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INDIANA HEALTH COVERAGE PROGRAMS - UPCOMING INITIATIVES

Healthcare in Indiana is changing! Watch this Web site, and Indiana Health Coverage Programs bulletins, banner pages, and newsletters for up-to-date information about these major healthcare initiatives:

• NCCI - In the 1990s, the Centers for Medicare & Medicaid Services (CMS) developed the National Correct Coding Initiative (NCCI) to promote national correct coding methodologies and to control improper coding leading to inappropriate payment. Medicare's NCCI has been in place for many years; providers that deliver services to Medicare recipients should be familiar with the requirements of the CMS coding methodologies. Healthcare legislation passed into law requires Medicaid programs to incorporate compatible methodologies of the NCCI into their claims processing systems effective for claims with dates of service on or after October 1, 2010. For more information, see BT201036, dated September 7, 2010.
• ICD-10-CM - The International Classification of Diseases, 10^th Edition, Clinical Modification, also known as ICD-10, is a diagnostic coding system implemented by the World Health Organization (WHO) in 1993 to replace ICD-9-CM, which was developed by WHO in the 1970s.  This code set is scheduled to replace the current ICD-9-CM diagnostic code set October  1, 2013. Another designation, ICD-10-PCS, for "procedural coding system," will also be adopted in the United States. ICD-10-PCS will replace Volume 3 of ICD-9-CM as the inpatient procedural coding system. For more information about this initiative, visit the WHO Web site at www.who.int > classifications>icd>en.
• HIPAA 5010/NCPDP D.0 - The Centers for Medicare & Medicaid Services (CMS) has published its final rule adopting updated versions of the standards for electronic healthcare and pharmacy transactions originally adopted under the Health Insurance Portability and Accountability Act of 1996 (HIPAA). The mandatory compliance date for HIPPA 5010 and the National Council for Prescription Drug Programs (NCPDP) version D.0 for all covered entities is January 1, 2012. If you submit claims to the Indiana Health Coverage Programs (IHCP), you need to prepare for these upgrades to prevent delays in payment. For more information, see the HIPPA page on this site.
• EHR/Meaningful Use - In May 2011, Indiana joins other Medicaid states and launches the Indiana Medicaid Electronic Health Record (EHR) Incentive Program. The American Recovery and Reinvestment Act of 2009 authorizes the Centers for Medicare & Medicaid Services (CMS) to provide incentives for eligible professionals (EPs) and eligible hospitals (EHs) as  professionals and hospitals adopt, implement, upgrade, or demonstrate meaningful use of certified EHR technology. For more information, see the IN EHR Incentive Programs Web page on this site.