CMS to survey 5010, ICD-10 readiness
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CMS has developed an education and communication campaign to support the adoption of and transition to Version 5010 and ICD-10, according to the Federal Register posting (Volume 76, Number 48). The education and communication activities will target professionals across the healthcare industry who must take steps to prepare for the implementation of the new codes and transaction standards in Version 5010 and ICD-10 code sets.
Aggregated data obtained through the survey will help CMS target its outreach and education efforts to healthcare providers, payors, clearinghouses and vendors, so they can meet interim milestones and achieve timely compliance, according to CMS.
On Jan. 16, 2009, the Department of Health and Human Services published final rules adopting two sets of standards for HIPAA transactions 5010 and ICD-10. The final rules set compliance dates of Jan. 1, 2012 for Version 5010 standards and Oct. 1, 2013 for ICD-10 standards. Transactions not meeting the standards by those dates will be rejected.
The final rules also outlined interim milestones that organizations should meet in order to achieve compliance by the required dates. For Version 5010, these interim milestones included completing internal testing and being able to send and receive compliant transactions by December 2010, commencing external testing with trading partners by January 2011 and completing that testing and moving into production by the compliance date of Jan. 1, 2012.
Entities cannot implement ICD-10 standards until they are in compliance with Version 5010; the interim milestone for ICD-10 was to begin compliance activities (gap analysis, design, development, internal testing) by January 2011.