Effective August 1, 2012, the Medicare Fee-For-Service (FFS) program will only create the electronic remittance advice transactions in the X12 Version 5010 format. If the computer software you use to open/translate the electronic remittance advice X12 Version 5010 format has not been updated to support the X12 Version 5010 format remittance advice, you may not be able to open and read the electronic remittance advice to review payments, adjustments, and denials, as well as post payments to patient accounts.
If you use a clearinghouse, billing service or vendor to obtain the electronic remittance advice, any issue with opening/translating the electronic remittance advice X12 Version 5010 format effective August 1 should be addressed with your vendor, clearinghouse, or billing service before contacting your Medicare contractor. Providers should be advised that any billing staff or representatives that make inquiries related to Medicare payment on his/her behalf will need a copy of the remittance advice before contacting the MAC helpdesk for questions on the adjustments made to the claim payment from Medicare FFS. Please note that CMS supported software, PC Print and Medicare Remit Easy Print (MREP), does accept the electronic remittance advice X12 Version 5010 format to view and print remittances. Institutional providers who use PC Print, and professional providers/suppliers who use MREP, are reminded that any issues with opening/translating the electronic remittance advice X12 Version 5010 format on or after August 1, 2012 should be addressed with your vendor, clearinghouse, or billing service, if you use one of these entities for receipt of the electronic remittance advice, before contacting your Medicare contractor. 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.
