Edifecs Announces New Version of Its Integrated HIPAA 5010 and ICD-10 Analysis and Migratio...( BELLEVUE Wash. March 20 /- Beginning ...),Health

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
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