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  • NCVHS Predictability Roadmap

    by Samantha Holvey | Oct 05, 2018

    From: Nick Coussoule and Alix Goss, Co-chairs, NCVHS Subcommittee on Standards

    The National Committee for Vital and Health Statistics (NCVHS) is requesting your assistance with the next step of the Predictability Roadmap initiative on updating and adopting administrative standards and operating rules under the Health Insurance and Portability Act of 1996 (HIPAA).  The attached draft recommendations for the Roadmap were developed after an 18-month industry engagement process which includes a set of 23 recommendations, calls to actions and measurements under 3 focus areas:1.  Improved education, outreach and enforcement from Health and Human Services (HHS), 2.  Policy levers to support process improvement changes from the standards organizations, and 3.  Regulatory levers to enable timely adoption, testing, and implementation of updated or new standards and operating rules.

    The recommendations have been incorporated into a narrative report and presentation.  The narrative report provides a history of standards development and adoption under the Health Insurance and Portability Act of 1996 (HIPAA) and the Affordable Care Act of 2010 (ACA), and the NCVHS Subcommittee on Standards engagement activities to date.  The power point summarizes our work and includes the list of recommendations, calls to action and measurements.  This information is also on the NCVHS website at https://ncvhs.hhs.gov/meetings/full-committee-meeting/

    The Subcommittee is interested in getting as much feedback as possible so that final recommendations can be developed for subsequent transmission to the Secretary of Health and Human Services (HHS) in 2019.  Please send comments to NCVHSmail@cdc.gov with the subject line “Predictability Roadmap” and include your name, email address, and organization.  A hearing will be held on December 12 – 13th in Washington, DC.

Featured Articles

WEDI Clarifies Clinical Documentation in 2017 ICD-10 Guidance

Oct 31, 2016, 12:21 PM

A WEDI issue brief discusses the clinical documentation improvement provisions within the 2018 ICD-10 Official Guidelines.

The Workgroup for Electronic Data Interchange (WEDI) has released an issue brief on clinical documentation and the 2017 ICD-10 Official Guidelines.

The 2017 guidelines include a specific provision about clinical documentation. In guideline 19, CMS discusses code assignment and clinical criteria.

“The assignment of a diagnosis code is based on the provider’s diagnostic statement that the condition exists,” the guideline states. “The provider’s statement that the patient has a particular condition is sufficient. Code assignment is not based on clinical criteria used by the provider to establish the diagnosis.”

For more information, visit www.ehrintelligence.com.

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