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Administrative Simplification: Adoption of Standard for Unique Health Plan Identifier; Addition to National Provider Identifier Requirements, etc.

Document ID: CMS-2012-0043-0201
Document Type: Rule
Agency: Centers For Medicare & Medicaid Services
Topics: Administrative Practices and Procedures, Electronic Transactions, Health Facilities, Health Insurance, Hospitals, Incorporation by Reference, Medicaid, Medicare, Reporting and Recordkeeping Requirements
Federal Register Number: 2012-21238
CFR Citation: 45 CFR Part 162
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Details Information

Abstract: This final rule adopts the standard for a national unique health plan identifier (HPID) and establishes requirements for the implementation of the HPID. In addition, it adopts a data element that will serve as an other entity identifier (OEID), or an identifier for entities that are not health plans, health care providers, or individuals, but that need to be identified in standard transactions. This final rule also specifies 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 a National Provider Identifier (NPI). Lastly, this final rule changes 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.
Received Date: September 05 2012, at 12:00 AM Eastern Daylight Time
Start-End Page: 54663 - 54720
Page Count: 58
Comment Start Date: September 5 2012, at 12:00 AM Eastern Standard Time

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