Transcript Health Care Service Data: Reporting Guide Work Group Report

Health Care Service Data:
Reporting Guide
Work Group Report
By
Bob Davis, Chair
Goals of Work Group
• Develop and maintain an implementation guide
based on the ANSI ASC X12 Claim (837)
standard for the purpose of creating a standard
for reporting administrative data.
• Provide guidance spanning a broad base of
public health organizations related to the
collection of administrative data using the 837
standard.
• Identify future data needs to be supported in the
Health Care Service Data: Reporting Guide
Work Group Committee List
• PHDSC Health care Services Data Reporting Guide
Committee list:
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Claudia Steiner
Dan Pollock
Jason Goldwater
Sandy Hodgin
Vicki Hohner
Laura McGlashan
Anna Orlova
Kathleen Nardini
Mark Rizzutti
Judy Parlato
Roxanne Andrews
Marjorie Greenberg
Jorge Avila
Tim Weishahn
Ron Weiss
Jane McGinnis
Denise Love
Stacy Barber
Ginger Cox
Al Prysunka
Leo Lichtig
Michelle Williamson
Richard Epstein
Wesley Ingram
Pat Hamby
Russ Scarato
Bob Davis
Bill Ramsini
Charles Wentzel
Past Year Activities
• Updated the current October 2001 (4050)
version of the Health Care Service: Data
Reporting Guide to the October 2003
(5010) version of the ANSI ASC X12 Claim
(837) standard
Past Year Activities
• Highlights of the 5010 Version
– Examples, situational notes, & requirements aligned with claim
guides for common segments and data elements
– Incremental support being added for pay-for-performance
initiatives
• Loop added to collect drug information reported using NDC codes
(2410)
• Capability of reporting dates and times for all reported procedures
added
• Support for reporting Do Not Resuscitate Indicator provided through
collaboration with the NUBC to get a national UB code assigned for
this purpose.
– Front matter language changed to comply with newly developed
X12 guidelines (TR3 Document) with the intent to make ANSI
ASC X12 implementation guides more consistent and less
ambiguous.
Past Year Activities
• Time table for approval of the 5010 version
of the HCSDRG as an ANSI ASC X12
approved standard
– Informational Forum at June X12 Meeting in
San Diego
– Changes to guide to reflect comments during
summer 2005
– 5010 Version of the HCSDRG balloted by
ANSI ASC X12 Membership fall 2005
Plans for Upcoming Activities
• Make necessary changes to the guide to
satisfy balloted comments
• Listserv postings
– on issues related to the 5010 Version of the
HCSDRG
– Soliciting additional data needs to be
supported in future versions
• Enhancements to support Pay for Performance
initiatives
• Integration with additional clinical data needs