Standards Committee Goals 2019

Follow

Goal/Objective

Details

Status

Update Current Standards

Review all admin standards and specifications as quickly as is practical.

Scheduled throughout the year

7030 Public Comments

Review and respond to any 7030 transaction that are released for public comment.

As needed

Support UHIN Implementations

Review design, provide use cases, provide feedback.

As needed

Participate in Committees and Respond to Rules/Regulations

Actively participate in committees (e.g. WEDI, X12) and respond to proposed rules/regulations as needed to educate the community and advocate for community interests.

As needed

Attachments

Conduct fact-finding around attachment options and needs for the community. Includes UHIN’s attachment tool, options utilizing the 275, linking to the 278, etc. Draft a proposal based on results.

Scheduled for Q2

Encounters

Review a whitepaper with to standardize data requirements across use cases.

Scheduled for Q3 or Q4

COB Database

Discuss the vision for the database and options for making it more effective as a resource, including getting data in real-time, improve connection methods, etc.

Scheduled for Spring 2019

Claim Status Request/Response (276/277)

Increase usability to encourage provider adoption. Begin with discovery to prioritize improvements. Create a 276/277 standard as necessary.

Scheduled for Spring 2019

Increased understanding of UHIN clearinghouse and software capabilities

UHIN will provide ongoing presentations to provide clarity on current and upcoming clearinghouse/software capabilities.

Scheduled throughout the year

Standards presence at Provider Education Summits

Arrange to have Standards materials and/or representatives at the PES events to discuss Standards with the attendees.

Scheduled for Spring and Winter

 

Schedule and Priority:

Priority

Jan

Feb

Mar

Apr

1

Begin 2019 goals

Finalize goals

Admin Standard/Spec Review

COB – Initial Discussion

2

Admin Standard/Spec Review

Provider recruitment strategy

 

Admin Standard/Spec Review

3

Provider Education Summit

Admin Standard/Spec Review

276/277 discovery via the PES

UHIN Implementation: Attachment Portal

4

Clearinghouse and software capabilities: Claim creation software

Clearinghouse and software capabilities: Eligibility software

Clearinghouse and software capabilities: Reports viewing and posting software

Clearinghouse and software capabilities: Clearinghouse editing/validation

 

Priority

May

June

July

Aug

1

Review 276/277 discovery results

276/277 Standard?

276/277 Standard?

276/277 Standard?

2

Admin Standard/Spec Review

Admin Standard/Spec Review

Admin Standard/Spec Review

Admin Standard/Spec Review

3

Attachments – initial discussion

Attachments – follow-up discussion

TBD

TBD

4

Clearinghouse and software capabilities: Clearinghouse tracking

Clearinghouse and software capabilities: Topic TBD

Clearinghouse and software capabilities: Topic TBD

Clearinghouse and software capabilities: Topic TBD

 

Priority

Sept

Oct

Nov

Dec

1

Transparency Standard Updates

Transparency Standard Updates

TBD

TBD

2

Admin Standard/Spec Review

Admin Standard/Spec Review

Admin Standard/Spec Review

Admin Standard/Spec Review

3

TBD

Provider Education Summit 2020

Encounters Whitepaper Review

TBD

4

Clearinghouse and software capabilities: Topic TBD

Clearinghouse and software capabilities: Topic TBD

Clearinghouse and software capabilities: Topic TBD

Clearinghouse and software capabilities: Topic TBD

 

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