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

Friday, November 18, 2011

HEARING 2 – SECTION 10109 OF THE AFFORDABLE CARE ACT
Presentations
SESSION 1: Provider enrollment forms
8:30 – 9:30 a.m. CAQH/CORE
            Gwen Lohse		 View Presentation
X12
            Gail Kocher		 View Presentation
AMA/AHA
            Mari Savickisi            George Arges		 View Testimony

View Testimony
HBMA
            Dave Nicholson, HBMA		 View Testimony
ACH/banks
            Irfan Ahmad, TCH
Health Plans
            Jeanette Thornton, AHIP		 View Testimony
Medicare
            Zabeen Chong, CMS dial-in
Medicaid
            Pat Squires, DC Medicaid
SESSION II: Applicability of standards to other insurance types
9:45 – 11:05 a.m. Workers Comp
            Greg Krohm, IAIABC            Bruce Wood, AIA            

           Lisa Wichterman, State of Minnesota            

           Sherry Wilson, Jopari

            Don St. Jacques, Jopari

 View Presentation    View Testimony

 View Testimony

View Presentation     View Testimony

View Presentation     View Testimony
Property & Casualty
           Keith Bateman, PCIAA           John Bergner		 View Presentation     View Testimony

View Testimony
Auto Insurance
           Susan Maynard, State Farm		 View Testimony
X12
           Margaret Weiker		 View Presentation
WEDI
           Debbie Meisner		 View Presentation     View Testimony
NCPDP
           Lynne Gilbertson		 View Presentation
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 RULES
Health Plans
           Chris Jagmin, MD, Aetna		 View Testimony
Providers
           Tammy Banks, AMA		 View Testimony      View Handout
Pharmacy
           Annette Gabel, NCPDP		 View Presentation
HBMA
           Holly Louie, HBMA		 View Testimony      View Handout
Coders
           Rhonda Buckholtz, AAPC		 View Presentation
Vendors
           Deb Strickland, Tibco		 View Presentation      View Handout
State Initiative
           Barry Keene, Colorado		 View Presentation      View Testimony
National Correct Coding Initiative (NCCI)
           Shantanu Agrawal, M.D., CMS           Niles Rosen, M.D.
View Presentation      View Testimony
B. AUDITS
Medicaid RAC Audits
           Connie Leonard, CMS
Provider Perspective
           Mari Savickis, AMA		 View Testimony
NCPDP
           Lynne Gilbertson		 View Presentation

HEARING 3 – STANDARDS AND OPERATING RULES MAINTENANCE PROCESS

SESSION 1: Maintenance of standards and operating rules
1:35 – 2:45 p.m. DSMO
           Margaret Weiker		 View Presentation      View TestimonyView Handout #1       View Handout #2
CAQH/CORE
           Gwen Lohse		 View Presentation
NACHA
           Jan Estep           Michael Herd
View Testimony
WEDI
           Jim Daley		 View Presentation      View Testimony
NCPDP
           Lynne Gilbertson		 View Presentation
Invited – representatives from each of the individual members of the DSMO: NUCC, NUBC, ADA, X12, NCPDP, HL7
3:30 – 3:45 p.m. Concluding comments and next steps
3:45 – 4:00 p.m. Public Comment View Handout #1
View Handout #2
View Handout #3
View Handout #4
View Handout #5
View Handout #6
View Handout #7
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