HHS Announces FINAL Rule for ICD-10 Compliance Date and HPID

Health and Human Services has announced a Final Rule that confirms the proposed extension of the ICD-10 compliance date to October 1, 2014.
The Final Rule also establishes a unique health plan identifier (HPID), as well as a unique identifier for other entities (OEID), and modifies the NPI Rule to include pharmacy prescribers.

The Final Rule establishes these important dates:
• Health plans, with the exception of small plans, must obtain an HPID by November 5, 2014
• Small health plans must obtain an HPID by November 5, 2015
• Covered entities must use HPIDs in the standard transactions on or after November 7, 2016

The changes to the NPI rule become effective May 6, 2013.

HIPAA Simplified Expanded to Include ICD-10, other upcoming HIPAA and ACA Regulations
Emdeon’s HIPAA Simplified website (www.hipaasimplified.com) has been expanded to address ICD-10, as well as other upcoming regulations enacted by HIPAA and the Patient Protection and Affordable Care Act of 2010 (ACA).

New Section added for ICD-10:
We have added a new section for ICD-10 that includes Emdeon Clearinghouse FAQ’s. Emdeon’s ICD-10 Program Playbook will also be published in the near future, offering our customers an in-depth look at Emdeon’s ICD-10 strategy. The playbook will include:

• An overview of ICD-10, important facts and key changes between ICD-9 and ICD-10
• Guiding principles and governance of our ICD-10 program
• Emdeon’s ICD-10 implementation timeline
• Plans for customer messaging and communications
• Information on trading partner testing

To access the ICD-10 page, click the ICD-10 link from the HIPAA Simplified home page. Alternately, you can go directly to the ICD-10 page using the URL http://www.emdeon.com/5010/icd10.php.

Operating Rules:
The Patient Protection and Affordable Care Act (ACA) of 2010 requires The Department of Health and Human Services (HHS) to adopt operating rules for the HIPAA transactions. The first of these regulations, concerning the health plan Eligibility/Benefit and Claim Status transactions was issued in July 2011, with a compliance date of January 1, 2013.

The Operating Rules page of HIPAA Simplified presents frequently asked questions about the regulation and Emdeon’s readiness to keep you updated regarding this important milestone.

As an industry leader, we are committed to helping our trading partners successfully navigate the HIPAA and ACA regulatory timeline. Emdeon intends for HIPAA Simplified to be an evolving site and valuable resource for our customers.

Bookmark HIPAA Simplified and check back often!

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