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2012-04-17
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Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for ICD-10-CM and ICD-10-PCS Medical Data Code Sets
Part III
Proposed Rules
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D09002ee1bdcbc7e7
United States
Department of Health and Human Services
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United States Government Agency or Subagency
United States
Office of the Secretary
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org
United States Government Agency or Subagency
This proposed rule would implement section 1104 of the Patient Protection and Affordable Care Act (hereinafter referred to as the Affordable Care Act) by establishing new requirements for administrative transactions that would improve the utility of the existing Health Insurance Portability and Accountability Act of 1996 (HIPAA) transactions and reduce administrative burden and costs. It proposes the adoption of the standard for a national unique health plan identifier (HPID) and requirements or provisions for the implementation of the HPID. This rule also proposes the adoption of a data element that will serve as an other entity identifier (OEID), an identifier for entities that are not health plans, health care providers, or ``individuals,'' that need to be identified in standard transactions. This proposed rule would also specify the circumstances under which an organization covered health care provider must require certain noncovered individual health care providers who are prescribers to obtain and disclose an NPI. Finally, this rule proposes to change the compliance date for the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) for diagnosis coding, including the Official ICD-10-CM Guidelines for Coding and Reporting, and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding, including the Official ICD-10-PCS Guidelines for Coding and Reporting, from October 1, 2013 to October 1, 2014.
77 FR 22950
https://www.govinfo.gov/app/details/FR-2012-04-17/2012-8718
2012-8718
fr17ap12-25
RIN 0938-AQ13
4120-01-P
CMS-0040-P
https://www.govinfo.gov/app/details/FR-2012-04-17/2012-8718
https://www.govinfo.gov/content/pkg/FR-2012-04-17/html/2012-8718.htm
https://www.govinfo.gov/content/pkg/FR-2012-04-17/pdf/2012-8718.pdf
Administrative Practice and Procedures
Electronic Transactions
Health Facilities
Health Insurance
Hospitals
Incorporation by Reference
Medicaid
Medicare
Reporting and Recordkeeping Requirements
56 p.
22950
23005
77 FR 22950
Code of Federal Regulations
Title 45 Part 162
45 CFR Part 162
Regulation Identification Number 0938-AQ13
RIN 0938-AQ13
Administrative Simplification: Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements; and a Change to the Compliance Date for ICD-10-CM and ICD-10-PCS Medical Data Code Sets; Federal Register Vol. 77, Issue
PRORULE
2012-8718
III
DEPARTMENT OF HEALTH AND HUMAN SERVICES
Office of the Secretary
2012-05-17
CMS-0040-P
4120-01-P
2012-8718
Proposed rule.
This proposed rule would implement section 1104 of the Patient Protection and Affordable Care Act (hereinafter referred to as the Affordable Care Act) by establishing new requirements for administrative transactions that would improve the utility of the existing Health Insurance Portability and Accountability Act of 1996 (HIPAA) transactions and reduce administrative burden and costs. It proposes the adoption of the standard for a national unique health plan identifier (HPID) and requirements or provisions for the implementation of the HPID. This rule also proposes the adoption of a data element that will serve as an other entity identifier (OEID), an identifier for entities that are not health plans, health care providers, or ``individuals,'' that need to be identified in standard transactions. This proposed rule would also specify the circumstances under which an organization covered health care provider must require certain noncovered individual health care providers who are prescribers to obtain and disclose an NPI. Finally, this rule proposes to change the compliance date for the International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM) for diagnosis coding, including the Official ICD-10-CM Guidelines for Coding and Reporting, and the International Classification of Diseases, 10th Revision, Procedure Coding System (ICD-10-PCS) for inpatient hospital procedure coding, including the Official ICD-10-PCS Guidelines for Coding and Reporting, from October 1, 2013 to October 1, 2014.
Comment Date: To be assured consideration, comments must be received at one of the addresses provided, no later than 5 p.m. on May 17, 2012.
Kari Gaare (410) 786-8612, Matthew Albright (410) 786-2546, and Denise Buenning (410) 786-6711.
Administrative Practice and Procedures
Electronic Transactions
Health Facilities
Health Insurance
Hospitals
Incorporation by Reference
Medicaid
Medicare
Reporting and Recordkeeping Requirements
Administrative Simplification:
Adoption of a Standard for a Unique Health Plan Identifier; Addition to the National Provider Identifier Requirements:
Change to the Compliance Date for ICD 10 CM and ICD 10 PCS Medical Data Code Sets
,
OIRA_submission@omb.eop.gov
Paperwork@cms.hhs.gov
ftp://ftp.bls.gov/pub/suppl/empsit.ceseeb11.txt
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www.healthcare.gov
www.ushealthcareindex.com
Federal Register
Vol. 77, no. 74
Office of the Federal Register, National Archives and Records Administration
2012-04-17
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456 p.
Table of Contents:
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https://www.govinfo.gov/app/details/FR-2012-04-17
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https://www.govinfo.gov/content/pkg/FR-2012-04-17/xml/FR-2012-04-17.xml
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