Transactions, Code Sets & Identifiers Workgroup

Mission Statement

The purpose of the TCI Workgroup is to understand, address, respond, and provide educational assistance as appropriate to the healthcare community for ongoing compliance with the administrative simplification provisions of HIPAA under Parts 160 and 162.  To accomplish this, the TCI Workgroup will focus on the following initiatives:

  • Taking a collaborative approach to educating membership on national initiatives to maintain standards and operating rules.
  • Cooperating and communicating at a local level as necessary to support the healthcare community in implementation of HIPAA mandates.
  • Review and respond as appropriate to calls for industry input to mandates and changes to transactions, code sets and identifiers on behalf of NCHICA and the healthcare community.
  • Maintain and publish an implementation timeline of national and/or NC-based changes impacting TCI implementation or compliance.
  • Formation of sub workgroups or task forces as necessary to address specific HIPAA mandated initiatives of high impact to Transactions, Code Sets, and Identifiers.

 

Meeting Schedule

The workgroup meets monthly on the 2nd Thursday every month. Meetings are held from 10:00am – 12:00pm in person and by teleconference. Participation in meetings are for NCHICA members only, and registration is required. Click here to view upcoming meetings.

Current Projects

Response to the RFI on the Health Plan Identifier (HPID):

The TCI workgroup will be working to provide a response to the Request For Information (RFI) from the Department of Health and Human Services (attached) regarding the Health Plan Identifier (HPID) that is mandated by HIPAA Section 162.504 – 514 as amended by Section 1104 of the Affordable Care Act.  The HPID, currently delayed as 10/31/14, is slated to be used by all covered entities in standard healthcare transactions by November 7, 2016.  Following NCVHS recommendations and changes in the healthcare industry, the Department is seeking input on application of the published final rule regarding the following issues:

  • The HPID enumeration structure outlined in the HPID final rule, including the use of the CHP/SHP and OEID concepts
  • The use of the HPID in HIPAA transactions in conjunction with the Payer ID.
  • Whether changes to the nation’s health care system, since the issuance of the HPID final rule published September 5, 2012, have altered your perspectives about the function of the HPID.

Additional background and a copy of the final rule are available at http://www.cms.gov/Regulations-and-Guidance/HIPAA-Administrative-Simplification/Affordable-Care-Act/Health-Plan-Identifier.html.

Resources

NCHICA has created a collaborative organization that no other State has achieved. It includes vendors, providers, payers, physicians, nurses, clinicians, attorneys, information technologists and other professionals, working together to improve healthcare within North Carolina in every way, from the use of technology, to public policy considerations, to patient privacy, and more. Belonging to, and participating in, this organization helps you to not only keep up with the changing healthcare environment, but to have some influence on those changes.

— David B. Dillehunt
VP & CIO
FirstHealth of the Carolinas
Pinehurst, NC

Sponsor lunch at an upcoming TCI Workgroup meeting and give a brief presentation about your company’s products and services.

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