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Test Your 5010 Readiness With At Least 25 Claims, CMS Says

Published on Sat Jun 12, 2010

No word yet from CMS on whether the 1500 form will change soon. If you're considering testing whether your practice will be able to appropriately process the new HIPAA 5010 form, 25 is the magic number -- that's how many claims you'll want to process to ensure that your system has the new form down. CMS has introduced its HIPAA 5010 Version D.0 form, which will be required to use by all HIPAA-covered entities (i.e., providers, health plans, clearinghouses, and their business associates, including billing agents) as of Jan. 1, 2012. CMS will begin accepting 5010 forms effective Jan. 1, 2011, and use of the form will be required as of Jan. 1, 2012. CMS urges "direct submitters" to contact their MAC help desk to coordinate testing procedures. "Test with 25 claims minimum," said Matt Klischer of CMS's Division of Medicare Billing Procedures during a June 30 CMS Open Door Forum [...]
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