Posts Tagged ‘5010’

CMS Delays 5010 Enforcement (Again)

March 16, 2012

CMS announced yesterday that providers have three more months until enforcement of the new 5010 claim submission standard begins. Providers who submit claims in the 4010 format through June 30, 2012 will not be penalized. The 5010 standard’s original compliance date was January 1, but CMS announced in November it would delay enforcement through March 31. (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…)

Reminder: Florida Medicaid 5010 Implementation Schedule

December 28, 2011

The Florida Medicaid Management Information System (FMMIS) will be frozen from 8:00pm January 1, 2012 until 4:00am January 2, 2012 for inbound transactions and 4010 versions of X12 transactions will no longer be accepted after 8:00pm January 1, 2012.

Please disregard the following if your agency or your billing partner has already converted to X12 5010 for outbound X12 transactions before December 30, 2011. (more…)

Two Weeks Away from 5010 Compliance Deadline

December 20, 2011

The compliance deadline for the transition to Version 5010 is only two weeks away. Though the Centers for Medicare & Medicaid Services has announced an enforcement discretionary period of 90 days for Version 5010 compliance, the deadline remains January 1, 2012. Enforcement will not be exercised until April 1, 2012; however, it is important that organizations continue to complete the transition to Version 5010 as soon as possible, if they have not done so already. (more…)

CMS Implements 90-Day Period of Enforcement Discretion for 5010 Compliance; Florida Medicaid Moving Forward with Jan. 1 Deadline

December 1, 2011

The Centers for Medicare & Medicaid Services recently announced a 90-day enforcement discretion period for all HIPAA covered entities regarding the Version 5010 (ASC X12 Version 5010) transition. The compliance deadline for the implementation of Version 5010 is still January 1, 2012; however, CMS will not initiate enforcement action until March 31, 2012. CMS made this decision based on industry feedback that many organizations and their trading partners were not yet ready to finalize system upgrades for this transition. (more…)

CMS to Host 21st National Provider Call on HIPAA Version 5010

November 30, 2011

CMS will host its twenty-first national provider call on HIPAA Version 5010 on Dec. 7th, 1:30-3:00pm ET.

The agenda for the call is as follows: (more…)

P.O. Boxes No Longer Permitted in Billing Provider Address in 5010 Transactions Jan. 1

November 18, 2011

Do you use a P.O. Box or lock box address as you billing provider address to receive payments? If you submit claims electronically, you will be required use only a street address or physical location as the billing provider address. Continuing to report a P.O. Box in the billing provider address field will cause your claims to reject. (more…)

Are You Ready for 5010?

November 1, 2011

Is your agency 5010 compliant? ASC X12 V005010 Errata will be the only version of claims accepted by Medicare in just 60 days! (more…)