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.
Day 1 Recording: https://www.youtube.com/watch?v=UnrPAfK_iTc
Day 2 Recording: https://www.youtube.com/watch?v=RqPxcm_Nv-Y
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 |