Health Care Service Data Reporting Guide Committee

Founded in 2000

Purpose | Activities

In the Spotlight
	Health Care Service Data Reporting Guide Tools HCSDRG Committee Web Informational Forum September 12, 2007, 1:00 - 2:30 p.m EST Development of the 5050 version of the Health Care Service: Data Reporting Guide (October 2007 version of the ANSI X12 standards) is underway United States Health Information Knowledgebase (USHIK) includes the Health Care Service Data Reporting Guide Model

Purpose

The Consortium’s education strategy identified the need to provide support and guidance to states in all aspects of data standards implementation. The Consortium was encouraged to create a public health implementation guide for selected national standards as they relate to public health. The mission of the Health Care Service Data Reporting Guide Committee (HCSDR Guide Committee) is to coordinate and facilitate the maintenance of an implementation guide for reporting health care service data. The ANSI X12N 837 Health Care Service Data Reporting Guide provides a standardized format and data content for reporting health care service data that are compatible with the 837 Health Claim transaction set standards identified by the Health Insurance Portability and Accountability Act (HIPAA). This guide provides assistance in developing and executing the electronic transfer of health care systems data for reporting purposes to local, State, and Federal agencies that utilize the data for monitoring utilization rates, assessing patterns of health care quality and access, and other purposes required by legislative and regulatory mandates.

The HCSDR Guide Committee focuses on priorities related to data standardization including HIPAA implementation at the direction of the Chair. In carrying out its activities, the committee complements and coordinates its work with the PHDSC’s other standing and ad hoc committees and committees as well as with other related data standardization initiatives.
 

Activities

This committee is responsible for ongoing maintenance of the Health Care Service Data Reporting Guide.
All entities who conduct quality measurement, community assessment, disease Surveillance, and other comparative studies now have a national Standard for institutional health care service information. The guide is HIPAA compatible because data elements used for both claims payment and health services reporting are defined identically, but the Guide includes data elements essential for quality measurement and public health Assessment purposes. For example, diagnosis and procedure codes are in the Claim standard and are used for both claims payment and health services studies. However, data elements such as race & ethnicity, patient county code, present on admission flag for secondary diagnoses are not now needed to pay a claim, so are missing from the industry claims standard. The Guide includes these additional data elements critical to quality, utilization, and public health studies.
There is a charge to cover the publication costs to obtain this guide. Directions on how to arrange for payment are available on the Washington Publishing Company Web site: www.wpc-edi.com.

2006-2007

5010 version of the Health Care Service: Data Reporting Guide approved as a national standard by ANSI X12

Description
The 5010 version of the Health Care Service: Data Reporting Guide approved as a national standard by ANSI X12, which is the October 2003 view of the X12 standards. The technical name for this guide is 005010X225. This guide has been approved by ANSI X12 and can be purchased from Washington Publishing Company.

2004-2005

Committee members work to provide and solicit input for future versions of the Health Care Service: Data Reporting Guide

Description
The ongoing work of the committee is to provide and solicit input for future enhancements to the Health Care Service Data Reporting Guide. Committee members are also asked to assist in the development and editing of drafts of the next version of the guide.

2002-2003

4050 version of the Health Care Service: Data Reporting Guide approved as a national standard by ANSI X12

Description
The 4050 version of the Health Care Service: Data Reporting Guide approved as a national standard by ANSI X12, which is the October 2001 view of the X12 standards. The technical name for this guide is 004050X156. This is the first version of an ANSI X12 implementation guide designed to standardize Public Health administrative data for all care in an institutional setting. This guide has been approved by ANSI X12 and can be purchased from Washington Publishing Company.
 

committee
Chair

Robert Davis
Consultant
National Center for Health Statistics (NCHS)
rdavis@nahdo.org

Note: The business of this committee happens via listserv postings. To become a member please e-mail the chair with a request.

Commitee Members

HCSDR Guide Committee Members

Products

Health Care Service: Data Reporting Guide Tools

Road Map for Implementing the Health Care Service: Data Reporting Guide

Minutes

September 28, 2006

May 30, 2006

February 22, 2006

October 27, 2005

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