Notice2022-23678
National Committee on Vital and Health Statistics; Meeting and RFC
Primary source
Metadata and text below are from the Federal Register, a public-domain U.S. government work. Always verify the official published version before relying on it for any legal matter.
Published
November 1, 2022
Issuing agencies
Health and Human Services Department
Abstract
Pursuant to the Federal Advisory Committee Act, the Department of Health and Human Services (HHS) announces the following advisory committee meeting and related Request for Comment (RFC). The meeting is open to the public. The public is welcome to obtain the link to attend this meeting by following the instructions posted on the Committee website: https://ncvhs.hhs.gov/ meetings/standards-subcommittee-hearing/. Name: National Committee on Vital and Health Statistics (NCVHS) Standards Subcommittee Meeting.
Full Text
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<title>Federal Register, Volume 87 Issue 210 (Tuesday, November 1, 2022)</title>
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[Federal Register Volume 87, Number 210 (Tuesday, November 1, 2022)]
[Notices]
[Pages 65782-65784]
From the Federal Register Online via the Government Publishing Office [<a href="http://www.gpo.gov">www.gpo.gov</a>]
[FR Doc No: 2022-23678]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
National Committee on Vital and Health Statistics; Meeting and
RFC
AGENCY: Centers for Disease Control and Prevention, HHS.
ACTION: Notice of meeting. notice of request for comment (RFC).
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SUMMARY: Pursuant to the Federal Advisory Committee Act, the Department
of Health and Human Services (HHS) announces the following advisory
committee meeting and related Request for Comment (RFC). The meeting is
open to the public. The public is welcome to obtain the link to attend
this meeting by following the instructions posted on the Committee
website: https://ncvhs.hhs.gov/
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meetings/standards-subcommittee-hearing/.
Name: National Committee on Vital and Health Statistics (NCVHS)
Standards Subcommittee Meeting.
DATES: The meeting will be held Wednesday, January 18, 2023: 10:00
a.m.-5:30 p.m. EST and Thursday, January 19, 2023: 10:00 a.m.-5:30 p.m.
EST.
To submit comments in response to the RFC, please send by close of
business December 15, 2022, to <a href="/cdn-cgi/l/email-protection#e2aca1b4aab18f838b8ea2818681cc858d94"><span class="__cf_email__" data-cfemail="eca2afbaa4bf818d8580ac8f888fc28b839a">[email protected]</span></a>, and include on the
subject line: RFC on X12 and CAQH CORE Proposals.
ADDRESSES: Virtual open meeting.
FOR FURTHER INFORMATION CONTACT: Substantive program information may be
obtained from Rebecca Hines, MHS, Executive Secretary, NCVHS, National
Center for Health Statistics, Centers for Disease Control and
Prevention, 3311 Toledo Road, Hyattsville, Maryland 20782, via
electronic mail to <a href="/cdn-cgi/l/email-protection#1264757a26527176713c757d64"><span class="__cf_email__" data-cfemail="5620313e621635323578313920">[email protected]</span></a>; or by telephone (301) 458-4715.
Summaries of meetings and a roster of Committee members are available
on the home page of the NCVHS website <a href="https://ncvhs.hhs.gov/">https://ncvhs.hhs.gov/</a>, where
further information including an agenda and instructions to access the
broadcast of the meeting will be posted.
Should you require reasonable accommodation, please telephone the
CDC Office of Equal Employment Opportunity at (770) 488-3210 as soon as
possible.
SUPPLEMENTARY INFORMATION: As outlined in its Charter, the National
Committee on Vital and Health Statistics assists and advises the
Secretary of HHS on health data, data standards, statistics, privacy,
national health information policy, and the Department's strategy to
best address those issues. This includes the adoption and
implementation of transaction standards, unique identifiers, and code
sets adopted under the Health Insurance Portability and Accountability
Act of 1996 (HIPAA),\1\ and operating rules adopted under the Patient
Protection and Affordable Care Act (ACA).\2\
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\1\ Public Law 104-191, 110 Stat. 1936 (Aug 21, 1996), available
at: <a href="https://www.congress.gov/104/plaws/publ191/PLAW-104publ191.pdf">https://www.congress.gov/104/plaws/publ191/PLAW-104publ191.pdf</a>.
\2\ Public Law 111-148, 124 Stat. 119 (Mar 23, 2010), available
at: <a href="https://www.congress.gov/111/plaws/publ148/PLAW-111publ148.pdf">https://www.congress.gov/111/plaws/publ148/PLAW-111publ148.pdf</a>.
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Purpose: The purpose of this hearing is to inform the Committee as
it develops recommendations to HHS. During the hearing, the Committee
will receive input from representatives of standards development
organizations (SDOs), Operating Rule Authoring Entities (ORAEs) and
industry stakeholders in response to requests received from two
organizations: X12 \3\ and the Council for Affordable Quality
Healthcare's (CAQH) Committee on Operating Rules for Information
Exchange (CORE) Board.\4\ Together, these requests ask NCVHS to
consider and develop recommendations to HHS regarding proposed
mandatory updates to four HIPAA-adopted transactions, mandatory updates
to four adopted operating rules, and six new operating rules described
below.
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\3\ Letter from X12 to NCVHS, June 7, 2022: <a href="https://ncvhs.hhs.gov/wp-content/uploads/2022/09/X12-Request-for-review-of-8020-transactions-060822-to-NCVHS-508.pdf">https://ncvhs.hhs.gov/wp-content/uploads/2022/09/X12-Request-for-review-of-8020-transactions-060822-to-NCVHS-508.pdf</a>.
\4\ Letter from CAQH CORE to NCVHS, May 23, 2022: <a href="https://ncvhs.hhs.gov/wp-content/uploads/2022/09/CAQH-CORE-Board-Letter-to-NCVHS-re-New-Updated-OR-052322-508.pdf">https://ncvhs.hhs.gov/wp-content/uploads/2022/09/CAQH-CORE-Board-Letter-to-NCVHS-re-New-Updated-OR-052322-508.pdf</a>.
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The agenda for the hearing dedicates one day to the X12 proposed
standards updates and one day to the proposed updated and new operating
rules. The agenda on both days will include time for public comment.
Meeting times and topics are subject to change.
Request for comment: This Notice also serves as a Request for
Comment (RFC) to solicit input from industry stakeholders, patients,
any interested individuals and organizations, or any members of the
public to the Subcommittee in advance of the January 18-19, 2023,
hearing. The Committee is seeking input about the value of the proposed
transactions and operating rules, including costs, benefits, test
results, and overall impact of updating and adopting (or not adopting)
these transaction standards and operating rules. The comments will
inform the Committee's deliberations about the value, benefits, and
costs of the proposed updates to the standard transactions and
operating rules. The Committee will compile the responses in advance of
the January 18-19, 2023, hearing and consider them together with the
live testimony of subject matter experts provided at the meeting. In
addition, NCVHS is collaborating with the Workgroup for Electronic Data
Interchange (WEDI) that is also gathering and providing information as
described below.
The RFC includes suggested topics and questions to guide
commenters. However, comments are welcome on any subject relevant to
the Committee's inquiry and any aspect of the agenda. The suggested
topics and questions are available on the Committee's website at:
<a href="https://ncvhs.hhs.gov/January-2023-Standards-Subcommittee-Hearing-Public-Comment-Guidelines">https://ncvhs.hhs.gov/January-2023-Standards-Subcommittee-Hearing-Public-Comment-Guidelines</a>. To submit comments in response to the RFC,
please send by December 15, 2022, to <a href="/cdn-cgi/l/email-protection#6b25283d2338060a02072b080f08450c041d"><span class="__cf_email__" data-cfemail="9ad4d9ccd2c9f7fbf3f6daf9fef9b4fdf5ec">[email protected]</span></a>, and include on
the subject line: RFC on X12 and CAQH CORE Proposals.
Requests From X12 and CAQH CORE
On June 7, 2022, X12 submitted a letter to NCVHS to recommend an
update of adopted transactions: from version 5010 to version 8020 for
the adopted administrative standard for the health care claims
(professional, institutional, and dental) and the remittance advice
transactions.\5\
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\5\ Letter from X12 to NCVHS, June 7, 2022: <a href="https://ncvhs.hhs.gov/wp-content/uploads/2022/09/X12-Request-for-review-of-8020-transactions-060822-to-NCVHS-508.pdf">https://ncvhs.hhs.gov/wp-content/uploads/2022/09/X12-Request-for-review-of-8020-transactions-060822-to-NCVHS-508.pdf</a>.
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HIPAA requires the Secretary of HHS to promulgate regulations
adopting standards, code sets, and identifiers to support the exchange
of electronic health information between covered entities, including
standards for retail pharmacy and medical transactions. Standards
setting organizations or the Designated Standards Maintenance
Organization (DSMO) bring forward new versions of the adopted standards
to NCVHS after completion of a consensus-based review and evaluation
process. Under section 1173(3)(B), the organizations with whom a DSMO
should consult for input include the National Uniform Billing
Committee, the National Uniform Claim Committee, the Workgroup for
Electronic Data Interchange, and the American Dental Association.
On May 23, 2022, the CAQH CORE submitted a letter to NCVHS to
consider a package of CAQH CORE Operating Rules for federal adoption as
follows: \6\
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\6\ Letter from CAQH CORE to NCVHS dated May 23, 2022: <a href="https://ncvhs.hhs.gov/wp-content/uploads/2022/09/CAQH-CORE-Board-Letter-to-NCVHS-re-New-Updated-OR-052322-508.pdf">https://ncvhs.hhs.gov/wp-content/uploads/2022/09/CAQH-CORE-Board-Letter-to-NCVHS-re-New-Updated-OR-052322-508.pdf</a>.
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Updates to Adopted Operating Rules
<bullet> Updated Eligibility & Benefits Data Content Rule;
<bullet> Updated Claim Status Infrastructure Rule (updates +
reference to new Connectivity rule);
<bullet> Updated Payment & Remittance Advice Infrastructure Rule
(reference to new Connectivity rule);
<bullet> Updated Eligibility & Benefits Infrastructure Rule
(updates + reference to new Connectivity rule).
Proposed New Operating Rules
<bullet> CAQH CORE Connectivity Rule vC4.0.0--replaces existing
connectivity requirements in infrastructure components of adopted
operating rules; adds new requirements to all operating rules;
<bullet> New CAQH CORE Eligibility & Benefits (270/271) Single
Patient Attribution Data Content Rule;
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<bullet> New Attachments Prior Authorization Infrastructure Rule;
<bullet> New Attachments Prior Authorization Data Content Rule;
<bullet> New Attachments Health Care Claims Infrastructure Rule;
<bullet> New Attachments Health Care Claims Data Content Rule.
Section 1104 of ACA amended HIPAA by introducing the requirement to
adopt operating rules to support the business function of each HIPAA-
adopted standard transaction. HHS has adopted operating rules for the
eligibility, claim status, electronic remittance advice, and electronic
funds transfer transactions. HHS has not yet adopted operating rules
for health care claims, enrollment/disenrollment, premium payments,
prior authorization for referrals, or health care claim attachments
transactions.
Additional Opportunity To Provide Comment
In addition to the January 18-19, 2023, hearing and RFC, the
Committee is collaborating with the Workgroup for Electronic Data
Interchange (WEDI) in its role as advisor to the Secretary of Health
and Human Services (HHS). WEDI is considered an authority on the use of
health information technology (HIT) to improve health information
exchange. Its membership includes a cross-section of HIPAA covered
entities that implement the HIPAA standards and operating rules, as
well as vendors and other subject matter experts who support those
implementations. WEDI is supporting NCVHS' efforts to obtain input from
a diverse group of stakeholders through educational programs, its
annual conference October 25-27, 2022, and other organized information
gathering activities. WEDI will compile and analyze this information
and share the results with NCVHS by early December 2022. Additional
information regarding the WEDI conference and its upcoming outreach
efforts is available at: <a href="https://www.wedi.org/about-us/">https://www.wedi.org/about-us/</a> and <a href="https://members.wedi.org/event-calendar">https://members.wedi.org/event-calendar</a>. The results of WEDI's upcoming
information-gathering activities will be presented during NCVHS's
January 18-19, 2023, hearing.
Sharon Arnold,
Associate Deputy Assistant Secretary, Science and Data Policy, Office
of the Assistant Secretary for Planning and Evaluation.
[FR Doc. 2022-23678 Filed 10-31-22; 8:45 am]
BILLING CODE 4150-05-P
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