Mandated Compliance of HIPAA 5010 Transactions by January 1st, 2012
On November 17, 2011, CMS released a statement that it would not initiate 5010 enforcement action until March 31, 2012. However, CMS still requires 5010 conversion on the January 1, 2012 date. Seacoast continues to work diligently to assist our Clients with becoming 5010 compliant by the mandated deadline. The best indication of a successful transition to ASC X12 Version 5010 HIPAA Transactions comes from successful testing. Therefore, we continue the testing and validation process with our Clients and their payers. In addition, we have Clients who have already successfully converted to the new 5010 submission process. To read the entire CMS news release, click the following link:
http://www.cms.gov/ICD10/Downloads/CMSStatement5010EnforcementDiscretion111711.pdf
We still face some industry challenges. These include, but are not limited to, payers who are unable to process 5010 format test files and payers which have enrollment and/or approval processes which have been managed slowly by the payers. Both of these are issues that were identified and openly discussed on the CMS National Call for 5010 Implementation in which vendors and clearinghouses were asked to share their challenges with becoming 5010 compliant by January 1, 2012.
We appreciate your understanding as our Support Team has worked conscientiously to balance the needs of 5010 projects with other important projects for Clients. If you have not yet received quotes to create 5010 Remittance files, or for other questions related to 5010 compliance, please contact your Support Representative today to avoid unnecessary delays.
2012 Current Procedural Terminology Codes Effective January 1, 2012
Seacoast will install a CPT update file to our SurroundLab AR Clients prior to this effective date. This annual update is completed without additional fees.
Please direct any questions to Jess Hodges, Project Manager at 603.431.4114 x38.
Wishing our clients a safe and happy holiday season!
