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PHDSC Participation in Health Data Standards Development

Accredited Standards Committee X12

The Accredited Standards Committee (ASC) X12, a group of standards supported by the American National Standards Institute (ANSI), creates consistent standard data elements for healthcare transactions such as: claims and encounters, eligibility inquiries and responses, claim status inquiries and responses, referrals and prior authorizations, and healthcare payment and remittance advice.

The use of these national standards is mandated by the Health Insurance Portability and Accountability Act (HIPAA). ASC X12 is one of six data standards maintenance organizations named in HIPAA, along with National Uniform Billing Committee (NUBC), National Uniform Claims Committee (NUCC), Health Level 7 (HL7), National Council of Prescription Drug Programs (NCPDP) and Dental Content Committee (DeCC). The Health Care Service: Data Reporting Guide uses the same standards for the transfer of health data, such as assessments of quality and fulfillment of legislative and regulatory mandates to local, state and federal agencies.

PHDSC Representative Reports

06/02/2013: ACS X12 Meeting Summaries
01/20/2013: ACS X12 Meeting Summaries
09/30/2012: ACS X12 Meeting Summaries
06/03/2012: ACS X12 Meeting Summaries
01/29/2012: ACS X12 Meeting Summaries
10/02/2011: ACS X12 Meeting Summaries
06/05/2011: ACS X12 Meeting Summaries
01/30/2011: ACS X12 Meeting Summaries
10/18/2010: ACS X12 Meeting Summaries
06/06/2010: ACS X12 Meeting Summaries
01/25/2010: ACS X12 Meeting Summaries
09/20/2009: ACS X12 Meeting Summaries
06/01/2009: ACS X12 Meeting Summaries
01/26/2009: ACS X12 Meeting Summaries
09/22/2008: ACS X12 Meeting Summaries

National Uniform Billing Committee (NUBC) / National Uniform Claim Committee (NUCC)

The National Uniform Billing Committee (NUBC) is a voluntary, multi-disciplinary committee operated by the American Hospital Association. NUBC is one of six data standards maintenance organizations named in the Health Insurance Portability and Accountability Act (HIPAA), along with the Accredited Standards Committee (ASC) X12, the National Uniform Claims Committee (NUCC), Health Level 7 (HL7), the National Council of Prescription Drug Programs (NCPDP), and the Dental Content Committee (DeCC).

The NUBC maintains the data specifications manual, called the UB, providing standard data content for the institutional billing requirements. The latest version, the UB-04, also supports the institutional reporting requirements. The UB-04 is used by many others, including public health and health researchers, as a tool to gauge the delivery of health care services to patients. NUBC serves as the forum for discussions that lead to mutually agreed data elements for the claim and reporting business needs. It is important to note that the data content in the UB specifications manual has become part of the HIPAA requirements detailed in ANSI X12.

The National Uniform Claim Committee (NUCC) (develops a standard data set for the uniform electronic claim form for use by the non-institutional health care community to transmit related claim and encounter information to and from all third-party payers. The NUCC is maintaining the Health Care Provider Taxonomy List, which is used in the transactions specified in the Health Insurance Portability and Accountability Act (HIPAA).

NUBC and NUCC hold their meetings simultaneously.

PHDSC Representative Reports

01/15/2014: NUBC/NUCC Meeting Summaries
11/20/2013: NUBC/NUCC Meeting Summaries
07/31/2013: NUBC/NUCC Meeting Summaries
03/06/2013: NUBC/NUCC Meeting Summaries
07/31/2012: NUBC/NUCC Meeting Summaries
03/07/2012: NUBC/NUCC Meeting Summaries
08/09/2011: NUBC/NUCC Meeting Summaries
03/01/2011: NUBC/NUCC Meeting Summaries
08/11/2010: NUBC/NUCC Meeting Summaries
03/16/2010: NUBC/NUCC Meeting Summaries
08/11/2009: NUBC/NUCC Meeting Summaries
04/01/2009: NUBC/NUCC Meeting Summaries
12/03/2008: NUBC/NUCC Meeting Summaries
08/13/2008: NUBC/NUCC Meeting Summaries

Integrating the Healthcare Enterprise (IHE)

Integrating the Healthcare Enterprise (IHE) is a multi-year initiative under the leadership of Healthcare Information Management & Systems Society (HIMSS) and the Radiological Society of North America (RSNA). IHE began in November 1998 as a collaborative initiative by healthcare professionals and industry to improve the way computer systems in healthcare share information. IHE promotes the coordinated use of established standards such as DICOM and HL7 to address specific clinical need in support of optimal patient care. Systems developed in accordance with IHE communicate with one another better, are easier to implement, and enable care providers to use information more effectively.

IHE includes medical and public health experts, administrators, standards organizations, IT professionals, and vendors. IHE Technical Committees develop integration profiles to assure that health information seamlessly is passing from application to application, system to system, and setting to setting — across the entire healthcare enterprise.

PHDSC is currently working on the development of the IHE White Paper - Populating Administrative Data from Electronic Health Record Systems.

United States Health Information Knowledgebase (USHIK) Portal

New Portal Compares All-Payer Claims Database (APCD), ASC X12, and the National Council for Prescription Drug Programs (NCPDP) Standard Data Elements

The Centers for Disease Control and Prevention/National Center for Health Statistics (CDC/ NCHS) and the Agency for Healthcare Research and Quality (AHRQ) are committed to improving the quality of information and research about health care services in the United States through improved data quality and data collection techniques. In partnership for this commitment, CDC/NCHS and AHRQ provided support to the Public Health Data Standards Consortium and the Washington Publishing Company to add a portal in the United States Health Information Knowledgebase (USHIK), a metadata registry of healthcare-related data elements and their sources.

The portal will include a core set of data elements from each state's All-Payer Claims Database (APCD); and the corresponding data elements in (1) the Accredited Standards Committee (ASC) X12 5010 standard, (2) the ASC X12 Post-Adjudicated Data Reporting Guides (in development), and (3) the National Council for Prescription Drug Programs (NCPDP) Uniform Healthcare Payer Standard Implementation Guide Version 1.0. The strength of the APCD portal in USHIK lies in its ability to facilitate a comparison among the corresponding data elements of each state's APCD with the national standard for each data element.