Group Minutes X12N TGB WG3 Payments July and August 2016.

Transcription

1 Group Minutes 12N TGB WG3 Payments July and August ASC 12 TGB WG JulAug Group Leadership Chair Name Company Term End Date Phone Pam Grosze PNC Bank June Pat Wijtyk WPC Jan Heather Morgan Aetna Oct Secretary Name Company Term End Date Phone Open position Quorum Requirement Statement (Check appropriate statement for your group) This group enforces quorum requirements for group voting items. This group does not enforce quorum requirements for group voting items. Scheduled s Type of Date Location/Call in Contact Agenda Current 07/13/2016 GTM posted on Cincinnati, OH Interim Key Items RFI 2157 Discussed comments on RFI 2157 Revised 01/2016 Page 1 of 5

2 ASC 12 TGB WG JulAug Scheduled s Type of Date Location/Call in Contact Agenda Current 07/20/2016 GTM posted on Cincinnati, OH Interim Key Items RFI 2143 Discussed RFI 2143 (COB document) and questions that have come up CORE Straw Poll Discussed the CORE straw poll due 7/22/16 Scheduled s Type of Date Location/Call in Contact Agenda Current 08/10/2016 GTM posted on Cincinnati, OH Interim Revised 01/2016 Page 2 of 5

3 ASC 12 TGB WG JulAug Key Items CORE Straw Poll Rationale Discussed CORE Straw Poll Rationale RFI 2165 Discussed RFI 2165 Bundling/Unbundling Scheduled s Type of Date Location/Call in Contact Agenda Current 08/17/2016 GTM posted on Cincinnati, OH Interim Key Items Codes Committee review Revised 01/2016 Page 3 of 5

4 Discussed the issue RFI 2165 Discussed RFI 2165 (Bundling/Unbundling) RFI 2166 Discussed RFI 2166 (Reporting APR-DRG on ASC 12 TGB WG JulAug Scheduled s Type of Date Location/Call in Contact Agenda Current 08/24/2016 GTM posted on Cincinnati, OH Interim Key Items Codes Committee review Discussed the Codes Committee review -including questions to the submitter of the two we had questions on last time. Revised 01/2016 Page 4 of 5

5 ASC 12 TGB WG JulAug Scheduled s Type of Date Location/Call in Contact Agenda Current 08/31/2016 GTM posted on Cincinnati, OH Interim Key Items Codes Committee review Discussed the issue CR1648 Discussed CR1648 (Opt In Review) RFI 1265 Discussed RFI 1265 (submitter responded to our request for more information) Revised 01/2016 Page 5 of 5

6 Group Minutes - Attendance 12N TGB WG3 Healthcare Claim Payment July / August 2016 ASC 12N TGB WG3 JulAug 2016 Group Leadership Chair Name Company Term End Date Phone Pam Grosze PNC Bank June pamela.grosze@pnc.com Pat Wijtyk WPC Jan pwijtyk@wpc-edi.com Heather Morgan Aetna Oct 2016 MorganH1@aetna.com Secretary Name Company Term End Date Phone Open position 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 CARC/RARC TR2 published Real-Time TR published Attendee Company 7/13/16 7/20/16 8/10/16 8/17/16 8/24/16 8/31/16 Pat Wijtyk WPC Services Pam Grosze PNC Bank Heather Morgan Aetna Alice Bynum-Gardner Andrew Flood Angie Bartlett AMA CSC CMS Revised 3/2011 Page 1 of 4

7 Annie Brannan Mayo Barb Keiley Premera Bob Ferguson Bob Poiesz Bogdan Soroka Brenda Mitchell Everett Clinic AMA Cerner ASC 12N TGB WG3 JulAug 2016 Brian Matthews Cameron Gunderson Candace Marton Chip Evelsizer Cindy Monarch VA UHIN Boost State Farm BCBS MI Cynthia Fiore Daniel Wei David Bennett Optum AthenaHealth Claim Solution Center David Collins UHC David Posey BCBS AL Dawn Quon State Farm Desiree Van Lieu Payformance Dominick DiMaggio BCBS FL Dora Lambert AHCCCS-AZ Medicaid Eric Kirnbauer Tesia Erin Weber Gloria Davis CAQH NextGen Harvey Mintz Jan Jones Jana White Jane White CSC Trailblazer Capital Blue Revised 3/2011 Page 2 of 4

8 Janet Barlow Jason Link Jeanne Kirkpatrick Cross BCBS FL ASC 12N TGB WG3 JulAug 2016 Jenessa Rossi AthenaHealth Jessica Chapagain SelectHealth Jessica Evans Jill Money BCBS MI Jim Whicker Cognosante Judith Pasick Karen Shutt Karen Zannone Kellene Parthemore Kelly Butler Kim Glaun Kim Peters Lan Y. Huynh Laura Caldwell Laura Hunter Laurie Burkhardt Laurie Woodrome Lynn Keim Marcy Baker MetLife Highmark, Inc. Tampa General Coventry Emdeon CMS Humana Kaiser CSC DMBA WPS LabCorp Siemens Aetna Margaret Weiker NCPDP Mark Warren Aetna Mary Lynam Argus Revised 3/2011 Page 3 of 4

9 Mary Tyra VA Meg Barber Kutz Wellpoint Michelle Reilly Miriam Encarnacion Mitchell Nancy Reed BCBS T Nick Bucur State Farm Pam Cottrell Premera Pat Van Dyke ODS Patrick Cannady ADA Patrick D. Hass Mayo Clinic Pete Anderson Optum Pinchas Golpeo Mitchell Rachel Foerster Boundary Raymond Sevier State Farm Sonya May UHC Sue Thompson NCPDP Theresa Behling BCBS MI Wendy Gopoian BCBS MI ASC 12N TGB WG3 JulAug 2016 Revised 3/2011 Page 4 of 4