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Final Agenda

NATIONAL COMMITTEE ON VITAL AND HEALTH STATISTICS

Subcommittee on Standards

Administrative Simplification under the Patient Protection and Affordable Care Act
National Health Plan Identifier and Operating Rules for Eligibility and Claims Status

Hamilton Crowne Plaza Hotel
Almas Building - OASIS Room
1315 K Street, NW, Washington, DC 20005

July 19 - 21, 2010

AGENDA

Printable Acrobat Agenda Adobe Acrobat logo

Note: Each day is organized as follows: An introductory session for the proposals, followed by a reaction panel representing industry perspectives and commentary. The reaction panels include health plans, providers, clearinghouses, vendors, standards organizations, code committees, public sector organizations and other interested parties.

Meeting Summary

Monday, July 19, 2010 HEARING ON NATIONAL HEALTH PLAN IDENTIFIER

Transcript

 

9:00 - 9:30 a.m.

Call to order. Welcome/Introductions

Judith Warren, Co-Chair
Walter Suarez, Co-Chair
Karen Trudel, CMS

9:30 - 12:25 p.m.

Session A1: Proposals for a National Health Plan Identifier

Proposal from Health Plans

Proposal from Providers


Proposal from WEDI

Proposal from Pharmacy Industry


Independent proposal

 

*Other parties with a proposal for the Plan Identifier may request time during session to present their concept to the subcommittee

 

Jim Daley, BCBSA Adobe Acrobat logo

Tammy Banks, AMA Adobe Acrobat logoFAQs Adobe Acrobat logo

Don Bechtel, WEDI Adobe Acrobat logo

Lynn Gilbertson, NCPDP Adobe Acrobat logo Written Recommendations Adobe Acrobat logo

Peter Barry, Enumeron Adobe Acrobat logo

 

12:25 - 1:30 p.m. BREAK for LUNCH  
1:30 - 5:30 p.m. Session A2: Reactions and perspective. Speakers will have 10 - 12 minutes each, and there will be breaks at approximately 45 - 50 minute intervals Cathy Graeff, Sonora Group Adobe Acrobat logo
Lori Robinson, CMS MA plans Adobe Acrobat logo
Margaret Weiker, X12 Adobe Acrobat logo
Randy Miller, NMEH
Greg Fisher, United Health Group Adobe Acrobat logo
John Kelly, Harvard Pilgrim Adobe Acrobat logo
Dan Powell, VA (plan side) Adobe Acrobat logo
Barbara Mayerick, VA (provider) Adobe Acrobat logo
Annette Gabel, Medco Adobe Acrobat logo
Larrie Dawkins, MGMA, Wake Forest University
Jim Whicker, AAHAM Adobe Acrobat logo
Laurie Darst, Mayo Adobe Acrobat logo
George Arges, AHA Adobe Acrobat logo
Jerry Diffley, Quest Diagnostics/ACLA Adobe Acrobat logo
Robert Ahlstrom, ADA (written) Adobe Acrobat logo
Ellen Cannon, NASMD Adobe Acrobat logo
Susanne Powell, Emdeon
John Quinn, HL7 Adobe Acrobat logo
Tim McMullen, Cooperative Exchange Adobe Acrobat logo
Gail Kocher, WEDI Adobe Acrobat logo
Sheila Frank, Public Health Consortium Adobe Acrobat logo
5:00 p.m. Adjourn  
Tuesday, July 20, 2010 HEARING ON OPERATING RULES FOR ELIGIBILITY AND CLAIM STATUS

Transcript

 
8:30 - 9:00 a.m. Welcome/Introductions
General Remarks
Judith Warren, Co-Chair
Walter Suarez, Co-Chair
Karen Trudel, CMS
9:00 - 11:30 a.m.

Panel B1: Presentations from authors of operating rules and standards

CAQH CORE

LINXUS



X12, NCPDP


*Other parties with existing operating rules may request time during this session to present to the subcommittee

 

Gwen Lohse, CAQH CORE Adobe Acrobat logo

Richard Donoghue, NYU Langone Medical Center
Eric Wallace, LinxusAdobe Acrobat logo

Margaret Weiker, X12 Adobe Acrobat logo
Lynne Gilbertson, NCPDP Adobe Acrobat logoWritten Recommendations Adobe Acrobat logo

11:30 - 12:30 p.m. LUNCH BREAK  
12:30 - 5:00 p.m. Panel B2: Reactions and perspective. Speakers will have 10 - 12 minutes each, and there will be breaks at approximately
45 - 50 minute intervals
Patrice Kuppe, Minnesota Adobe Acrobat logo
Pete Cutler, Washington State Ins. Dept. Adobe Acrobat logo
Jeanette Thornton, AHIP Adobe Acrobat logo
Janet Estep, NACHA Adobe Acrobat logo
Jim McNiff, Montefiore (via phone)
George Arges, DSMO/NUBC Adobe Acrobat logo
George Langdon, GE HealthCare
Jerry Killough, Clinix, HBMA Adobe Acrobat logo
Barbara Mayerick, VA (Provider) Adobe Acrobat logo
Dan Powell, VA (Plan) Adobe Acrobat logo
Nancy Orvis, DoD Adobe Acrobat logo
Tammy Banks, AMA
Michele Davidson, WalgreensAdobe Acrobat logo
Bill Alfano, BCBSA Adobe Acrobat logo
Janet Jackson, BCBSNC Adobe Acrobat logo
Randy Miller, NMEH (Medicaid) (via phone) Adobe Acrobat logo
Susanne Powell, Emdeon
Nancy Spector, NUCC Adobe Acrobat logo
Don Bechtel, WEDI Adobe Acrobat logo
Joseph Miller, HIMSS Adobe Acrobat logo
Wednesday, July 21, 2010

Transcript

 
8:30 - 8:45 a.m. Welcome  
8:45 - 10:00 a.m. Subcommittee Discussion  
10:00 - 10:15 a.m. BREAK  
10:15 - 11:30 a.m. Additional discussion  
11:30 - 12:30 p.m. LUNCH BREAK  
12:30 - 3:00 p.m. Subcommittee discussion (if needed)  
3:00 p.m. Adjourn  

This meeting will be broadcast live on the Internet, with the help of the Department of Veterans Affairs. To listen to an audio broadcast, you need RealAudio Player software, which is available free from the Department of Veterans Affairs website at http://www.va.gov/virtconf.htm. The link to the live broadcast will be available from the NCVHS home page on the meeting date. Recordings of broadcasts from the past six months are availalbel from the VA Virtual Conference Archive at http://www.va.gov/virtconf.htm.

Should you require reasonable accommodation, please call 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

August 11, 2010