Last year, the Centers for Medicare & Medicaid Services (CMS) had issued a reminder to health care providers, health plans, clearinghouses, and vendors about the approaching compliance dates for a new generation of diagnosis and procedure codes and updated standards for electronic health care transactions. It also stated that all entities covered under the Health Insurance Portability and Accountability Act should be ready to test with their trading partners the functionality of the entities’ practice management and/or other related software featuring Version 5010 standards.
Use of the Version 5010 standards for HIPAA electronic health care transactions, including claims, remittance advice, eligibility inquiries, referral authorization and other administrative transactions, will be mandatory on Jan. 1, 2012. The Version 5010 standards also provide the framework needed for use of the revised medical data code sets (ICD-10-CM and ICD-10-PCS), that must be implemented on Oct. 1, 2013.
The greatly expanded ICD-10 code sets will support quality reporting, pay-for-performance, bio-surveillance and other critical activities, and provide a rich terminology for use of electronic health records. The ICD-10 code sets will also link to the standards and certification criteria for demonstrating “meaningful use” of certified EHR technology under the Medicare and Medicaid EHR incentive program.
In the same line and to assist healthcare providers do the same, CMS will host teleconferences on the ICD-10 implementation on Jan. 12 and on the Medicare fee-for-service implementation of the HIPAA Version 5010 and D.0 transaction standards on Jan. 19, according to an AHA News Now report.
The calls will take place as follows:
Jan. 12, 1-3 pm EST: “Preparing for ICD-10 Implementation in 2011″
Jan. 19, 2 pm EST: Fourteenth National Education Call on Medicare Fee-For-Service (FFS) Implementation of HIPAA Version 5010 and D.0 Transactions”