005010 Standards Transactions Enhancements Advance Electronic Health Care Environment

Falls Church, Va, January 16, 2009, – The Department of Health and Human Services (HHS) today issued the final rule in the Federal Register, Volume 74, Number 11, “Rules and Regulations,” establishing modifications to the Health Insurance Portability and Accountability Act (HIPAA) pertaining to the Accredited Standards Committee (ASC) X12 version 005010 transactions enhancements.

The rule, found at http://edocket.access.gpo.gov/2009/pdf/E9-740.pdf, affects HIPAA-covered entities, such as health plans, health care clearinghouses and health care providers. The enhanced ASC X12 005010 standard will make our national health care system more efficient, accurate and affordable and is key in diagnosis and inpatient hospital procedures codes, confirmed under the new rule. It replaces the current ASC X12 version 004010 HIPAA mandate.

“Standardization is an iterative process. Each new version of these standards should further reduce the administrative overhead associated with health care transactions,” said Dan Kazzaz, Chair of ASC X12. “I would like to thank the ASC X12 volunteers who devoted countless hours, at great expense, to assimilate the market’s reaction to version 004010 of the standards. They achieved consensus on an updated version, called 005010. ASC X12 stands ready to assist the health care community to prepare for implementation of the standard, by providing educational seminars and training materials. ASC X12 invites stakeholders from all areas of health care to collaborate in designing the next version of standards to address needs yet unmet and incorporate the newest technologies in automating health care transactions.”

Included in the final rule is a timeline requiring health care organizations to be compliant with the HIPAA 005010 standard transactions by January 1, 2012. A newly added provision of the transactions rule is 45 CFR 162.925(a)(6), which states that, from March 17, 2009, through December 31, 2011, health plans may not delay or reject a standard transaction or attempt to adversely affect the other entity or transaction, on the basis that it does not comply with another adopted standard for the same period.

The ASC X12 Technical Reports, Type 3 (TR3s) named in the final rule are available for purchase at http://store.X12.org.

The ASC X12 is offering an online, interactive educational webinar series for anyone who works with the 004010 and 005010 transaction sets. The series covers technical and structural changes across all transaction sets, including situational rules refinement, code set updates and discussion sessions with subject matter experts. Visit http://www.x12.org/x12org/webinars/5010.cfm for details.

About ASC X12
Celebrating 30 years of Business Process and Technical Expertise in the Development and Adoption of Electronic Data Exchange Standards
The Accredited Standards Committee (ASC) X12, chartered by the American National Standards Institute (ANSI) in 1979, develops electronic data interchange (EDI) standards and related documents for national and global markets. With more than 315 X12 EDI standards and increasing X12 XML schemas, ASC X12 enhances business processes, reduces costs and expands organizational reach. ASC X12’s diverse member base includes standards experts from health care, insurance, transportation, finance, government, supply chain and other industries. To participate in ASC X12’s vital standards-setting role, visit www.x12.org, or call 703-970-4480.

About DISA
The Data Interchange Standards Association (DISA) is home for the development of cross-industry e-business interchange standards that help individuals and organizations improve business processes, reduce costs, increase productivity and take advantage of new opportunities. DISA provides administrative and technical support to the Accredited Standards Committee. For additional information, visit www.disa.org, or call 703-970-4480.