June 7, 2012:
The Centers for Medicare & Medicaid Services’ (CMS) Office of E-Health Standards and Services will be ending its enforcement discretion period for Version 5010 standards on June 30, 2012. This means that all HIPAA-covered entities must be fully compliant with all of the upgraded transaction standards for ASC X12 Version 5010 (Version 5010) and NCPDP Versions D.0 and 3.0.
As of July 1, 2012, complaints received in CMS’ HIPAA Administrative Simplification Enforcement Tool (ASET) regarding any HIPAA-covered entity’s non-compliance with the updated standards will be subject to enforcement action under the existing HIPAA transaction and code set enforcement process.
Over the past months, health plans, clearinghouses, providers and software vendors have been making steady progress toward compliance, and the industry has demonstrated broad collaboration in working to resolve some of the technical challenges affecting implementation. Entities still experiencing issues regarding use of the Version 5010, D.0 and 3.0 standards in their transactions should refer to their respective clearinghouse and/or payer’s website or provider service department for assistance.
For information regarding these updated standards, please visit the Versions 5010 and D.0 & 3.0 page on the CMS website.
Keep Up to Date on Version 5010 and ICD-10.
Please visit the ICD-10 website for the latest news and resources to help you prepare!
End of Enforcement Discretion Period for Use of Updated HIPAA Version 5010 Transaction Standards is June 30, 2012
June 7, 2012: