decisionhealth Newsletters, Part B News - 2010 Issue 9 (September)
Call clearinghouses, vendors to test your claims software in 2011
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Article Overview
This article explains CMS’s timeline for the HIPAA 5010 transition and encourages practices to coordinate early with software vendors and clearinghouses. It covers the kinds of electronic claims and administrative workflows affected, the role of Medicare contractors and third-party payers, and general testing considerations for practices of different sizes. The piece is aimed at healthcare billing, practice management, and revenue cycle staff who need to understand the operational impact of the 2011 testing period and the 2012 compliance deadline.
Why This Topic Matters
Practices that do not prepare for the 5010 transition risk disruptions to electronic claims processing and payment. The article helps readers recognize the operational steps needed to coordinate software upgrades and testing before the compliance deadline.
What You Will Learn
- The purpose and timing of CMS’s 5010 testing period
- Which parts of practice software and electronic workflows are affected
- How vendors, clearinghouses, and payers fit into the transition
- Why early testing matters for different practice sizes
- What CMS-supported software resources are mentioned for small practices
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle staff
- Healthcare IT staff
- Physician office administrators
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