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Version 5010 refers to the revised set of HIPAA transaction standards; adopted to replace the current Version 4010/4010A standards. Every standard has been updated, from claims to eligibility to referral authorizations. All HIPAA covered entities must transition to Version 5010 by January 1, 2012. Any electronic transaction for which a standard has been adopted must be submitted using Version 5010 on or after January 1, 2012. Electronic transactions that do not use Version 5010 are not compliant with HIPAA and will be rejected. To allow time for testing, CMS began accepting electronic transactions using either Version 4010/4010A or Version 5010 standards on January 1 and will continue to through December 31, 2011. CMS Announces Version 5010, D.0 and 3.0 Standard Enforcement Discretion Period The Centers for Medicare & Medicaid Services' Office of E-Health Standards and Services (OESS), has announced that it would not initiate enforcement action with respect to any HIPAA covered entity non-compliant with the ASC X12 Version 5010 (Version 5010), NCPDP Telecom D.0 (NCPDP D.0) and NCPDP Medicaid Subrogation 3.0 (NCPDP 3.0) standards until 90 days after their January 1, 2012 compliance date, or until March 31, 2012. The compliance date for implementation of these updated standards remains January 1, 2012. More information, view the complete statement and enforcement FAQs. New Version 5010 Fact Sheet If you haven't started testing for the Version 5010 transition, a new fact sheet is available with steps providers can take now to ensure a smooth transition on January 1, 2012. Version 5010 Resources
CMS has developed the following fact sheets to help prepare you for the transition to Version 5010: • FAQs: Versions 5010 and D.0 Transition Basics
• Versions 5010, D.0, and 3.0 Overview
• Version 5010: Testing Readiness, What You Need to Know
• Talking to Your Vendors About ICD-10 and Version 5010 Version 5010 Email Updates
Sign up to receive the email update messages and check out the recent Version 5010 messages: • Version 5010 Level II Compliance: Do You Know What to Do?
• Version 5010 Testing Week Results
• Version 5010 Testing is Critical to a Successful Transition
• Helping Planning for Version 5010 and ICD-10 is Available from CMS
• The Version 5010 Transition is Four Months Away- Are You Ready?
• Results from National Version 5010 Testing Day Now Available Responses to Technical Comments about Version 5010 The Responses to Technical Comments on Version 5010 document is a compilation of the technical comments received during the public comment period of the proposed rule to adopt modifications to the HIPAA Standards; specifically, Version 5010 of the X12 standard. The document includes the analysis and responses from subject matter experts affiliated with the Standards Development Organization (X12). On-going education and implementation assistance for Version 5010 is available from many professional organizations and associations. Visit the Related Links Outside CMS section below for the latest information and tools to help you prepare for the Version 5010 transition.
Page Last Modified: 01/06/2012 4:22:47 PM
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