Clinical Laboratories Beware: Many Payers May Not Be Ready for HIPAA 5010 on January 1, 2012
Bigger challenge will be adoption of ICD-10 across entire U.S. healthcare system in 2013
Two disruptive events in the world of coding, billing, and claims reimbursement are about to engage the full attention of clinical laboratories and pathology groups. First is implementation of HIPAA 5010 forms for claims submission by all types of healthcare providers. This is scheduled to occur on January 1, 2012—just seven months away!
Second is implementation of ICD-10 codes. Federal law currently requires all payers and providers to begin using ICD-10 on October 1, 2013. On that date, the existing ICD-9 codes will no longer be used.
