Secretary Name Company Term End Date Phone Carol Tussinger BCBSF Oct

Transcription

1 Interim Group Minutes 12N TG2 WG3 Healthcare Claim Payment Jan-Feb 2013 Group Leadership Chair Name Company Term End Date Phone Pat Wijtyk WPC Feb Deb Strickland Foresight/e- Oct Emergence 9075 Pam Grosze PNC Bank Oct Secretary Name Company Term End Date Phone Carol Tussinger BCBSF Oct Quorum Requirement Statement (Check appropriate statement for your group) This group enforces quorum requirements for group voting items. Note here if Quorum has been met This group does not enforce quorum requirements for group voting items. Work Products and Status (e.g. Transaction Sets Implementation Guides, etc.) Work Product Name Work Product Status Work Product ID # (opt) published published CARC/RARC TR published Page 1 of

2 Current 1/2/13 Interim 1/20/13-1/22/13 Seattle, WA Open RFIs, TR2 public comments, Open RFIs, TR2 public comments, Vote Made by 2 nd By Approve Disapprove Abstain Page 2 of

3 Discussion 1 RFI Reviewed RFIs 1704, 1699 Decisions Workgroup approved response and submitted back to portal Discussion 2 TR2 public comment Reviewed all public comments Prep for Information forum to be held at standing meeting Decisions CARC/RARC TR2 Created responses for all comments Posted to Forum Discussed process to obtain a DM for each publication of TR2 is now needed. Will discuss with TG4 at next Standing meeting in Seattle. Discussion 3 TR2 Claims Edits The list of CARC/RARC codes combinations each will point to a 837 claims data elements. The list is being developed and updated during call ** Current 1/9/13 Interim 1/20/13-1/22/13 Seattle, WA CORE straw poll CARC Conference CORE straw poll CARC Conference Page 3 of

4 N/A Vote Made by 2 nd By Approve Disapprove Abstain Discussion 1 CORE straw poll Reviewed changes for CORE scenarios based on CARC/RARC changed since June 2012 The list of changes was reviewed in detail. The discussion will continue at standing meeting when re is a larger group present Discussion 2 CARC Conference Reviewed all CARC code requests that had been posted to conference Prepared responses to present at meeting Discussion 3 The list of CARC/RARC codes combinations each will point to a 837 claims data elements. The list is being developed and updated during call ** Current 1/1613 Interim 1/20/13-1/22/13 Seattle, WA 16&125 CARC code change Payment Typology Code discussion 16&125 CARC code change Payment Typology Code discussion Page 4 of

5 N/A Vote Made by 2 nd By Approve Disapprove Abstain Discussion 1-16&125 CARC code change Reviewed change that had been submitted about a year ago. Discussed outreach to various industry groups Confirmed that work group still supports this change. Will bring forward to Code Committee for approval Discussion 2 Payment Typology Code discussion Discussed new Payment Typology with workgroup Bob Davis presented work of Payer Subcommittee of Standards Data Committee of Public Health data Standards Consortium Discussed replacing CLP07 with this new list. Will continue discussion at Standing meeting in Seattle Discussion 3 The list of CARC/RARC codes combinations each will point to a 837 claims data elements. The list is being developed and updated during call ** Page 5 of

6 Current 2/6/13 RFI 1738, 1725, 1739, /2/13-6/6/13 Indianapolis, IN Interim N/A Vote Made by 2 nd By Approve Disapprove Abstain Discussion 1 Reviewed RFIs listed above, finalized responses, posted to CD Discussion 2 Discussion 3 o ** Page 6 of

7 Current 2/1313 Review 60next spreadsheet 6/2/13-6/6/13 Indianapolis, IN Interim N/A Vote Made by 2 nd By Approve Disapprove Abstain Discussion 1 Reviewed 60next spreadsheet to finalize business justifications for submission to DB Discussion 2 Discussion 3 o ** Page 7 of

8 Current 2/20/13 RFI /2/13-6/6/13 Indianapolis, IN Interim N/A Vote Made by 2 nd By Approve Disapprove Abstain Page 8 of

9 Discussion 1 Reviewed RFI 1748, finalized response, posted to CD Discussion 2 Discussion 3 TR2 claims edits o ** Current 2/27/13 Interim 6/2/13-6/6/13 Indianapolis, IN RFI 1756 N/A Vote Made by 2 nd By Approve Disapprove Abstain Page 9 of

10 Discussion 1 Reviewed RFI, finalized response, posted to CD Discussion 2 Discussion 3 TR2 claims edits o Page of

11 Group Minutes - Attendance 12N TG2 WG3 Healthcare Claim Payment Jan-Feb 2013 Group Leadership Chair Name Company Term End Date Phone Pat Wijtyk WPC Feb pwijtyk@wpc-services.com 9565 Deb Strickland Foresight/e- Oct debra@e-emergence.com Emergence 9075 Pam Grosze PNC Bank Oct pamela.grosze@pnc.com Secretary Name Company Term End Date Phone Carol Tussinger BCBSF Oct carol.tussinger@bcbsfl.com 8530 Quorum Requirement Statement (Check appropriate statement for your group) This group enforces quorum requirements for group voting items. Note here if Quorum has been met This group does not enforce quorum requirements for group voting items. Work Products and Status (e.g. Transaction Sets Implementation Guides, etc.) Work Product Name Work Product Status Work Product ID # (opt) published published CARC/RARC TR published Attendee Company 1/2/13 1/9/13 1/16/13 2/6/13 2/13/13 2/20/13 2/27/13 Pat Wijtyk WPC Services Deb Strickland Tibco Pam Grosze PNC Bank Carol Tussinger BCBSFL Arlene Hoelscher PNC Bank Becky Hall David Bennett Dora Lambert Truman Medical Center Claim Solution Center AHCCCS-AZ Medicaid Revised 3/2011 Page 1 of 3

12 Iris Leon Segura Jan Klimper Jana White Jane White Janette Barnes Jessica Chapagain Jonathan Scoggins Karen Shutt Valley Mental Health Wellpoint Trailblazer Capital Blue Cross Valley Mental Health SelectHealth Highmark, Inc. Mark Warren Aetna Mary Lynam Argus Michelle VIPS Rosansky Patrick D. Hass Mayo Clinic Sandra Hansen Sherry Wilson Jopari Sonya May UHC Sumita Sen CMS Tammy Banks AMA Tina Greene Mitchell Cameron Gunderson Chip Evelsizer UHIN State Farm Terri Cook UHC Barb Keiley Premera Lynn Keim Siemens Rachel Foerster Boundary Tony Benson BCBS AL Brian Matws VA Gale Scott TGH Revised 3/2011 Page 2 of 3

13 Laurie Burkhardt Meg Barber Robin Sanders Gloria Davis WPS Wellpoint Zirmed NextGen Revised 3/2011 Page 3 of 3