HIPAA Update Done By 2014?

December 6, 2007

Two advocacy organizations have released the first of several regulatory timelines to help industry stakeholders track information technology initiatives.

The released timeline covers implementation of version 5010 of the HIPAA standard transactions, such as claims, and estimates completion in 2014. That date has significance for another pending initiative--migration to the ICD-10 diagnosis code set--because the code set cannot be used until version 5010 standards are implemented.

The North Carolina Healthcare Information and Communications Alliance is working with the Workgroup for Electronic Data Interchange to develop regulatory timelines, expanding work that NCHICA began in 2005 to better inform its members.

The timeline for 5010 implementation covers nearly 20 major processes and several sub-processes within each one that must be initiated and completed--starting with the assumption of a proposed federal rule to adopt 5010 coming in June 2008. For instance, the process of vendor development and implementation is estimated to take 472 days starting in July 2010 and ending in May 2012.

The timeline breaks down eight sub-processes vendors must go through during that time and how long each will take. The sub-processes are: analyze the impact of changes from the proposed rule to the final rule; develop/revise product plans; define product requirements, cost analysis and risk analysis; conduct requirements engineering and risk management; develop a solution; verify and validate; conduct customer beta tests and review; and product rollout and support.

NCHICA and WEDI expect other timelines to include such issues as e-prescribing, attachments and acknowledgements transactions, and regulations from the National Council for Prescription Drug Programs.

The 5010 estimated regulatory timeline is available at nchica.org. The organizations are seeking sponsorship and support commitments for the timeline project. If interested, send an e-mail to Holt Anderson, NCHICA executive director, at holt@nchica.org.

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