ehr onc final certification - Department of Health Care Services

the concerns expressed by some commenters that the developers of some practice
management systems may not be prepared to seek certification for these legacy systems
in 2010 or 2011. We also acknowledge that the required compliance date of January 1,
2012 for ASC X12N version 5010 transactions would further complicate the certification
process associated with meaningful use Stage 1. However, we believe that after the ASC
X12N version 5010 transition has occurred, and we approach the October 1, 2013
compliance date for HIPAA covered entities to use ICD-10, our decision to delay the
adoption of administrative transactions certification criteria will prove beneficial for the
adoption of Certified EHR Technology.
In order to meet upcoming administrative simplification deadlines, most health
care providers will have to upgrade their practice management systems or implement new
ones. This will provide an important opportunity to align EHR technology capabilities
and standards for administrative transactions with the administrative simplification
provisions that the Affordable Care Act provides for health plans and clearinghouses.
Therefore, we intend to include for adoption, administrative transactions standards and
certification criteria to support meaningful use Stage 2 rulemaking, and expect health
care providers and Complete EHR and EHR Module developers to take this into
consideration leading up to 2013.
Comments. Many commenters recommended that we remove the implementation
specification, CORE Phase 1 (CORE), which we previously adopted. Several
commenters noted that CORE is only useful if it has also been adopted by health plans,
and they explained that not all health plans had adopted CORE. A few commenters
expressed concern with CORE stating that it adds requirements to the HIPAA Standard
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