Monthly Archives: August 2014

Blue Shield of CA and WellPoint Partnering in CA HIE: Tipping Point?

HIEs are still struggling to take root and make a meaningful impact across the country.  It’s as if they are still trying to figure out their identity and their purpose for being.  WellPoint and Blue Shield of California have announced an $80 million dollar partnership to start an HIE in California for the benefit of providers, payers, and patients.  This hub is to contain de-identified claims and EHR data for the purposes of research as well as at the point of care.  (The latter has been a struggle for HIEs partly because most EHRs do not have a common shared format).

Will this provide the HIEs w/a much-needed boost and direction?  Will this be the model for other HIEs to finally coalesce in its place within healthcare?


ICD-10 and Non-HIPAA Covered Entities: Will They Be Prepared for ICD-10?

For those of us who have been working in healthcare for a while, we have heard doomsday scenarios of how different sectors of the industry are woefully unprepared for this major tsunami called ICD-10.  This includes non-HIPAA covered entities that are not covered by the Final Rule mandating compliance with ICD-10.  These entities such as property and casualty insurers (think State Farm, Progressive) that pay medical benefits and therefore receive medical transactions from providers today.  (A primary or secondary claim for a member that has medical coverage on their auto insurance policy).  Worker’s Compensation payers all fall into this bucket.

Maybe they’re farther along than we thought.

Read this interesting article that goes into further details w/ICD-10 preparedness with these non-covered entities.

Breaking News: CMS Issues Final Rule Setting 10/1/15 as ICD-10 Compliance Date

Last night, CMS published the following announcement that those of us working on ICD-10 implementations have been waiting for with bated breath:

News Updates July 31, 2014
Deadline for ICD-10 allows health care industry ample time to prepare for change
Deadline set for October 1, 2015
The U.S. Department of Health and Human Services (HHS) issued a rule todayfinalizing Oct. 1, 2015 as the new compliance date for health care providers, health plans, and health care clearinghouses to transition to ICD-10, the tenth revision of the International Classification of Diseases. This deadline allows providers, insurance companies and others in the health care industry time to ramp up their operations to ensure their systems and business processes are ready to go on Oct. 1, 2015.