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Medical Systematics, Inc.

Calendar of Events

Lots of changes coming up in the Medical Billing Industry. Medical Systematics has been in business since 1982 and we know that the only thing that stays the same is that everything is changing. Here are some of the upcoming changes that we are preparing for.

Highlights

  • ICDA-10
    Completely different diagnosis codes
    The ICDA9 gives way to the ICDA-10. The code set allows more than 155,000 different codes and permits tracking of many new diagnoses and procedures, a significant expansion on the 17,000 codes available in ICD-9
  • HIPAA Ansi X12 Version 5010
    Changes to electronic transactions
    HIPAA X12 version 5010 and NCPDP version D.0 are new sets of standards that regulate the electronic transmission of specific healthcare transactions, including eligibility, claim status, referrals, claims, and remittances. Covered entities, such as health plans, healthcare clearinghouses, and healthcare providers, are required to conform to HIPAA 5010 standards. The current transaction standard is the X12 version 4010A1 for eligibility, claims status, referrals, claims, and remittances; similarly, the current standard is NCPDP version 5.1 for pharmacy claims.
  • ARRA Privacy and Security
    More rules and regulations
    Hopefully with improve Privacy and Security.
  • Electronic Health Records
    Reductions in the use of Paper Charts
    Big brother wants to know everything about you. Lots of very conflicting studies regarding improvements to health care and provider productivity.

Upcoming Events

  • January 2009
    HHS published final rules on HIPAA X12 version 5010 and ICD10.
  • January 2010
    Covered entities should begin internal testing of Hipaa 5010 transactions.
  • February 2010
    HHS to publish guidance about de-identification of data and regulations on scope of business associate requirements.
  • August 2010
    HHS to publish guidance about the use of information.
  • December 2010
    Hipaa 5010 Electronic transactions should begin to be deployed.
  • January 2011
    Covered entities begin testing for Level 2 ICD-10 compliance. EHR adoption incentives will be activated for eligible healthcare providers.
  • January 2012
    Hipaa X12 5010 Transactions compliance deadline.
  • October 2013
    ICD-10 compliance deadline.
  • January 2014
    Begin Medicare payment reductions to those that don't adopt EHRs.

Related resources

  • www
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