CMS Poised to Release ICD-10 Deadline, Plan Identifier Rule

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A final rule delaying the ICD-10 compliance date and implementing the long-delayed health plan identifier soon could be issued.

The Centers for Medicare and Medicaid Services has sent the rule for review to the Office of Management and Budget, one of the last steps before publication. Under a proposed rule published on April 17, CMS would delay the ICD-10 compliance date by a year, to Oct. 1, 2014.

The proposed rule also called for adoption of a data element to serve as an “other entity” identifier for entities that are not health plans, providers or individuals, but need to be identified in standard electronic transactions, such as an ambulance service.

Further, the proposed rule would require “organization covered” providers who are prescribers to obtain a National Provider Identifier. These are practitioners who are not covered entities under HIPAA because they do not conduct standard transactions, but pharmacies have had trouble getting claims processed because of the lack of an NPI.

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