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
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 |