AMA CPT® Assistant - 2011 Issue 4 (April)

CPT Assistant Bulletin 2011

CPT Assistant Bulletin 2011 Compliance Deadline for New Version of HIPAA Administrative Transactions Approaching: Will You Be Ready? January 1, 2012, is the deadline by which all physicians, other health care providers, payers, and clearinghouses must comply with the Health Insurance Portability And Accountability Act (HIPAA) regulation to use only Version 5010 (“5010”) electronic administrative standard transactions. Failure to be prepared for this deadline will result in rejected transactions and cash flow interruptions. Although all providers, specifically physician, may not be prepared to meet this requirement, the Centers for Medicare & Medicaid Services (CMS), which oversees the HIPAA administrative transactions...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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