Over the past 20 years I have used many different medical billing software programs, so I have extensive experience as an end user. I also worked for 2 companies that sold medical billing software, so I have considerable experience setting up Master Files and getting the programs running. SourceO...

Debra Janssen, Administrative Office Manager

Important Information for Medicare FFS Providers

Only 100 Days Left Until Full 5010 Implementation

The HIPAA 5010 compliance date is fast-approaching. There are only 100 days left until full implementation on Jan 1, 2012.

As of January 1, 2012, Version 5010 will be required for all HIPAA standard transactions. This means:

  • Beginning Jan 1, 2012 HIPAA Version 4010A1 will no longer be accepted by Medicare.
  • All trading partners must operate in HIPAA Version 5010.

It is essential to begin the transition now to prevent a disruption to your claims processing and cash flow.

If you have not done so already, CMS strongly encourages you to begin exchanging Version 5010 transactions with your Medicare Administrative Contractor (MAC) NOW to ensure compliance with the January 1, 2012 impact date. 

As a reminder, CMS offers free billing software that is Version 5010 compliant. Please contact your MAC, FI or Carrier to obtain the latest Version of PC-Ace Pro32. CMS also provides the Medicare Remit Easy Print (MREP) software to view and print compliant HIPAA 5010 - 835 remittance advices.  Please visit http://www.cms.gov/AccesstoDataApplication/02_MedicareRemitEasyPrint.asp to view this software.

More information:

Medicare FFS providers should take advantage of the many resources we have provided on the 5010 dedicated website located at https://www.cms.gov/Versions5010andD0/

Don’t wait! TEST NOW to avoid possible delays in payment due to the end-of-year rush in 5010 testing. Testing now will allow time for any needed corrections prior to Jan 1, 2012 – the date when only 5010 transactions will be accepted.


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