In its continuing effort to help trading partners transition to the new versions of standards adopted under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) for electronically exchanging health care transactions, Medicare Fee-For-Service (FFS) has the following update:
Version 5010/D.0 Only Accepted By Medicare FFS Effective July 1, 2012 Effective July 1, 2012 only ASC X12 Version 5010 (Version 5010) or NCPDP Telecom D.0 (NCPDP D.0) formats will be accepted by Medicare FFS. Providers that are still conducting one or more of the Version 4010 transactions electronically, such as submitting a claim or checking claim status, or rely on a software vendor, billing service, or clearinghouse to do this on their behalf, are affected by this change. Now is the time to contact your software vendor, billing service, or clearinghouse, when applicable, if you have not done so already to insure you are ready. Transactions conducted by Medicare Administrative Contractor (MAC), fiscal intermediary (FI) or carrier telephone interactive voice response (IVR) systems, Direct Data Entry (DDE) and Internet Portals, for those contractors with Internet Portals, are not impacted. Version 5010/D.0 Transition Statistics The Medicare FFS version 5010 transition statistics<http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/EDIPerformanceStatistics/Downloads/5010TransitionStats0608.pdf> are available on the CMS website. These statistics represent the transition of transaction standards adopted under HIPAA from ASC X12 4010 to 5010 and from NCPDP 5.1 to D.0. The transition statistics cover the following: * Part A claims and remittances * Part B/DME claims and remittances * NCPDP claims * Eligibility inquiries and responses * Claim status inquiries and responses In addition, Medicare FFS has recently published information by provider specialty<http://www.cms.gov/Research-Statistics-Data-and-Systems/Statistics-Trends-and-Reports/EDIPerformanceStatistics/Downloads/5010SpecialtyStats0608.pdf> related to the transition to ASC X12 Version 5010. More Information For more information on ASCX12 Version 5010 and NCPDP Version D.0, please visit the Versions 5010 and D.0<http://www.cms.gov/Versions5010andD0> website. ________________________________ If you know someone who would like to subscribe to a Medicare Fee-For-Service (FFS) provider listserv, go to http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads//MailingLists_FactSheet.pdf<http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/MailingLists_FactSheet.pdf> and select the appropriate listserv to subscribe. 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/About-CMS/Agency-Information/ContactCMS/index.html). Thank you.
