Abstract – Roadmap to HIPAA 5010

The countdown for the HIPAA 5010 implementation has started. Health and Human Services (HHS), released a mandate in January 2009, that most healthcare organizations have until January 1, 2012, to meet both the 5010 standards and the associated National Council for Prescription Drug Programs version D.0, which replaces the current version 5.1. The ICD-10 compliance date now is set for October 1, 2013. As the CMS officials say - the new standards will include more than 500 change requests, resolve contradictions and ambiguities in the existing rules, and make the whole system more consistent.

The standards has put forth an upgrade challenge to the organizations. Implementing revised HIPAA 5010 standards and ICD-10 codes could potentially have the largest impact on the health care industry since the Y2K.

Miracle has strong focus on creating business value that brings in a very domain focused and technically competent workforce. Miracle has working experience on HIPAA since 2000 and familiar with HL7 / NCPDP / HCFA / ICD / NPI Industry Standards. This white paper provides an understanding of the HIPAA 5010 and ICD 10 codes and will help healthcare organizations be aware and aid in their respective implementation and planning efforts. It provides awareness of requirements, potential challenges in high-impact business domains and outlines Miracle’s proposed Implementation methodologies & frameworks. With the deep Industry Knowledge, the Miracle Healthcare Industry Frameworks / Accelerators  aim to accelerate the time to market business solutions. The Framework contains many reusable assets for each phase to accelerate the implementation and supports co-existence of 4010 & 5010 gateway during transition period. The framework provides CMS GEMS Cross Walk - ICD 9 and ICD 10 codes repository, that supports multi interface capabilities like JMS, MQ and Web Services.