CMS Issues Final Administrative Simplification Final Rules Regarding Identifiers and ICD-10 Code Set Compliance Delay

August 24, 2012.  Today, the Office of Management and Budget (OMB) completed review and sent to the Federal Register for publication on September 5, 2012, the Centers for Medicare & Medicaid Services (CMS) Final Rule:  Administrative Simplification:  Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for the International Classification of Diseases, 10th Edition (ICD-10-CM and ICD-10-PCS) Medical Data Code Sets.  The effective date of the Rule is November 5, 2012.  Prior to publication, the Final Rule may be examined at or downloaded from the Office of the Federal Register’s Electronic Public Inspection Desk. Here…

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HHS Publishes NPRM for HIPAA Health Plan Identifier and Delay for ICD-10 Compliance Date

April 17, 2012.  The Office of the Secretary of the Department of Health and Human Services (HHS) published today in the Federal Register its Notice of Proposed Rule Making (NPRM):  Administrative Simplification:  Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for ICD-10-CM and (CD-10-PCS Medical Data Code Sets. From the NPRM is the Summary of the Major Provisions: “a. HPID.  This rule proposes the adoption of the HPID [national unique health plan identifier] as the standard for the unique identifier for health plans and definitions for ‘Controlling Health Plan’ and ‘Subhealth Plan.’ The proposed…

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Is Your Covered Entity Preparing for 5010/D.0 Testing? Part 2: Level 2 Testing

On March 17, 2009, the Final Rules for Modifications to the Health Insurance Portability and Accountability Act (HIPAA) become effective. HIPAA.com has available for download the final rules for 5010/D.0 as published in the Federal Register on January 16, 2009 (pp.3295-3328). The effective date is “the date that the policies set forth in this final rule take effect, and new policies are considered to be officially adopted.” [p.3302]. All covered entities are to be in compliance with 5010/D.0 on January 1, 2012. Testing can occur “from the date of the final rule until the compliance date for Versions 5010 and D.0.” [p. 3306] The Final Rules outline two levels of…

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Is Your Covered Entity Preparing for 5010/D.0 Testing? Part 1: Level 1 Testing

On March 17, 2009, the Final Rules for Modifications to the Health Insurance Portability and Accountability Act (HIPAA) become effective. HIPAA.com has available for download the final rules for 5010/D.0 as published in the Federal Register on January 16, 2009 (pp.3295-3328). The effective date is “the date that the policies set forth in this final rule take effect, and new policies are considered to be officially adopted.” [p.3302]. All covered entities are to be in compliance with 5010/D.0 on January 1, 2012. Testing can occur “from the date of the final rule until the compliance date for Versions 5010 and D.0.” [p. 3306] The Final Rules outline two levels of…

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Information Access Management: Isolating Healthcare Clearinghouse Functions-What to Do and How to Do It

In our series on the HIPAA Administrative Simplification Security Rule, this is the first implementation specification for the Administrative Safeguard Standard (Information Access Management). This implementation specification is required. What to Do If a healthcare clearinghouse is part of a larger organization, the clearinghouse must implement policies and procedures that protect the electronic protected health information of the clearinghouse from unauthorized access by the larger organization. Remember, a clearinghouse is defined as a covered entity, but also can serve in the role of a business associate to other covered entities, namely a health plan or healthcare provider. How to Do It This implementation specification is required, but is not likely…

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