Little Time Left to Prepare for 5010 Testing

The Centers for Medicare & Medicaid Services (CMS) issued a reminder Aug. 24 to health care providers, health plans, clearinghouses, and vendors about the approaching compliance dates for the transition to the Accredited Standards Committee X12 Technical Reports Type 3, Version 005010 (Version 5010) electronic health care transaction standards. Beginning January 2011, entities covered under the Health Insurance Portability and Accountability Act (HIPAA) should be ready to test with their trading partners the functionality of the entities’ practice management and/or other related software featuring Version 5010 standards.

That date is right around the corner. Are you ready?

Use of the Version 5010 standards for HIPAA electronic health care transactions—including claims, remittance advice, eligibility inquiries, referral authorization, and other administrative transactions—will be mandatory Jan. 1, 2012. The Version 5010 standards also provide the framework necessary for use of the revised medical data code sets (ICD-10-CM and ICD-10-PCS) that will be implemented Oct. 1, 2013.

“The Version 5010 standards and ICD-10 codes are necessary steps to facilitate the national transition to an electronic health care environment,” said CMS Administrator Donald Berwick, M.D. “Transitioning to the Version 5010 transaction standards in 2012, and to the ICD-10 codes in 2013, will help accelerate the widespread adoption of health information technology and move the nation toward a more efficient, quality-focused health care system.”

To help health care providers, health plans, clearinghouses, and vendors work toward the compliance dates for Version 5010 and ICD-10 — and avoid delays in claims processing and payment — AAPC has been conducting ongoing industry outreach and education. Learn more on AAPC’s ICD-10 website about how to prepare for ICD-10; and while you’re there, be sure to read Angela Boynton’s, BS, RHIT, CPC, CPC-H, CPC-P, CPC-I, CCS, CCS-P, article, “5010 Update: Benefits of Implementation.”

Final regulations adopting Version 5010 and ICD-10 were published Jan. 16, 2009, and may be viewed under “Health and Human Services Department” in the table of contents for that date’s Federal Register.

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