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Edifecs Announces New Version of Its Integrated HIPAA 5010 and ICD-10 Analysis and Migration Solution

BELLEVUE, Wash., March 20 /PRNewswire/ -- Beginning, March 17, 2009, the first of two effective dates in the modifications to HIPAA Electronic Transaction Standards Final Rule goes into effect. This final rule adopts Accredited Standards Committee (ASC) X12 Version 5010 replacing Version 4010A1 and National Council for Prescription Drug Programs (NCPDP) Versions D.0, 3.0, and 5.1 standards for electronic transactions. Compliance with these standards is mandatory by January 1, 2012. A new transaction, the NCPDP 3.0 Medicaid pharmacy subrogation transaction standard, is also adopted with an effective date of January 1, 2010, and a mandatory compliance date of January 1, 2013.

The policies in the HIPAA Administrative Simplification: Modifications to Medical Data Code Set Standards to Adopt ICD-10-CM and ICD-10-PCS are also effective as of March 17, 2009. The compliance date for this regulation is October 1, 2013.

On Thursday, March 5, 2009, Don Johnson, Acting Director, Office of Legislation of the Centers for Medicare & Medicaid Services (CMS), made it official by notifying Congress that "in accordance with the White House Chief of Staff's memorandum of January 20, 2009 entitled 'Regulatory Review,' a determination has been made that the effective date will not be extended and the comment period will not be reopened for either HIPAA 5010 or ICD-10." The effective date is the date that policies in the final rule take effect and are considered to be officially adopted. The effective date includes the date covered entities are required to implement the policies adopted in the final rule, which is the compliance date.

The CMS has stressed that while these modifications to the HIPAA transaction standards will take some significant efforts and education they are not a "re-do" of the initial HIPAA implementation. CMS and Industry workgroups are also strongly encouraging covered entities to take advantage of the extended mandatory compliance dates by starting their HIPAA migration initiatives now, indicating there will be no contingency period for use of the 5010 standards as that would negatively impact the industry's ability to achieve the mandated compliance date of October 1, 2013 for the conversion to ICD-10.

In response to this industry need, Edifecs has developed a HIPAA Migration Solution that has you covered from start to finish with products, online services, and professional services to guide your organization through the migration process. Based on NCHICA-WEDI estimated 5010 implementation timelines, you will be 40% complete out-of-the-box with your migration analysis and testing phases.

Edifecs has over 300 healthcare customers and has become the partner-of-choice for providing healthcare transaction processing solutions for leading middleware solution providers and service providers. Edifecs has earned the reputation, credibility, and market success as an innovator and market leader in its class of healthcare solutions. Building upon our solutions, adding new tools, and leveraging our market insights and understanding, we have launched the next version of HIPAA 5010 and ICD-10 migration solutions.

The Edifecs 5010 Migration Solution provides specific support for HIPAA 5010 and ICD-10 and migration to the new versions, which includes

  • Analysis: Guideline analysis and migration, 5010 edit analysis, data comparison between versions, test data & test scenario generation, code-set management.
  • Testing: Partner testing, partner on-boarding and enablement, partner certification, internal system testing.
  • Production: 4010-5010 conversion maps for inline data conversion, production data validation, data enrichment.
  • Partner and Transaction Management: Transaction visibility, self-service transaction viewing and data correction, transaction analytics, partner compliance and performance monitoring.

This is complemented with our market-leading online testing and certification services for HIPAA 5010 and CORE, as well as a full breadth of consulting services.

About Edifecs, Inc.

Edifecs helps organizations achieve interoperability and return on investment by simplifying the adoption of standard electronic transactions and deriving business value from trading partner communities. 2008 marks 12 years of Edifecs' expertise in providing innovative technology solutions to over 1000 clients worldwide. Founded in 1996, Edifecs is headquartered in Bellevue, WA. Company website: Contact: Kevin Pierce, 425-452-0622,

SOURCE Edifecs, Inc.
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