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Medicare Compliance & Reimbursement

Industry Notes:

If You Aren't Ready For 5010 Yet, It's Time To Kick Your Efforts Into High Gear

Published on Fri Mar 16, 2012

The April 1 enforcement deadline for using 5010 claim standards is fast approaching. "To ensure a smooth upgrade prior to April, you will need to complete both phase I internal and phase II external testing of Version 5010 transactions," CMS says in a message to providers. "As part of your external testing, you will need to conduct tests with outside trading partners, which include vendors, clearinghouses, billing services, and payers." You should be collaborating with your vendor and asking pointed questions about deadlines, cost, and training, CMS urges in the message posted to the MAC websites as well. "Your vendor is a critical partner in achieving Version 5010 compliance," the agency stresses. The agency will review top concerns about the transition, 5010 edits, and more. Dallas Physician Arrested As Part of $375 Million Scheme Most medical practices are lucky to see $375 million in the course of several decades -- but [...]
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