Important information regarding 2013 compliance date for ICD-10 code sets for

Medicare Providers

MEDICARE NEWS

FOR IMMEDIATE RELEASE                                                                                                   

Contact: CMS - Atlanta Regional Office

August 24, 2010

Media Affairs: Lee Millman (404) 562-7902

CMS issues reminder on January 2011 target for testing transaction.  Also stresses need to prepare for 2013 compliance date for ICD-10 code sets

The Centers for Medicare & Medicaid Services (CMS) today issued a reminder to health care providers, health plans, clearinghouses, and vendors about the approaching compliance dates for a new generation of diagnosis and procedure codes and updated standards for electronic health care transactions.

The first compliance milestone for transition to the Accredited Standards Committee X12 Technical Reports Type 3, Version 005010 (Version 5010) electronic health care transaction standards is fast approaching.  Beginning in January 2011, entities covered under the Health Insurance Portability and Accountability Act (HIPAA)should be ready to test with their trading partners the functionality of the entities’ practice management and/or other related software featuring Version 5010 standards.

Use of the Version 5010 standards for HIPAA electronic health care transactions, including claims, remittance advice, eligibility inquiries, referral authorization, and other administrative transactions, will be mandatory on Jan. 1, 2012.  The Version 5010 standards also provide the framework needed for use of the revised medical data code sets (ICD-10-CM and ICD-10-PCS), that must be implemented on Oct. 1, 2013.

To help health care providers, health plans, clearinghouses, and vendors work toward the compliance dates for Version 5010 and ICD-10 — and avoid delays in claims processing and payment — CMS has been conducting ongoing industry outreach and education, and, most notably, has revised its ICD-10 Web site. 

All of the information is free and can be downloaded from http://www.cms.gov/ICD10

To read the entire CMS press release issued today (8/24) see attachment or click here: https://www.cms.gov/apps/media/press_releases.asp

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