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WEDI Comments on New Health Plan ID Regulation and Announced 1-Year ICD-10 Delay

August 24, 2012

The U.S. Department of Health and Human Services (HHS) announced today the release of the final rule for Health Plan ID and a change in the compliance deadline for ICD-10 diagnostic and procedural coding. The announcement extends the ICD-10 deadline from October 1, 2013 to October 1, 2014, providing the healthcare industry with an additional year to achieve compliance.

The Workgroup for Electronic Data Interchange (WEDI) believes that the new regulation is important in helping to provide clarity around compliance expectations for ICD-10 and believes that the new Health Plan Identifier will continue to help provide administrative simplification benefits to the healthcare industry. Health plans will be required to obtain identifiers in 2014 to allow their use in transactions beginning in 2016.

The 1 year ICD-10 implementation delay will help to avoid potential disruptions in the healthcare system by allowing all affected entities more time to complete the necessary work and conduct extensive testing. A recent WEDI ICD-10 readiness survey indicated that the industry had fallen behind recommended timeframes for completion of key milestones such as impact assessments, and that many organizations were not on track to meet the October 2013 compliance date.

“Due to the wide scope of ICD-10 and its significant financial implications, it is important that all impacted organizations are prepared on the implementation date,” said Devin Jopp, Ed.D., WEDI President & CEO. “The additional time allowed by this 12-month delay should not be considered as a reason to slow or delay work efforts.”

Impact assessments have revealed that many in the industry have found that conversion to ICD-10 is much more complex than originally anticipated. WEDI suggests that the industry use this additional time as a means to catch up on adoption efforts and to allow better scheduling and coordination of activities with trading partners and business associates.

WEDI will continue to conduct periodic surveys to monitor progress and to help the industry achieve compliance. WEDI has a number of educational offerings available in order to help industry prepare for ICD-10 and Health Plan ID implementation at the upcoming WEDI Fall Conference, held in Reston, Virginia on October 22-25, 2012.

About WEDI
The Workgroup for Electronic Data Interchange (WEDI) is the leading authority on the use of Health IT to improve healthcare information exchange in order to enhance the quality of care, improve efficiency and to reduce costs of our nation’s healthcare system. WEDI was formed in 1991 by the Secretary of Health and Human Services (HHS) and was designated in the 1996 HIPAA legislation as an advisor to HHS. WEDI’s membership includes a broad coalition of organizations, including: hospitals, providers, health plans, vendors, government agencies, consumers, not-for-profit organizations and standards bodies.   
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Contact Information

Mario Marzette
Director of Marketing
WEDI
(703) 789-2368
mmarzette@wedi.org