Saturday, January 31, 2015

The NUCC--a Great Discovery for a Lover of Bureaucracy

Who knew there was a NUCC in our world? 

What, you may ask, is a NUCC?

It's the National Uniform Claim Committee, the proud sponsor of 1500_Claim, which is one of the government's most popular publications.

Essentially it tries to standard healthcare claims. As they say:

"The NUCC replaced the Uniform Claim Form Task Force, which was co-chaired by the AMA and CMS and resulted in the development of the 1500 Claim Form, a single paper claim form for use by all third-party payers. With the transition of the medical community to electronic data interchange and the proliferation of data element definitions among various payers, it became essential that an organization be established to maintain uniformity and standardization in these areas. The NUCC is responsible for maintaining the integrity of the data sets and physical layout of the hard copy 1500 Claim Form.
From the provider viewpoint, non-uniform data elements have caused significant frustration, claims billing and processing delays, and rejections. From the payer viewpoint, claims that are not in the required format may be resubmitted several times before they can be processed. The result is a very labor-intensive and costly business practice for providers and payers.
Through an iterative process, the NUCC used existing implementation guides, data dictionaries and results from ongoing standardization efforts within the health care industry to consolidate the many current data sets into one set.  The NUCC continues to work to optimize, as necessary, coordination of implementation within the health care industry, working with ASC X12N as required, to resolve data maintenance and standards problems that arise from the NUCC's work.

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