FINAL AGENDA

Internet Broadcast Link: To listen to the broadcast, please click on the desired link below.

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

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HEARING 1 - CLAIMS ATTACHMENTS

Transcript

Meeting Minutes

Click here to view presentations for Thursday, November 17, 2011

Click here to view presentations for Friday, November 18, 2011

Thursday, November 17, 2011

Internet Broadcast Link: Click here to listen to NCVHS Subcommittee on Standards Broadcast: Nov 17th from 1:30pm-5pm
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 Perspective

Payer Perspective
Medicare Perspective
Clearinghouse Perspective
Claims Attachment Pilot
Medicare EsMD project

Medicaid 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/CORE

Other 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 ACT

Transcript

Click here to view presentations for Thursday, November 17, 2011

Click here to view presentations for Friday, November 18, 2011

Friday, November 18, 2011

Internet Broadcast Link: Click here to listen to NCVHS Subcommittee on Standards Broadcast: Nov 18th from 8:15am-4pm
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 Comp




Property & Casualty

Auto Insurance
X12
WEDI
NCPDP

Greg Krohm, IAIABC
Bruce Wood, AIA
Lisa Wichterman, State of Minnesota
Sherry Wilson, Don St. Jacques, Jopari

Keith 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 RULES

Health Plans
Providers
Pharmacy
HBMA
Coders
Vendors
State Initiative
National Correct Coding Initiative (NCCI)

B. AUDITS

Medicaid RAC Audits
Provider Perspective
NCPDP

 

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

SESSION 1 Maintenance of standards and operating rules  
1:35 - 2:45 p.m.

DSMO
CAQH/CORE
NACHA
WEDI

Invited - 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  

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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