Upgrading to Version
5010<http://www.cms.gov/Medicare/Coding/ICD10/Version_5010.html> involves
significant planning and preparation. The Version 5010/4010A electronic
standards upgrade deadline was January 1, 2012. However, CMS enacted an
enforcement discretion period through June 30, 2012 for all HIPAA-covered
entities. It you haven't upgraded to Version 5010, it is important to begin
testing now.
Denise Buenning, MsM, Acting Deputy Director, Office of E-health Standards &
Services (OESS) recently took time to answer some of the industry's top
questions on the Version 5010 upgrade.
1. Is the industry up to date with the Version 5010 upgrade and taking steps
to prepare for the ICD-10 transition?
Yes, we are hearing that the industry is progressing with Version 5010
implementation. We also continue to see from the Medicare Fee-For-service (FFS)
group consistent increases across the board for 5010 transaction volumes and
number of 5010 submitters. We are also hearing that the industry is continuing
to take steps to prepare for ICD-10. ICD-10 is a major undertaking for
providers, payers, and vendors. It will drive business and systems changes
throughout the health care industry, from large national health plans to
smaller provider offices, laboratories, hospitals, and more. The updates will
go much more smoothly for organizations that plan ahead and prepare now. A
successful upgrade to Version 5010 now and transition to ICD-10 later will be
vital to transforming our nation's health care system.
1. What steps should I take if I am behind in the upgrade to Version 5010?
There are a number of things that HIPAA-covered entities should do now.
Communication among plans, providers, clearinghouses, and vendors, as well as
other trading partners, is critical. Below outlines three steps providers can
take now:
* Reach out to clearinghouses for assistance and/or take advantage of any
free or low cost software that may be available from payers.
* Check with payers now to see what plans they will have in place to
handle incoming claims, and what interim alternatives are available.
* Consider contacting financial institutions to establish lines of credit
to get through any possible temporary interruptions in claims reimbursement as
a result of not being Version 5010 compliant.
CMS has developed a fact
sheet<http://www.cms.gov/Medicare/Coding/ICD10/Downloads/SmoothTransition.pdf>
for health care providers, which discusses the risk mitigation steps in more
detail.
1. How is CMS helping the industry prepare?
o The Workgroup for Electronic Data Interchange (WEDI) and CMS are holding a
webinar on ASCX12 5010 implementation and problem solving on May 23 from
1-2:30pm ET.
Registration<http://www.wedi.org/forms/meeting/MeetingFormPublic/view?id=1E16600000150>
is free. These online presentations are designed to gather feedback, track
challenges and provide guidance to correcting ASC X12 5010
implementation-related issues.
o WEDI and CMS previously held a webinar on ASCX12 5010 implementation, and a
replay<https://www.fuzemeeting.com/replay_meeting/7028fcd4/2344297> of the
webinar with the slides presented is located online.
o Additionally, the CMS
website<http://www.cms.gov/Medicare/Coding/ICD10/index.html> has official
resources to help the industry prepare for Version 5010 and ICD-10. CMS will
continue to add new tools and information to the site throughout the course of
the transition. Sign up for ICD-10 Email
Updates<http://www.cms.gov/Medicare/Coding/ICD10/CMS_ICD-10_Industry_Email_Updates.html>
and follow @CMSgov on Twitter<https://twitter.com/#!/cmsgov> for the latest
news and resources.
Keep Up to Date on Version 5010 and ICD-10
Please visit the ICD-10
website<http://www.cms.gov/Medicare/Coding/ICD10/index.html?redirect=/ICD10>
for the latest news and resources to help you prepare.
________________________________
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Thank you.
