HHS Final Rule Makes October 1, 2014, Compliance Date for ICD-10 Official

August 31, 2012

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The Department of Health and Human Services (HHS) announced a final rule making the one year delay of the compliance date of the ICD-10 code sets official. Effective October 1, 2014 claims submitted with an ICD-10-CM code to classify a disease or diagnosis will be rejected and require a new claim to be resubmitted using the corresponding ICD-10-CM code. 

The American Academy of Neurology submitted comments to HHS in support of the delayed implementation date of October 1, 2014 with the understanding that there would not be any further delays, as this may result in further financial hardships to physicians.

To learn more about what steps neurologists need to take to be prepared on October 1, 2014, visit the AAN's ICD-10 Resources page.

The final rule also adopts a standard unique health plan identifier (HPID) and other entity identifier (OEID) to increase standardization within transactions. The HPID and OEID are expected to alleviate many of the problems health plans and clearinghouses encounter during transactions. Another stipulation within the rule is  that an organization covered healthcare provider (i.e. physician group practice) who currently has a National Provider Identifier (NPI) must now require prescribing providers in their group to obtain NPIs and to disclose them to any entity that needs the NPIs to identify the prescribers in standard transactions.

To read the rule in its entirety, click here.