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 Acrobat logo
X12
            Gail Kocher		 View Presentation Acrobat logo

AMA/AHA
            Mari Savickisi

            George Arges

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HBMA
            Dave Nicholson, HBMA 		View Testimony Acrobat logo
ACH/banks
            Irfan Ahmad, TCH
Health Plans
            Jeanette Thornton, AHIP		 View Testimony Acrobat logo
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

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Property & Casualty
           Keith Bateman, PCIAA

           John Bergner

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Auto Insurance
           Susan Maynard, State Farm		 View Testimony Acrobat logo
X12
           Margaret Weiker		 View Presentation Acrobat logo
WEDI
           Debbie Meisner		 View Presentation Acrobat logo            View Testimony Acrobat logo
NCPDP
           Lynne Gilbertson		 View Presentation Acrobat logo
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 Acrobat logo
Providers
           Tammy Banks, AMA 		View Testimony Acrobat logo           View Handout Acrobat logo
Pharmacy
           Annette Gabel, NCPDP		 View Presentation Acrobat logo
HBMA
           Holly Louie, HBMA		 View Testimony Acrobat logo           View Handout Acrobat logo
Coders
           Rhonda Buckholtz, AAPC		 View Presentation Acrobat logo
Vendors
           Deb Strickland, Tibco		 View Presentation Acrobat logo           View Handout Acrobat logo
State Initiative
           Barry Keene, Colorado		 View Presentation Acrobat logo           View Testimony Acrobat logo
National Correct Coding Initiative (NCCI)
           Shantanu Agrawal, M.D., CMS

           Niles Rosen, M.D.

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B. AUDITS
Medicaid RAC Audits
           Connie Leonard, CMS
Provider Perspective
           Mari Savickis, AMA 		View Testimony Acrobat logo
NCPDP
           Lynne Gilbertson		 View Presentation Acrobat logo

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

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CAQH/CORE
           Gwen Lohse 		View Presentation Acrobat logo
NACHA
           Jan Estep

           Michael Herd
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WEDI
           Jim Daley		 View Presentation Acrobat logo           View Testimony Acrobat logo
NCPDP
           Lynne Gilbertson		 View Presentation Acrobat logo
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 Acrobat logo
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View Handout #7 Acrobat logo
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

November 28, 2011