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Chair:  Dr.Nita Thingalayaand Dr.Julia Skapik

Scribe: Dana Marcelonis
 

Attendees

Present

Name

Affiliation

  •  
Robert DieterleEnablecare
  •  
Stratametrics
  •  
Nita ThingalayaIBC
  •  
Cambia Health Solutions
  •  
Duane WalkerBCBSM
  •  
Gregory MagazuCaseNet
  •  
Jeanie SmithBCBSFL
  •  
Corey SpearsInfor
  •  
Greg Linden
  •  
Joseph QuinnOptum
  •  
Ashley SteddingCMS
  •  
Barbara AntunaAIM Specialty Health/ Anthem
  •  
Mary Kay McDanielCognosante
  •  
Michael GouldIBC
  •  
Laurie BurckhardtWPS Health Systems
  •  
Serafina Versaggi
  •  
Sreenivas MallipeddiMCG Health
  •  
Susan BellileAvaility
  •  
Susan LangfordBCBST
  •  
Taha AnjarwallaCAQH
  •  
Tony BensonBCBSAL
  •  
Tracey McCutcheonKPMG
  •  
Brent WoodmanBCBSM
  •  
Sonja ZieglerOptum
  •  
Dawn PerreaultBCBSM
  •  
CMS
  •  
Anupam ThakurBCBS FL
  •  
Anthem
  •  
Allscripts
  •  
BCBSM
  •  
Chris JohnsonBCBSAL

Present

Name

Affiliation

  •  
John BialowiczBCBSM
  •  
Nandini GangulyScope Info Tech/ EMDI
  •  
Peter Muir
  •  

  •  
Pallavi TalekarScope Info Tech
  •  
Julia SkapikCognitive Medicine
  •  
Kelly TaylorCMS
  •  
Karen L. ZapataAnthem
  •  
Brandon RaabAnthem
  •  
Cindy MonarchBCBSM
  •  
Michael CabralCMS
  •  
Nick RadovUHC
  •  
Anne MeisheidCMS
  •  
Isaac VetterEpic
  •  
James Derrickson
  •  
Laurie WoodromeLabcorp
  •  
Ric LightHumana
  •  
Harvey KuangExpress Scripts
  •  
BCBS AL
  •  
Gevity
  •  
Julia ChanCW Global Consult
  •  
Ken Lord
  •  

  •  

  •  
Roland Gamache
  •  
Alberto S. LlanesAnthem
  •  
Mark Scrimshire
  •  

  •  
Patrick MurtaHumana
  •  
Ranjith KandurAnthem
  •  
Mitre


Minutes Approved as Presented 


This is to approve minutes via general consent. "You have received the minutes. Are there any corrections to the minutes? (pause) Hearing none, if there are no objections, the minutes are approved as printed."


Agenda Topics

Agenda Outline

Agenda Item

Meeting Minutes from Discussion

Decision Link(if not child)
ManagementReview ANSI Anti-Trust Policy


ManagementBallot and Connectathon Schedule
May Terry and JuliaScenarios for Reference Implementation
  • General goal of connectathon/project:
    • Primary goal to reach the minimum needed to express the business requirements. Additional data is useful but we can allow optionality in the expression of the test content
    • Reference implementation should support a range of content-- be clear that it is not expected or required to have highly structured or coded content but to create examples of the fullest expression of the content in FHIR is optimal
    • For example, PFT Report is probably not available in FHIR but this would be likely to be in a pdf
  • Payer examples?
    • If anyone can provide please do even partial examples
  • Structure of treatment plan components
  • Terminologies
    • Will use ICD-10 with SNOMED translation code where available
  • Composition components



Chat Log:

julia chan (to Everyone): 2:37 PM: append source with code (ie. claim - icd10, clinical src - snomed)

Rachel Foerster (to Everyone): 2:38 PM: If using claim data it is important to recoginize what is permitted to use on the HIPAA 837 claims

Terry, May  (to Everyone): 2:48 PM: https://www.fda.gov/medical-devices/global-unique-device-identification-database-gudid/gudid-guidance

julia chan (to Everyone): 2:54 PM: Diabetes Reference Notes> time between consulting sessions> or increased number of sessions>may need prior auth>

julia chan (to Everyone): 2:54 PM: https://innovation.cms.gov/initiatives/medicare-diabetes-prevention-program/


ManagementNext agenda



 Adjournment

Adjourned at 3:01pm ET


Supporting Documents


Action items


Create Decision from template