Final Agenda

NATIONAL COMMITTEE ON VITAL AND HEALTH STATISTICS (NCVHS)

Subcommittee on Standards

Hearing on HIPAA and ACA Administrative Simplification
- Operating Rules, ICD-10, Health Plan ID, Attachments -

Hubert H. Humphrey Building
Department of Health & Human Services
200 Independence Ave, SW, Room 705-A
Washington, DC 20024

Tuesday, June 10

Transcript


Hearing Purposes, Objectives

The purpose of this hearing is to review and discuss the current status of selected administrative simplification topics that are a priority for NCVHS in 2014.

The objectives of this hearing are as follows:


Printable Acrobat Agenda

(Each testifier will have 5 minutes followed by Sub-Committee Q&A at the end of each session)

9:00 - 9:15 am

Welcome and Introductions

Standards Subcommittee Co-Chairs
Walter Suarez and Ob Soonthornsima

9:15-10:00

Session 1: Regulatory Update, DSMO Report and Operating Rules

  • Regulations Update
  • DSMO Report
  • Operating Rules



Todd Lawson, OESS
Margaret Weiker, WEDI
Gwen Lohse, CORE

10:00 -10:45

Session 2: Use of Credit Cards- Including Virtual Cards - for Claims Payment

  • OESS
  • Provider
  • Clearinghouse
  • Financial Institutions
  • ASC X12

 




Matthew Albright, CMS
Heather McComas, AMA
Doug Downey, HCA
Priscilla Holland, NACHA
Sajid Imam, Visa, Inc.
Laura Burckhardt, ASC X12

10:45 - 11:00 Break  

10:45 - 11:40

Session 3: Coordination of Benefits

  • CAQH
  • Health Plan
  • Provider
  • Clearing House



Atul Pathiyal, CAQH
Sean Killeen, Kaiser
Laura Darst, Mayo
Mary Hyland - Cooperative Exchange (via phone)

11:40 - 1:00

Session 4: Health Care Attachments Transaction Standard

  • Status of Attachments Standard
  • Industry Perspectives on Attachments
    • CMS esMD
    • Plans
    • Providers
    • Clearinghouses
    • Practice Management Vendor

 




Durwin Day, HL7
John Quinn, HL7

Robert Dieterle, esMD
Gail Kocher, BCBSA
Don St. Jacques, Jopari
Tim McMullen, Coop. Exchange
Mary Hyland, Coop. Exchange (via phone)

Geoff Palka, Epic
1:00 - 2:00 pm LUNCH  
2:00 - 3:30

Session 5: Use of UDI in Administrative Transactions

  • FDA
  • Brookings Institution
  • WEDI Foundation
  • Pew Charitable Trust
  • Health Plan
  • Provider
  • ASC X12

 



Tom Gross, FDA
Greg W. Daniel, Brookings
Jean Narcisi, WEDI
Joshua Rising, PEW Testimony
Stuart Kilpinen, Aetna
George Arges, AHA
Margaret Weiker, ASC X12

3:30 - 4:30

Session 6: Health Plan ID

  • ASC X12 - HPID Errata
  • WEDI
  • Clearinghouse Perspective
  • Commercial Health Plans
  • Practice Management Vendor



Margaret Weiker, ASC X12
Laura Darst, WEDI
Debbie Meisner, Emdeon
Christol Green, Wellpoint
Gloria Davis, QSI/Nextgen
4:30 - 4:40 Break  

4:40 - 6:10

Session 7: ICD-10 Delay

  • OESS
  • WEDI Report on ICD-10 Delay
  • Providers

 

 

  • Health Plans
  • Medicare
  • Medicaid
  • Professional Coders



Denesecia Green, CMS
Jim Daley, WEDI
Holly Louie, HBMA
Sue Bowman, AHIMA
John Powers, BIDMC (via phone)
Nancy Spector, AMA


Sid Hebert, AHIP
John Evangelist, CMS (via phone)
Diane Kovach, CMS (via phone)
Godwin Odia, CMS (via phone)
Ronda Buckholtz, AAPC

6:10 - 6:20 Public Comment  
6:20 Adjourn  

Submitted Written Testimony


QUESTIONS FOR PANELISTS

Session 1: Regulatory Update, DSMO Report and Operating Rules
Objective: Receive an update on the status of Admin Simplification regulations, the DSMO Report and the status of Operating Rules for Remaining Transactions

Session 2: Use of Credit Cards- Including Virtual Cards - for Claims Payment
Objective: To further understand the level of use and the core issues related to the use of credit cards - including virtual cards - in the payment of health care claims from payers to providers, and discuss ways to address those issues

Session 3: Coordination of Benefits
Objective: To review the status of implementation of Coordination of Benefits across the health care industry, identify issues, and discuss ways to address those issues

Session 4: Health Care Attachments Transaction Standard
Objective: To understand the latest developments in attachments standards, and consider any modifications to the original recommendations submitted by NCVHS in 2013

Session 5: Use of UDI in Administrative Transactions
Objective: To understand the purpose, benefits, value, and other considerations for the use of UDI in administrative transactions

Session 6: Health Plan ID
Objective: To discuss issues pertaining to the adoption, use and benefits of the HPID

Sessions 7: ICD-10 Delay
Objective: To discuss the issues related to the delay in implementation of the ICD-10 codes


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

June 19, 2014