Part B News | Editors' Blog

What the 5010 paperwork delay means for you

by: Danielle Cralle Jul 18, 2011

You already know that Jan. 1, 2012 is the deadline to implement the new ANSI 5010 standard for electronic transactions of HIPAA-protected data. But you might be wondering why CMS recently announced a delay in the “implementation of the PWK (paperwork) segment associated with [the test of the 5010] claim transaction originally scheduled for July and October 2011.”

Many practices still not ready for 5010

by: Lauren C. Williams Jun 16, 2011

Most practices have failed to progress toward the critical HIPAA Version 5010 implementation, which could impede claims processing and keep you from getting paid, according to a Medical Group Management Association (MGMA) follow-up survey.

Remember: Since HIPAA 5010 is needed to process ICD-10 codes, which will take effect Oct. 13, 2012, not having a 5010-ready system by the Jan. 1, 2012 deadline would result in providers not getting paid (PBN 4/25/11).

CMS debuts National 5010 Testing Day

by: Lauren C. Williams May 12, 2011

CMS has designated June 15 as National Testing Day to ensure your practice will be HIPAA 5010 compliant come January 2012.

The decision came as a response to the Medical Group Management Association’s (MGMA) letter to HHS Secretary Kathleen Sebelius from October 2010.

“Designating a national testing period in advance of the compliance date will focus the industry’s attention to prepare internal systems for the move to Version 5010 and begin testing electronic transactions with trading partners,” MGMA wrote in its letter.

Survey suggests calm to follow industry angst in EHR switch

by: Lauren C. Williams Apr 5, 2011

If you are worried about switching your long-standing paper filing system to electronic health records (EHR), you are not alone. The Medical Group Management Association (MGMA) published survey results on March 30 from 349 practices with over 13,000 physicians regarding their EHR transitions and the results depict much angst among your peers. Over half of the respondents described a significant or very significant loss of productivity during EHR implementation.

eClinicalWorks unveils 5010 transition plans

by: Grant Huang Jan 24, 2011

CMS is preparing to test electronic claims transmission using the new 5010 HIPAA standard -- a secure electronic format that all your software must use. This will impact your practice management software, your electronic health record (EHR) system if you have one, and your clearinghouse, if you use one.

Remember: All claims must be transmitted using the 5010 standard, rather than the current 4010 standard, starting Jan. 1, 2012. This change spans all health plans bound by HIPAA, which basically means you've got to comply not just for Medicare, but for private payers as well.

One piece of advice you've been getting from CMS and us is to call your vendor and make sure they're ready. Well, at least one vendor has a letter explaining their 5010 transition plans, which they sent to me last week. Here is what eClinicalWorks has to say about the transition. If you are using their software, this gives you a great idea of what to expect. If not -- their answers are the ones you want to get out of your vendor.

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