CMS will not initiate enforcement action against HIPAA-covered entities for an additional three months, through Sat June 30, 2012, for the updated HIPAA transaction standards (ASC X12 Version 5010, NCPDP Versions D.0 and 3.0). CMS is aware that there are still challenges and issues affecting an industry wide upgrade. To help HIPAA-covered entities with the upgrade, CMS continues to update and improve their Version 5010 resources.
Updated FAQ System CMS has updated the FAQ system and the way it is organized. There are now three ways to more easily find Version 5010 FAQs by going to the CMS FAQs Page<https://questions.cms.gov/> and: * Click on the Topic HIPAA Administrative Simplification on the left side of the page * Click on the Subtopic Versions 5010 and D.0 that will appear as a dropdown under the topic (FAQs on Version 5010 and D.0 will be listed on the right side of the page) * Click on the Topic Coding on the left side of the page * Click on the Subtopic ICD-10 that will appear as a dropdown under the topic (FAQs on Version 5010 will be listed out on the right side of the page) * Entering the search term "Version 5010" in the Search box on the upper left side of the page CMS' Version 5010 and D.0 FAQs can also be found on the Version 5010 page<http://www.cms.gov/Medicare/Coding/ICD10/Version_5010.html> of the ICD-10 website, on the FAQs: Versions 5010 and D.0 Transition Basics fact sheet<http://www.cms.gov/Medicare/Coding/ICD10/Downloads/Versions5010D0FAQs.pdf>. The newest FAQ recently added by CMS is: Question: Is my Version 5010 837 claim compliant if it includes situational data that the TR3 Report does not prohibit, and is not needed or used by a specific health plan? Answer: Yes. If a submitter sends claim information to a primary payer that may not be needed by that payer, but is needed by a secondary or tertiary payer, the primary payer should disregard the unneeded information and accept the compliant claim. For example: * A data element in the TR3 Report has situational usage and language that says "If not required by this implementation guide, do not send." * The submitter submits that data element because it is needed for processing by a particular payer that may be secondary or tertiary to the primary payer. * A payer that does not need or use that data element cannot reject a claim because it contains a data element or information that it does not need or use, provided usage of the data element is compliant with the TR3 Report. Version 5010 Testing Readiness Fact Sheet CMS also has a Version 5010 Testing Readiness Fact Sheet<http://www.cms.gov/ICD10/Downloads/Versions5010TestingReadinessFactSheet.pdf>, which explains the Version 5010 upgrade and necessary Phase I Internal and Phase II External testing. This fact sheet can help providers to determine steps to successfully complete testing phases for Version 5010. 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! ________________________________ 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.
