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ICD-10 Delayed until October 2014

CMS finalized a rule today that moves the compliance date of ICD-10 back to October 1st of 2014, giving providers and other covered entities more time to prepare and fully test their systems to ensure a smooth and coordinated transition among all industry segments.  These changes, which will be known as Oasis C-1, are not expected to be as sweeping as those between OASIS B and OASIS C, but providers and vendors will need time in advance to prepare for the changes.

The rule also finalizes the following changes:

  • Establish a unique health plan identifier (HPID) under Health Insurance Portability and Accountability Act of 1996 (HIPAA) standards for electronic health care transactions. Health plans with the exception of small health 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. An organization covered health care provider must comply with the implementation specifications in §162.410(b) by May 6, 2013.
  • Adopt a data element that serves as an “other entity” identifier (OEID) for entities that are not health plans, health care providers, or individuals, but that need to be identified in standard transactions.
  • Specify the circumstances under which an organization covered health care provider must require certain non-covered individual health care providers who are prescribers to obtain and disclose an NPI.

The full rule can be reviewed here.