HIPAA regulation Summit
HIPAA regulation Summit
HIPAA regulation Summit
HIPAA regulation Summit
HIPAA regulation Summit
HIPAA regulation Summit



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HIPAA SUMMIT PRESENTATIONS
Speaker presentations are password protected for 90 days from the start of the Summit. Registrants may log in by clicking here. For further information, email registration@hcconferences.com or call 800-684-4549.

TWENTY-FOURTH NATIONAL HIPAA SUMMIT
AGENDA: DAY III

Wednesday, March 23, 2016

7:00 a.m. Registration Open; Networking Breakfast

MORNING CLOSING PLENARY SESSION - TRANSACTIONS, CODE SETS, OPERATING RULES, HEALTH PLAN IDENTIFIER AND ICD 10 IMPLEMENTATION
8:00 a.m.

Welcome and Introductions

William R. Braithwaite, MD, PhD
"Doctor HIPAA", Braithwaite Consulting; HIPAA Summit Distinguished Service Award Winner; Former Senior Advisor on Health Information Policy, DHHS, Washington, DC (Co-Chair)

    Speaker Bio

    Dr. Bill Braithwaite has dedicated his career to improving the quality and efficiency of health care for patients and practitioners utilizing information technology. He is best known as the author of the Administrative Simplification Subtitle of HIPAA and as a major contributor to the subsequent federal regulations setting standards for transactions, code sets, identifiers, security, and privacy of personal health information. As an independent consultant, he now works with a few small clients on the policy, technology, and compliance issues of health information privacy and security.
8:15 a.m.

CMS Operating Rules, Health Plan Identifier, ICD-10, and Health Plan Certification Updates

Pathways to Administrative Simplification
Denesecia Green
Deputy Director, National Standards Group (NSG), Office of Enterprise Information (OEI), Centers for Medicare and Medicaid Services, Baltimore, MD

    Speaker Bio

    Denesecia Green, is the Deputy Director of the National Standards Group (NSG) within the Office of Enterprise Information, Centers for Medicare & Medicaid Services (CMS). Mrs. Green's 17 years of health care experience and strong commitment to public health programs span over a wide variety of HHS and CMS programs and policy. CMS program experience includes Medicare, Medicare Advantage, Medicaid, Program Integrity, Quality, Marketplace, Population Health, Health IT, and national standards for Administrative Simplification. In her current role, Mrs. Green adopts HIPAA and ACA standards that enable health information to be exchanged electronically to achieve greater uniformity, efficiency, and cost savings across the healthcare industry.
9:00 a.m.

ACA Operating Rules Update

Gwendolyn Lohse
Managing Director, CORE; Deputy Director, CAQH, Washington, DC

    Speaker Bio

    Gwendolyn Lohse is the Deputy Director of CAQH and the Managing Director of CAQH's Committee on Operating Rules for Information Exchange (CORE). Prior to joining CAQH, Ms. Lohse was in management roles at Johns Hopkins and PricewaterhouseCoopers, where she served both domestic and international healthcare clients.
9:30 a.m.

Review Committee and the NCVHS Standards Subcommittee Update

Alexandra (Alix) Goss
Executive Director, Pennsylvania eHealth Partnership Authority; Co-Chair, NCVHS Standards Subcommittee, Harrisburg PA

    Speaker Bio

    Alexandra (Alix) Goss was named Executive Director of the Pennsylvania eHealth Partnership Authority in January 2014. Since 2008, in various roles, she has guided Pennsylvania's efforts to build a statewide network for electronic health information exchange (eHIE). For over 25 years, she has held diverse healthcare leadership positions including chair of the ASC X12 Insurance Subcommittee. She is currently serving a four-year term as a member of the U.S. Department of Health and Human Services' National Committee on Vital and Health Statistics (NCVHS), and is co-chair of its Review Committee and its Standards Subcommittee.
10:00 a.m. Break
10:15 a.m.

Hospitals Leveraging Administrative Simplification and a Post ICD-10 Update

George Arges
Senior Director, Health Data Management Group, American Hospital Association, Chicago, IL

    Speaker Bio

    George Arges is the senior director of the Health Data Management Group (HDMG) of the American Hospital Association. He has been with the AHA for over 27 years and was involved in the early development of the electronic standards that eventually became part of the Health Insurance Portability and Accountability Act of 1996. He is the Chair of the National Uniform Billing Committee (NUBC) that oversees the UB-04 data specification standard for institutional billing and manages the staff activities of AHA's Central Office on ICD-9-CM.

    He also serves on the Designated Standards Maintenance Organizations (DSMO) as well as the National Uniform Claim Committee and the ADA's Dental Content Committee (DeCC) to coordinate administrative reporting improvements across various provider settings. He is a board member of the Workgroup for Electronic Data Interchange.
    http://www.aha.org/research/reports/tw/16jan-tw-adminsimp.pdf
10:45 a.m.

EFT and the Other Transactions, What Transactions are Under-Utilized, and What's Coming Next

Robert Tennant, MA
Director, HIT Policy, Medical Group Management Association, Washington, DC

    Speaker Bio

    As Director of HIT Policy for the Association, Mr. Tennant focuses on federal legislative and regulatory information technology issues including HIPAA, administrative simplification, federal quality reporting programs, EHR policy, and other HIT topics. Mr. Tennant currently participates with numerous industry organizations including: Vice Chair of the Board of Directors of the Workgroup for Electronic Data Interchange (WEDI); and co-chair of the WEDI Virtual Clipboard Initiative, Secure Messaging Workgroup, and ePayments Taskforce. He also serves on the Board of Commissioners for the Electronic Healthcare Network Accreditation Commission (EHNAC), the CAQH Index Advisory Panel, the National Uniform Claim Committee; the Physicians EHR Coalition; and others. Mr. Tennant was named as one of HealthData magazine's "Twenty People to Watch in Healthcare IT in 2016."
11:15 a.m.

Aggregation and Integration: The Value of Standards in Multi-payer, Multi-provider Initiatives

Patrick Gordon, MPA
Associate Vice President, Rocky Mountain Health Plans; Former Director, Colorado Beacon Consortium; Former Manager, Colorado Department of Health Care Policy and Financing, Greenwood Village, CO

    Speaker Bio

    Patrick Gordon is associate vice president of community integration for Rocky Mountain Health Plans. Patrick is accountable for an array of payment reform, health data exchange and behavioral health services integration initiatives in Western Colorado. He also leads the implementation of the Medicaid Accountable Care Collaborative project in western and northern Colorado. Patrick provides oversight of the Medicaid, Full Benefit Medicare/Medicaid Eligibles, and CHP+ programs supported by the health plan, as well as the CMS Innovation Center's Comprehensive Primary Care initiative. Patrick has led several strategic initiatives for RMHP's stakeholders, including the Colorado Beacon community demonstration, the design and implementation of an aligned payment arrangement with the State of Colorado and physicians to achieve Triple Aim objectives. Further, he serves on the Colorado State Innovation Model (SIM) Advisory Board. Prior to joining RMHP, Patrick held various positions within the Colorado Department of Health Care Policy & Financing related to policy development and program management.
11:45 a.m.

Closing Plenary Session Faculty Q&A

Steven S. Lazarus, PhD, CPEHR, CPHIT, CPHIE, CPORA, FHIMSS
President, Boundary Information Group; Member, Board of Examiners, Health IT Certification, LLC; Past Chair, WEDI, Denver, CO (Moderator)

    Speaker Bio

    Steven S. Lazarus is President and Co-Founder of Boundary Information Group (BIG), a virtual health care information and technology consulting firm. The firm is recognized for its leadership in conducting "mock" audits for HIPAA Privacy, Security, Breach Notification, Transactions, Code Sets, Identifier and Operating Rules; and EHNAC Accreditation. His consulting engagements include electronic health records (EHR), health information exchange (HIE), system strategic planning, operating rules implementation and compliance, revenue cycle improvement and workflow improvement, and HIPAA compliance. His clients include physician practices, hospitals, HIEs, insurance companies, vendors, government (Federal, State and local) and national associations. In 2004, he co-founded Health IT Certification, LLC. He is a faculty member and Vice-Chair of the Board of Examiners. He has been accepted by the Courts as an expert HIPAA witness. Dr. Lazarus is a Former Chair of WEDI.
12:15 p.m. Summit Adjournment

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