National Committee on Vital and Health Statistics

Standards Subcommittee

Hearing on Requests for New and Updated Transaction Standards and Operating Rules

January 18-19, 2023

Virtual Meeting

See the Related Items box to view submitted public comments and related meeting materials.

 

This meeting is open to the public. To attend, please provide your contact information to receive a link to the live broadcast: https://roseliassociates.zoomgov.com/webinar/register/WN_hWc-AuEHR7myd25Lc06v8A 

You will receive an email with your unique link and participant ID to access the live meeting.

 

Agenda

Day 1 – January 18, 2023

Time Panel Participants
10:00 a.m. Welcome, Call to Order Rebecca Hines
Executive Secretary/Designated Federal Officer
10:05 a.m. Opening Remarks/Agenda Review Tammy Banks, Rich Landen, Denise Love
Co-chairs, NCVHS Subcommittee on Standards
10:10 a.m. NCVHS presentation regarding the proposal from X12 and next steps NCVHS Subcommittee on Standards Co-chairs
10:25 a.m. Presentation from CMS regarding process to adopt updated and/or modified standards under HIPAA National Standards Group (CMS/OBRHI),
Dan Kalwa
10:45 a.m. Presentations from X12 regarding the updated transactions X12, Cathy Sheppard/Cognizant, Patricia Wijtyk
11:15 a.m. X12 Pilot Update on use of version 8020 Optum, Tara Rose
11:35 a.m. Panel 1: Designated Standards Maintenance Organizations and Code Content Committees DSMO Committee Chair, Terrence Cunningham

  • HL7
  • NCPDP
  • X12
  • ADA
  • NUCC
  • NUBC

DSMOs may add comments and respond to questions from the Committee members

11:55 a.m. Break
12:35 p.m. Advisory Committee Report – WEDI Member Survey and Advisory Event Outcome WEDI, Rob Tennant
12:55 p.m. Panel 2: Provider Perspective on proposed updates to X12 transaction standards American Hospital Association (AHA), Andrea Preisler

American Medical Association (AMA), Nancy Spector

Department of Veterans Affairs, Katie Knapp

1:35 p.m. Panel 3: Health Plan perspective on proposed updates to X12 transaction standards CMS Medicare Dental Program, Natalie Chalmers

Tennessee Medicaid, Ferris Marone

2:00 p.m. Break
2:15 p.m. Public Comment: Updates to X12 standards Rebecca Hines
Executive Secretary/DFO
2:35 p.m. Panel 4: Health Plan perspective on proposed updates to X12 transaction standards Blue Cross Blue Shield Association (BCBSA), Gail Kocher

Alliance of Community Health Plans, Ginny Whitman,

Elevance Health, Christol Green

3:00 p.m. Panel 5: Vendor and clearinghouse perspective on proposed updates to X12 transaction standards Cooperative Exchange, Pam Grosze,

Chiapas EDI Technologies, Richard Temps

HCL, Stephanie Fetzer

Jopari Solutions, Sherry Wilson

Healthcare Business Management Association (HBMA), Arthur Roosa

3:55 p.m. Subcommittee Discussion/Q&A Co-chairs, Subcommittee on Standards
4:30 p.m. Closing and Adjourn Co-chairs, Subcommittee on Standards

 

Day 2 – January 19, 2023

Time Panel Participants
10:00 a.m. Welcome, Call to Order Rebecca Hines
Executive Secretary/Designated Federal Officer
10:05 a.m. Opening Remarks/Agenda Review Tammy Banks, Rich Landen, Denise Love
Co-chairs, NCVHS Subcommittee on Standards
10:10 a.m. NCVHS presentation regarding the proposal from CAQH CORE on updated and new operating rules NCVHS Subcommittee on Standards Co-chairs
10:25 a.m. CMS presentation regarding adoption of operating rules under the Affordable Care Act National Standards Group (CMS/OBRHI), Dan Kalwa
10:45 a.m. Presentation from CAQH CORE regarding proposals for updated and new Operating Rules CAQH CORE, Erin Weber & Board Members Linda Reed and Tim Kaja
11:20 a.m. Advisory Committee Report on Member Survey and Position Advisory Event Outcome WEDI, Rob Tennant
11:40 a.m. Panel 1: Presentations from standards development organizations and code content committees on CAQH CORE operating rules X12, Cathy Sheppard

HL7 International, Viet Nguyen

12:15 p.m. Break
12:45 p.m. Panel 2: Presentations from Providers regarding CAQH CORE proposals American Hospital Association (AHA), Terrence Cunningham

American Medical Association (AMA), Heather McComas

Multicare Connected Care, Anna Taylor/Cambia Healthcare, Kirk Anderson

Aspen Dental, Margaret Schuler

1:45 p.m. Public Comment: Updates to CAQH CORE operating rules Rebecca Hines

Executive Secretary/DFO

1:50 p.m. Panel 3: Presentations from Health Plans regarding CAQH CORE proposals on operating rules Elevance Health, Christol Green

Blue Cross Blue Shield Association (BCBSA), Gail Kocher

Blue Cross Blue Shield North Carolina (BCBSNC), Barry Hillman

2:20 p.m. Panel 4: Presentations from vendors regarding CAQH CORE proposals on operating rules athenahealth, Nora Iluri

Healthcare Business Management Association (HBMA), Arthur Roosa

Cooperative Exchange, Pam Grosze

3:00 p.m. Subcommittee Discussion/Q&A Co-chairs, Subcommittee on Standards
3:10 p.m. Closing and Adjournment Co-chairs, Subcommittee on Standards