Will You Be Ready?

For more information on in-office consultations, please contact Franklin Walker (fwalker@ncmedsoc.org) or Terri Gonzalez (tgonzalez@ncmedsoc.org) with the NCMS Foundation, (919) 833-3836.
- In-office consultations for medical practices that want assistance with the transition
- First NC provider organization to offer online resources to its members
- Hosting webinars and educational resources
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- Partnering with the NC Medical Group Managers to communicate the latest news to practice managers
- Communicating with third party payers and helping them with testing and compliance issues
- Participating in the NCHICA ICD-10 Task Force
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For questions regarding Version 5010 or ICD-10 implementation, please contact the
Member Resource Center, 919-833-3836 ext. 142.

- What to do if a clearinghouse, billing company, or third-party payor is not prepared for 5010, or is not following other federally-mandated standards for electronic transactions under HIPAA:
The North Carolina Medical Society recommends that you first contact the appropriate trading partner and/or third-party payor to learn more about the problem you are experiencing with your claims. It is important to ask a lot of questions and to gather as much information as possible about the issues you are having.
If the problem does not get resolved, you can file a complaint through the federal Office of E-Health Standards and Services (OESS), which enforces HIPAAs Administrative Simplification provisions. To file a complaint, access OESSs online Administrative Simplification Enforcement Tool. The first time you file a complaint, you will need to create an account. Once you have done so, click on "New Complaint." The tool will then lead you through a series of prompts, asking for information about the entity that you are complaining about.
Taking such action will incentivize our vendor and payor partners to work to make industry-wide transitions like 5010 and ICD-10 much smoother.
- CMS Has Created Implementation Handbooks to Help you Transition to ICD-10 All entities covered under the Health Insurance Portability and Accountability Act (HIPAA) must transition to the ICD-10 code sets by October 1, 2013. CMS has developed four Implementation Handbooks to assist you with your transition to ICD-10. These handbooks are step-by-step guides specifically for small and medium provider practices, large provider practices, small hospitals and payers. More...
- ICD-10 Training Sessions to be held throughout the state in 2012:
The North Carolina Health Information Management Association (NCHIMA) is pleased to annouce another year of partnership with NC AHEC to teach "ICD-10-CM Training & Implementation Issues (Phase II) for the Provider Office" in 2012. Please vist the AHEC statewide website http://my.ncahec.net/education.php and search the Continuing Education Calendar to sign up for an ICD-10 session in your area.
- CMS Announces 90-Day Enforcement Delay for New HIPAA Standards
The Office of E-Health Standards and Services (OESS) within CMS announced Thursday that it would not initiate enforcement action until March 31, 2012, for any HIPAA covered entity that is not in compliance with new HIPAA Transaction Standards (5010). However, the compliance date for using the new standards remains January 1, 2012. More...
- AMA hoping to stop ICD-10 use in billing: Association delegates agree on a resolution to oppose the switch to the new diagnosis coding set.
Citing significant burdens to physicians, the American Medical Association approved policy that vigorously opposes the nationwide transition to the new diagnosis coding set known as ICD-10. More...
- Medicaid Alert: HIPAA ASC X12 5010 Implementation
The Division of Medical Assistance (DMA) is pleased to announce dual processing of ASC X12 5010 Transactions began November 4, 2011. DMA strongly encourages providers to take advantage of this dual processing time period to reduce potential impacts on the federally mandated ASC X12 5010 implementation date of January 1, 2012. More...
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Review the AMA's Frequently Asked QuestionsVisit the Centers for Medicare & Medicaid Services (CMS) ICD-10 website | Review the Final Rules |

North Carolina Healthcare Information and Communication Alliance (NCHICA) [www.nchica.org] | North Carolina Health Information Management Association (NCHIMA) [www.nchima.org] |