24, the Department of Health and Human Services (HHS) announced
a one-year delay to the deadline for healthcare providers to become compliant
with ICD-10 coding standards. Providers now have until Oct. 1, 2014 to
implement the new system.
providers use ICD-9 to code diagnoses and procedures. The current system
utilizes 13,000 codes, while ICD-10 will include 68,000 codes. The proposed
rule was initiated when many provider groups expressed serious concerns about
their ability to meet the Oct. 1, 2013 compliance date. The change in the
compliance date for ICD-10 will give providers and other covered entities more
time to prepare and fully test their systems to ensure a smooth and coordinated
transition to these new code sets, according to an April 9 press
of the final rule establishes a health plan identifier (HPID). Authorized by
the Affordable Care Act, HPIDs will help simplify the existing process for
determining a patients eligibility for care and coverage, according to HHS.
standards are a part of our efforts to help providers and health plans spend
less time filling out paperwork and more time seeing their patients, Secretary
Sebelius said in a press
when a health care provider bills a health plan, that plan may use a wide range
of different identifiers that do not have a standard format. As a result,
health care providers run into a number of time-consuming problems, such as
misrouting of transactions, rejection of transactions due to insurance
identification errors, and difficulty determining patient eligibility. The
change will greatly simplify these processes, according to HHS.
and government health plans are expected to spend $650 million to $1.3 billion
obtaining HPIDs, the department said. However, there is expected to be $1.3 to
6 billion in expected savings over the next 10 years to providers and health
To read the
final rule, which will be published in the Federal Register on Sept. 5, click here.
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