The compliance deadline to upgrade to Version 5010 from Version 4010/4010A was Sun Jan 1, 2012. CMS announced an enforcement discretion period for 90 days until Sat Mar 31, during which it would not initiate enforcement action with respect to any HIPAA-covered entity that is non-compliant with the ASC X12 Version 5010 (Version 5010), NCPDP Telecom D.0 (NCPDP D.0) and NCPDP Medicaid Subrogation 3.0 (NCPDP 3.0) standards. However, you should continue to upgrade your systems as promptly as possible in order to meet this deadline.
In order to ensure a smooth upgrade prior to April, you will need to complete both phase I internal and phase II external testing of Version 5010 transactions. As part of your external testing, you will need to conduct tests with outside trading partners, which include vendors, clearinghouses, billing services, and payers. Your vendor is a critical partner in achieving Version 5010 compliance. You should take the following steps to evaluate your vendor and vendor products to ensure a timely Version 5010 upgrade: * Establish a tracking system and timeline for milestones * Review existing and new contractual obligations with vendors * Coordinate vendor capabilities with your practice needs and expectations * Evaluate ease of use of vendor products You might want to also ask your vendor some of the following questions about the Version 5010 upgrade to help assess your readiness for this upgrade: * Have they upgraded their systems to meet Version 5010 standards? * If they have not yet upgraded, when will they do so? * What will be the cost for each upgrade? * What versions of their software will be upgraded, and will these upgrades require any additional hardware upgrades? * How often will updates occur and what is the delivery method? * How are issues logged and how will they be addressed? * Is there training available for new system changes and/or functionalities? Please visit the CMS ICD-10 website for additional information and resources about the Version 5010<https://www.cms.gov/ICD10/11a_Version_5010.asp> upgrade. Keep Up to Date on Version 5010 and ICD-10. Please visit the ICD-10 website<http://www.cms.gov/ICD10/> for the latest news and resources to help you prepare, and to download and share the implementation widget<http://www.browserspring.com/widgets/cms2/iframe.html> today! ________________________________ It's Not too Late to Give and Get the Flu Vaccine. Take advantage of each office visit and protect your patients against the seasonal flu. Medicare will continue to pay for the seasonal flu vaccine and its administration for all Medicare beneficiaries through the entire flu season. The Centers for Disease Control and Prevention (CDC) also recommends that patients, healthcare workers and caregivers be vaccinated against the seasonal flu. Protect your patients. Protect your family. Protect yourself. Get the Flu Vaccine-Not the Flu. Remember - The flu vaccine plus its administration are covered Part B benefits. CMS has posted the 2011-2012 seasonal flu vaccine payment limits at http://www.CMS.gov/McrPartBDrugAvgSalesPrice/10_VaccinesPricing.asp. Note that the flu vaccine is NOT a Part D-covered drug. For more information on coverage and billing of the flu vaccine and its administration, as well as related educational provider resources, visit http://www.CMS.gov/MLNProducts/35_PreventiveServices.asp and http://www.cms.gov/immunizations. ________________________________ Note: If you have problems accessing any hyperlink in this message, please copy and paste the URL into your Internet browser. If you know someone who would like to subscribe to a Medicare Fee-For-Service (FFS) provider listserv, go to (http://www.cms.gov/prospmedicarefeesvcpmtgen/downloads/Provider_Listservs.pdf). If you would like to unsubscribe from a specific provider listserv, please go to (https://list.nih.gov/cgi-bin/wa.exe?INDEX) 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.gov/ContactCMS). Thank you.
