiative National Correct Coding Initiative (NCCI)B. AUDITS Medicaid RAC Audits |
Chris Jagmin, MD, Aetna Tammy Banks, AMA Annette Gabel, NCPDP(telephone) Holly Louie, HBMA Rhonda Buckholtz, AAPC Deb Strickland, Tibco Barry Keene, State of Colorado Shantanu Agrawal, M.D., CMS and Niles Rosen, M.D., NCCI Connie Leonard, CMS (telephone) Mari Savickis, AMA Lynne Gilbertson |
| 12:50 – 12:55 p.m. | Questions by the Subcommitte | |
| 12:55 – 1:30 p.m. | Break for Lunch | |
HEARING 3 – STANDARDS AND OPERATING RULES MAINTENANCE PROCESS |
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| SESSION 1 | Maintenance of standards and operating rules | |
| 1:35 – 2:45 p.m. | DSMO CAQH/CORE NACHA WEDIInvited – representatives from each of the individual members of the DSMO: NUCC, NUBC, ADA, X12, NCPDP, HL7 |
Margaret Weiker Gwen Lohse Jan Estep, Michael Herd Jim Daley |
| 3:00 – 3:30 p.m. | Questions by the Subcommittee | |
| 3:30 – 3:45 p.m. | Concluding comments and next steps | |
| 3:45 – 4:00 p.m. | Public Comment | |
| 4:00 p.m. | Adjourn | |
Should you require reasonable accommodation, please contact the CDC Office of Equal Employment Opportunity on (301) 458-4EEO (4336) as soon as possible.
Times, topics, and speakers are subject to change. For final agenda, please call 301-458-4200 at NCHS or visit the NCVHS Home Page at http://www.ncvhs.hhs.gov
November 28,, 2011