tci General Surgery Coding Alert - 2011 Issue 9

Version 5010: Make Sure Your Electronic Transactions Don't Bomb on Jan. 1

Compliance, payment, and ICD-10 hang in the balance.Say goodbye to forms 4010/4010A1 for electronic transactions starting Jan. 1, 2012. That's the date you'll need fully functional form 5010 to comply with the Health Insurance Portability & Accountability Act of 1996 (HIPAA) electronic transaction standards.If you don't have your 5010 glitches worked out by that date, you won't be able to submit electronic transactions to Medicare.Get Ready for ICD-10Version 5010 lays out the technical electronic standards mandated for HIPAA transactions -- that includes claims, eligibility inquiries, remittance advice, and payment data using ICD-10.The current version --...

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