Day 1 - Tuesday, June 17
|
TIME |
TOPIC |
PARTICIPANTS |
| 1:00 - 1:15 pm |
Welcome and Introductions |
Walter Suarez and Ob Soonthornsima, Co-Chairs
Lorraine Doo, Lead Staff |
1:15 - 2:00 pm |
Update from 2013 WEDI Report Executive Steering Committee
- Receive a report from WEDI on the work being done by the 2013 WEDI Report Executive Steering Committee
- Report on other items, including findings from surveys, workgroup activities related to Plan ID, Transactions, Operating Rules, others
|
WEDI
|
2:00 - 2:45 pm |
DSMO Report
- Receive report from DSMO, hear issues related to maintenance of standards
- Status of development of next version of standards for possible adoption
- Discuss incorporaton of ORs into transaction versions
|
DSMO Reps
|
| 2:45 - 3:00 pm |
Break |
3:00 - 4:00 pm |
Status of Implementation of 5010, D.0, 3.0
- Review the industry status of implementation of 5010/D.0/3.0
- Discuss identified implementation issues and approaches to address them
- Identify/discuss lessons learned with respect to transition and initial implementation issues
- Discuss degree to which goals set for moving to new versions of standards have been achieved
|
Health Care Providers
Health Plans
Clearinghouses
Medicaid
Medicare
|
4:00 - 4:45 pm |
CMS Regulatory Update
- Receive a report from CMS on regulatory developments and directions related to standards, code sets, identifiers, others
|
CMS
|
4:45 - 5:00 pm |
Public Comment
- Open microphone for public comments
|
Public |
| 5:00 pm |
Adjournment - Day 1 |
|
Day 2 - Tuesday, June 18, 2013
|
TIME |
TOPIC |
PARTICIPANTS |
| 8:30 - 8:45 am |
Reconvene Subcommittee, Introductions |
Walter Suarez and Ob Soonthornsima |
8:45 - 10:15 am |
State of Development and Implementation of Operating Rules
- Review industry status of implementation of operating rules for Eligibility and Claim Status transactions
- Discussion of planning/preparation for implementation of second round of ORs (EFT/ERA); discuss any identified issues
- Review plans for development of next round of ORs, including Attachments, Claim, Prior Authorization, Enrollment, Premium Payment
- Status of with SDO's to incorporate ORs into standards?
|
CAQH CORE
Providers
Health Plans
Clearinghouses
|
| 10:15 - 10:30 am |
Break |
10:30 - 12:30 pm |
ICD-10 Planning, Testing, Implementation
Part 1
- Review status of preparation for final adoption of ICD-10 code sets
- Review CMS end-to-end testing framework, experiences from others
- Review payment transition processes (ICD-9-CM to ICD-10 code sets)
- Discuss other preparatory/planning issues, including mapping/cross-walking
Part 2
- Discusion on uses of new ICD-10-CM and PCS data by various stakeholders, including areas such as new payment approaches, utilization analysis, cost analysis, research, public health, etc.
|
- CMS
- Providers
- Health Plans
- Coders (AHIMA)
- CMS
- Providers
- Health Plans
- Public Health
|
| 12:30 - 1:30 pm |
LUNCH BREAK |
Dr. Green |
1:30 - 4:45 pm |
Subcommittee Discussion
- Review themes, outcomes from hearing
- Review Health IT Standards Committee "Standards Evaluation Criteria"
- Process for adopting next versions - Evaluating updated version of standards before they are brought to NCVHS to be recommended for adoption
- Discussion of OESS contracts to pilot the evaluation of standards
- Updates on Dental Coding, Unique Device Identifier, NCPDP-FDA, other
- Bipartisan Policy Center - Data recommendation on recent report on cost containment
- Additional/new items
|
Subcommittee Members |
4:45 - 5:00 pm |
Public Comment
- Open microphone for public comments
|
Public |
| 5:00 pm |
Adjourn |
|
|
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