• CMS Final Rule: ICD-10 compliance date 10/1/2014


    ICD-10 Compliance Date Set for October 1, 2014

    Final Rule Published in September 5, 2012 Federal Register

    On August 24, 2012, the Department of Health and Human Services (HHS) issued a Final Rule that delays the compliance date for the new ICD-10 diagnosis and procedure codes until October 1, 2014. The switch is significant because it expands the current set of 14,000 codes to over 69,000 codes.  This is a one year delay from the previous compliance date of October 1, 2013. In the meantime, ambulance services must use a valid ICD-9 code on all ambulance claims. Ambulance services should also be preparing for the transition to ICD-10 codes now and talking to their Medicare Administrative Contractors (MACs) to see what the transition will mean for them.

    This Final Rule seeks to save up to $6 billion by adopting the standard for a national unique health plan identifier (HPID) and establishes requirements for implementation of the HPID. Currently, when a healthcare 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, providers often have trouble with misrouting, needless rejections, and difficulty determining patient eligibility. The new HPID is supposed to greatly simplify the process.

    In addition, it adopts a data element that will serve as an other entity identifier (OEID), or an identifier for entities that are not health plans, health care providers, or individuals, but that need to be identified in standard transactions, such as an ambulance service.

    Click here to access the Federal Register Vol. 77, No. 172 Final Rule PDF.