Posts Tagged ‘4010’

Deadline for Enforcing HIPAA Version 5010 is Tomorrow!

June 29, 2012

The delay in enforcing the HIPAA version 5010 end on June 30, 2012 for all Medicare providers. Providers not compliant by June 30 will be penalized after the new requirement goes into effect on July 1. If your agency is not yet compliant, or are not sure if you are, you need to take immediate action to avoid disruption in payments.

If your agency is not yet compliant, start by contacting your software vendor to see what you need to do. If you are all set with your software, reach out to your clearinghouse. The good news is that most clearinghouses are now submitting using the 5010 format, but you should make sure your claims are uploading correctly and that they are fully 5010-compliant. (more…)

CMS Provides Guidance on 5010 Discretionary Enforcement Period for Medicare Fee for Service

December 29, 2011

Medicare Fee-for-Service (FFS) issued an announcement on December 14th regarding its plan for the 90-Day Discretionary Enforcement Period for non-compliant HIPAA covered entities. According to that announcement, CMS provided a 90 day discretionary period for compliance with planned January 1, 2012 5010 transaction set requirements. However, it was unclear in that announcement whether CMS would continue to accept claims in the 4010 format during the discretionary period. In response to inquiries, CMS provided the following Q&As to spell out requirements that must be met in order to qualify for continued submission of 4010 claims between January 1st and March 31st. (more…)