5010: Taking EDI to the Next Level
New from the Medicare Learning Network (MLN): The Centers for Medicare & Medicaid Services (CMS) has released two new HIPAA Version 5010 fact sheets, as well as two companion checklists, to assist providers in transitioning to 5010. Version 5010 is the new version of the X12 standards for HIPAA transactions; version D.0 is the new version of the National Council for Prescription Drug Program (NCPDP) standards for pharmacy and supplier transactions; and version 3.0 is a new NCPDP standard for Medicaid pharmacy subrogation. The implementation of HIPAA Version 5010 presents substantial changes in the content of the data that providers submit with their claims, as well as the data available to them in response to their electronic inquiries for eligibility or claims status. These new educational materials inform providers of these changes and how they need to plan for their implementation. This information is designed for Medicare Fee-For-Service providers; however, it may be of interest to all health care providers. Go to the CMS 5010 website at http://www.cms.hhs.gov/Versions5010andD0 <http://www.cms.hhs.gov/Versions5010andD0> and click on "Educational Resources" to view these new educational products. _______________________________________________ Reminder: Fourth National Medicare Fee-For-Service (FFS) Education Call on HIPAA Version 5010 CMS will be hosting its fourth national provider call regarding the implementation of HIPAA Version 5010. There will be a brief presentation given by CMS followed by a Q&A session with CMS subject matter experts. Please note that this call is geared towards vendors, clearinghouses, and providers who are performing their own development of 5010. Conference call details: Date: February 11, 2010 Conference Title: HIPAA Version 5010 National Provider Call: CMS' approach for new error handling transactions: 999 and 277CA Time: 2:00 p.m. - 3:30 p.m. ET In order to receive the call-in information, you must register for the call. It is important to note that if you are planning to sit in with a group, only one person needs to register to receive the call-in data. This registration is solely to reserve a phone line, NOT to allow participation. Registration will close at 2:00 p.m. ET on February 10, 2010, or when available space has been filled. No exceptions will be made, so please be sure to register prior to this time. 1. To register for the call participants need to go to: http://www2.eventsvc.com/palmettogba/02112010 2. Fill in all required data. 3. Verify your time zone is displayed correctly the drop down box. 4. Click "Register". 5. You will be taken to the "Thank you for registering" page and will receive a confirmation email shortly thereafter. Note: Please print and save this page, in the event that your server blocks the confirmation emails. If you do not receive the confirmation email, please check your spam/junk mail filter as it may have been directed there. _______________________________________________ Reminder: CMS' Dedicated Website for Information & Education on Versions 5010, D.0 and 3.0 Now Available! CMS has launched its website for agency-wide information and education on Versions 5010, D.0 and 3.0. On this website, you can view background information on the new standards, regulatory information, the latest outreach messages from CMS, educational resources, resources specific to D.0 and 3.0, as well as implementation information for the Medicare Fee-For-Service systems. CMS adds new and updated information as it becomes available so bookmark the site today! http://www.cms.hhs.gov/Versions5010andD0 ------------------------------------------------------------------------ ------------------------------------------------------------------------ ------------------------------------------------------------------------ ------------ There's still time to get the seasonal flu shot! Although influenza activity has declined recently, it still may continue for several months.[1] The Centers for Disease Control continues to recommend that patients and health care providers and caregivers be vaccinated against seasonal influenza. CMS encourages health care providers to use each office visit as an opportunity to talk with Medicare your patients about the importance of getting a seasonal flu shot. And remember, it is also important to immunize yourself and your staff. Remember - Seasonal influenza vaccinations and their administration are covered Part B benefits. Note that influenza and pneumococcal vaccines are NOT Part D covered drugs. For information about Medicare's coverage of the seasonal influenza virus vaccine and its administration, as well as related educational resources for health care professionals and their staff, please go to http://www.cms.hhs.gov/MLNProducts/Downloads/flu_products.pdf <http://www.cms.hhs.gov/MLNProducts/Downloads/flu_products.pdf> on the CMS website. You will find a variety of resources that explain Medicare coverage and claims submission policies related to the seasonal influenza vaccine. For information on Medicare policies related to H1N1 influenza, please go to http://www.cms.hhs.gov/H1N1 <http://www.cms.hhs.gov/H1N1> on the CMS website. __________________ [1] Seasonal Influenza (Flu). [online]. Atlanta, GA: The Centers for Disease Control and Prevention, January 19, 2010 [cited 21 January 2010]. Available from the World Wide Web: (http://www.cdc.gov/flu <http://www.cdc.gov/flu> ) ------------------------------------------------------------------------ ----------------------------------------- Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser. If you received this message as part of the All FFS Providers listserv, you are currently subscribed to one of eighteen Medicare Fee-For-Service provider listservs. If you would like to be removed from all NIH listservs, please go to (https://list.nih.gov/LISTSERV_WEB/signoff.htm <https://list.nih.gov/LISTSERV_WEB/signoff.htm> ) to unsubscribe. If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/show_list_archives <https://list.nih.gov/cgi-bin/show_list_archives> ) to unsubscribe or to leave the appropriate listserv. Please DO NOT respond to this email. This email is a service of CMS and routed through an electronic mail server to communicate Medicare policy and operational changes and/or updates. Responses to this email are not routed to CMS personnel. Inquiries may be sent by going to (http://www.cms.hhs.gov/ContactCMS <http://www.cms.hhs.gov/ContactCMS> ). Thank you. ________________________________ ________________________________ ________________________________ ________________________________ ________________________________ [1] Seasonal Influenza (Flu). [online]. Atlanta, GA: The Centers for Disease Control and Prevention, January 19, 2010 [cited 21 January 2010]. Available from the World Wide Web: (http://www.cdc.gov/flu)
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