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行政简化:采用唯一健康计划标识符标准;补充国家提供者标识符要求;以及更改《国际疾病分类》第10版(ICD - 10 - CM和ICD - 10 - PCS)医疗数据编码集的合规日期。最终规则。

Administrative simplification: adoption of a standard for a unique health plan identifier; addition to the National Provider Identifier requirements; and a change to the compliance date for the International Classification of Diseases, 10th Edition (ICD-10-CM and ICD-10-PCS) medical data code sets. Final rule.

出版信息

Fed Regist. 2012 Sep 5;77(172):54663-720.

PMID:22950146
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.

摘要

本最终规则采用了全国唯一健康计划标识符(HPID)的标准,并确立了HPID实施的要求。此外,它采用了一个数据元素,该数据元素将用作其他实体标识符(OEID),即用于那些并非健康计划、医疗保健提供者或个人,但需要在标准交易中进行识别的实体的标识符。本最终规则还规定了涵盖医疗保健提供者的组织在何种情况下必须要求某些作为开处方者的非涵盖个体医疗保健提供者获取并披露国家提供者标识符(NPI)。最后,本最终规则将诊断编码的《疾病和有关健康问题的国际统计分类,第十次修订本,临床修正版》(ICD-10-CM),包括《ICD-10-CM编码及报告官方指南》,以及住院医院程序编码的《疾病和有关健康问题的国际统计分类,第十次修订本,程序编码系统》(ICD-10-PCS),包括《ICD-10-PCS编码及报告官方指南》的合规日期从2013年10月1日变更为2014年10月1日。

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