The WEDI/NCHICA 5010/D.0 Planning and Implementation Timeline

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Presentation transcript:

The WEDI/NCHICA 5010/D.0 Planning and Implementation Timeline Comparison of Timelines And Issues to be Addressed Stanley Nachimson Principal, Nachimson Advisors, LLC Nachimson_Advisors@verizon.net www.nachimsonadvisors.com

Development of the WEDI/NCHICA Timeline Inventory and Project Plan Attempt to create a realistic timeline to avoid contingency plans Joint effort of WEDI and NCHICA Involved professionals from plans, providers, and vendors Vetted through both organizations and public meeting Based on “real life” experience from HIPAA and NPI implementations

Timeline Available at www.nchica.org We have a 5010 and NCDPD D.0 Timeline

5010 Timeline Published at www.nchica.org Made several assumptions Two years from NPRM to final rule Industry starts work after final rule published Cooperation among plans, providers, and vendors Transition period to help smooth implementation Four years for full implementation

D.0 Timeline Developed by NCPDP Published in a White Paper sent to CMS Assumes Work starts on NPRM publication Cooperation among vendors, providers, plans, PBMs Transition Period Expected Full Compliance July 2011

Compare with NPRM assumptions Industry starts work in September 2008 Final compliance date April 2010 Lessons learned from NPI and HIPAA implementation No transition In place to allow ICD-10 implementation October 2011 These are major differences.

Response to NPRM WEDI/NCHICA Timeline Committee looking at ways to accommodate some CMS assumptions and shorten timeline Expect to have results by next week, certainly in time for comment to the NPRM. Expect some shortening of anticipated timeline, but not to extent that CMS expects.

WEDI Actions Presenting actions that industry can take now to start work without full 5010 implementation Carefully reviewing NPRM for comments thru Policy Advisory Groups Starting an ICD-10 Timeline work group Presenting audiocasts on the NPRMs and the subject matter of ICD-10 and 5010 implementation.

What Should Entities Be Doing? Review NPRMs for timeline issues. You need to get the TR3s to determine business process changes. Issues – When can you begin? (budget, resources) What works needs to be done - not just a translator mapping exercise? What else do you have to do? When will your vendors and partners be ready? Do analysis now to make an informed comment. Contribute to NPRM comments