HIPAA Transactions and Code Sets Current

Next Round of HIPAA
Implementation of the NCPDP Standards
White Paper for HIPAA Implementation of NCPDP Standards
Post Adjudication Standard Survey Results
Telecommunication Standard Version D.0 Web casts
ICD-10 Guidance
HHS HIPAA Information
Support for Streamlining HIPAA Processes

Next Round of HIPAA

August 2008 The Notices of Proposed Rule Making (NPRM) for the new versions of the HIPAA transactions and code sets have been published in the Final Register. The standards to be named:

The code sets to be updated: Beginning in 2007, the industry is preparing for a second round of transactions and code sets to be named under HIPAA. These requests are based on industry need to move to a higher version of standards than the original HIPAA named versions. Also new standards have been requested under HIPAA. As per the HIPAA process, the modification or addition requests have been made to the Designated Standards Maintenance Organizations (DSMO). The DSMO have given recommendations to the National Committee on Vital and Health Statistics (NCVHS), who has recommended these modifications to the Department of Health and Human Services (HHS). The first recommendations from NCVHS http://www.ncvhs.hhs.gov/070926lt.pdf. The DSMO recommended further modifications during the January 2008 NCVHS hearings. See http://www.hipaa-dsmo.org/Reports.asp for the January 2008 recommendations. To view the comments submitted by NCPDP to these NPRMs, click here.

Implementation of the NCPDP Standards

NCPDP has created this document to provide summary information of the transactions requested in the next round of HIPAA. This document also provides important information needed for analysis and planning, and resource links.

Post Adjudication Standard Survey Results

The NCPDP Post Adjudication Standard Version 2.0 has been requested for the next round of HIPAA. The NCPDP survey to gather cost/benefit analysis on this standard closed on January 11, 2008. Survey results will be provided to the Department of Health and Human Services via testimony at the National Committee on Vital and Health Statistics meeting in late January 2008. Click here for a copy of the NCPDP Post Adjudication Standard Version 2.0 Survey results.

ICD-10 Guidance

The ICD-10-Clinical Modification/Procedure Coding System Bookmark is now available from the Centers for Medicare & Medicaid Services Medicare Learning Network. This bookmark explains the ICD-10-Clinical Modification/Procedure Coding System (CM/PCS) including the benefits of adopting the system, recommended steps to be taken in order to plan and prepare for implementation of the system, and where additional information about the system can be found. To place your order, visit http://www.cms.hhs.gov/MLNProducts/01_Overview.asp , scroll down to "Related Links Inside CMS" and select "MLN Product Ordering Page." If you have problems accessing this hyperlink, please copy and paste the URL into your Internet browser.

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HHS HIPAA Information

The Department of Health and Human Services has a website for HIPAA information. This site has program memorandums, outreach documents, frequently asked questions, and schedules for educational sessions.
Please see http://www.cms.hhs.gov/HIPAAGenInfo/.

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Support for Streamlining HIPAA Processes

Since the passage of the HIPAA regulation, the three standards development organizations (SDOs) named in HIPAA - ASC X12, HL7, and NCPDP have worked with the Office of E-Health Standards and Services (OESS) to propose a process of naming new versions of standards under HIPAA that is more timely and efficient for the industry. The SDOs testified to the National Committee on Vital and Health Statistics (NCVHS) in December 2005 and October 2006 and presented this paper with discussion of the current problems in the process and a proposal for the future. NCVHS will consider further action in the future.

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