Most practices have ways to go on 5010 preparation, MGMA survey shows

by Ben Penn on Jan 3, 2012

Last month’s news of CMS’ HIPAA 5010 enforcement delay may have come as a relief to many of you, but a mid-December survey from the Medical Group Management Association (MGMA) indicates the new March 31 enforcement date is still not enough time.

Only 32% of responding practices upgraded to version 5010 and completed internal testing, 32% completed testing with their Medicare Administrative Contractors and 18% of respondents completed testing with Medicaid plans, according to the survey results.

MGMA is using these findings as the impetus for a recommendation that CMS develop a contingency plan that would allow 4010 claim submission for at least six monthsinto 2012 instead of the current March 31 cutoff.

Among the study’s other findings:

  • Just 13.9% of practices rate their 5010 implementation process as fully complete, while more than 56% rated it between zero and 75% complete.
  • Roughly a quarter of practices plan on reverting to paper claim submission as their contingency plan.
Blog Tags: CMS, HIPAA 5010
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