Are You Testing 5010 Today?

Six months before every Health Insurance Portability and Accountability Act (HIPAA)-covered entity switches over to the new 5010 standards, the nation is taking a day at the direction of the Centers for Medicare & Medicaid Services (CMS) to gauge its readiness for implementation. Are you participating?

The 5010 standards for electronic claims submission will replace the 4010 X-12 electronic transaction standards currently being used, and they are intended to better accommodate the soon-to-be launched ICD-10 and national guidelines for electronic health records (EHRs). CMS intends this test to give all “trading partners” (physicians, clearinghouses, payers, Medicare administrative contractors, and Medicaid agencies) an opportunity to perform dry-run claim submissions. The agency hopes all gremlins will be exterminated by the program’s implementation on Jan. 1, 2012.

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CMS says “the National 5010 Testing Days are an opportunity for trading partners to come together and test compliance efforts that are already underway with the added benefit of real-time help desk support and direct and immediate access to MACs.”

CMS was asked by several organizations two years ago to request the test because of the sweeping impact the new standards will have. The American Medical Association (AMA) implored physicians to assure their vendors are ready for the switch, as incorrectly formatted claims will be rejected beginning Jan. 1, 2012.

If you missed out on the June 15 testing date, another is scheduled for Aug. 24. Mark your calendar!

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