Thursday, November 17, 2011

5010 compliance delayed

CMS announced today that although they are not moving the deadline for the new 5010 claims format which was mandatory on Jan 1, 2012, they will not enforce compliance until March 31, 2012. Essentially delaying it for three months. There has been a lot of chatter in the industry from covered business entities that they have not firmed up testing to allow for only the 5010 format on Jan 1, 2012 so if either your clearinghouse or payor are not ready yet, you may still be able to transmit claims in the old 4010 legacy format. And if you haven't had time yet to update your provider and facility zip codes, you still have time.

CMS news release can be found here: http://www.cms.gov/ICD10/Downloads/CMSStatement5010EnforcementDiscretion111711.pdf

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