Although the Version 5010 upgrade deadline was Sun Jan 1, 2012, CMS recently extended their enforcement discretion period for the Version 5010 upgrade for all HIPAA-covered entities for an additional three months, through Sat June 30. It's important that all HIPAA-covered entities continue to take the necessary steps to complete the upgrade to Version 5010 as soon as possible.
Recently, some providers have experienced issues with Version 5010 claims processing or payment. CMS has created a factsheet<https://www.cms.gov/Versions5010andD0/Downloads/Important_5010_Update_PDF_for_March_2012.pdf> that provides guidance to help providers troubleshoot some of the difficulties they are experiencing with claims submissions. The factsheet contains information on: * How to handle claims that have failed edits during the delivery process * What providers can do if they have difficulty receiving information from clearinghouses and/or billing vendors * Links to each of the Medicare Administrative Contractor (MAC) websites, which include lists of their top 10 edits for Version 5010 claims * Additional reasons why some providers may receive claims rejections The MACs will continue to work closely with clearinghouses, billing vendors, and healthcare providers requiring assistance in submitting and receiving Version 5010 compliant transactions. If any entity is experiencing difficulty reaching a MAC, they should send a message describing their issue to [email protected]<mailto:[email protected]> with "5010 Extension" in the subject line. Make sure to take a look at the Version 5010 section<https://www.cms.gov/Medicare/Coding/ICD10/index.html?redirect=/ICD10/11a_Version_5010.asp> of the ICD-10 website to find helpful factsheets on the upgrade to Version 5010 and previous listserv messages discussing the Version 5010 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! ________________________________ CMS.gov Website Upgrade: Please take note that CMS is in the process of making upgrades to the www.CMS.gov<http://www.CMS.gov> website. If you encounter problems accessing information while on the site, please refresh the page or check back later. We appreciate your understanding and apologize for any inconvenience. ________________________________ 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.
