The NCPDP Standards and Understanding Unique Healthcare Transactions

Why Should You Attend:

NCPDP standards are unique and difficult to navigate. Close attention must be paid to field lengths and requirements in order to transmit data successfully and in accord with published standards. Technical personnel as well as business analysts must be aware of the intricate workings of the field requirements and how it relates to HIPAA compliance and fruitful data exchange.

This webinar will help you understand how the separate implementation guides interact and how NCPDP data transmission is so different from X12 standards. This will help providers and healthcare data workers improve data exchange and transmission and improve the provision of healthcare to patients.

Areas Covered in the Webinar:

  • NCPDP guidelines
  • Use of NCPDP standards
  • Types of data transmitted in NCPDP format
  • Compare and contrast to X12
  • Role of the data analyst
  • Education and Outlook
  • Pitfalls and Avoidance Strategies

Who Will Benefit:

This webinar will provide valuable assistance to all personnel in medical offices, practice groups, hospitals, academic medical centers, insurers, business associates (shredding, data storage, systems vendors, billing services, etc.). The titles are:

  • Data analyst
  • Business analyst
  • Technical
  • Compliance
  • Privacy Officer
  • Information Security Officer
  • Information Systems Manager
  • HIPAA Officer
  • Chief Information Officer
  • Health Information Manager
  • Healthcare Counsel/lawyer
  • Office Manager
  • Contracts Manager

Instructor Profile:

Dr James Millar, has worked in the healthcare industry for many years, first as and IT Auditor for the Bureau of Tenncare in Tennessee, then as a Senior Business Analyst at Cigna-Healthspring. His experience ranges from all aspects of encounter and claim data, from membership and eligibility to claim balancing, and many of the primary healthcare data transactions, from 270/271, 837 P/I/D, 834, 835, as well as NCPDP claim data. He has worked as a fraud data analyst, claim data analyst and compliance expert in the healthcare industry. Prior to his work in the healthcare industry Dr Millar was an Economics instructor at both Rend Lake College and Southern Illinois University.

Topic Background:

National Council for Prescription Drug Programs (NCPDP) was founded in 1977 and is responsible for promulgating the standards around pharmacy claims data transmissions. In contrast to medical claim and encounter transactions, which follow the X12 standards of electronic data interchange (EDI) NCPDP claims data is sent in a specialized and highly intricate format that requires great attention to specific field formats and transmission requirements. NCPDP standards are difficult to navigate and pitfalls are plentiful.

Among NCPDP standards unique requirements is the HEX field and segment delimiters (not present in X12 transactions) and the use of very specific field lengths and requirements for monetary and drug quantity values. NCPDP standards also are in sets of three, rather than the single implementation guide for X12 transactions. NCPDP implementation guides include a standard implementation guide, a data dictionary and an external code list, all of which must be used together in order to obtain correct field specifications for the NCPDP transmission data.

For Registration:

http://www.complianceonline.com/ecommerce/control/trainingFocus/~product_id=703337?channel=limesfinder