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Versions 5010 & D.0 Implementation Information During the transition to HIPAA Versions 5010 and D.0, there are important items and dates that may be of specific interest to the Medicare Fee-for-Service (FFS) provider community. Please see the Downloads section below, including the 5010/D.0 Implementation Calendar to learn about current, upcoming, and past events that have taken place during this implementation process. Information posted may be applicable to the healthcare industry at large, though it is geared toward the Medicare FFS audience. Medicare Fee-For-Service (FFS) Policy Regarding 90 Day Discretionary Enforcement Period for Non-Compliant HIPAA Covered Entities CMS announced on Thu Nov 17, that it would not initiate enforcement action with respect to any HIPAA covered entity that is 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 the Sun Jan 1, 2012 compliance date. Notwithstanding CMS' discretionary application of its enforcement authority, the compliance date for use of these new standards remains Sun Jan 1, 2012. The announcement can be found at http://www.CMS.gov/ICD10/02b_Latest_News.asp. What The 90 Day Enforcement Discretionary Period Means For Medicare Fee-For-Service: Medicare FFS has experienced significant increases in 5010 production transactions during the last few months. However, there are many submitters that have tested but not taken the step to move into production for 5010 and D.0. In addition, there are many submitters that have not yet initiated testing with their Medicare Administrative Contractor (MAC). Therefore, to ensure that progress continues to be made, Medicare FFS is planning to take the following steps for submitters and receivers of Medicare Part B and Durable Medical Equipment (DME) transactions. Submitters and receivers of Medicare Part A transactions will follow the same action plan starting 30 days after Part B and DME: • In December 2011, submitters/receivers that have tested and been approved for 5010/D.0 will be notified that they have 30 days to cutover to the 5010/D.0 versions. • Submitters/receivers that have not yet tested will be notified in December 2011 that they must submit their transition plan and timeline to their MAC in 30 days. • MACs will notify the submitters/receivers; submitters/receivers have the responsibility to notify the providers they service. To view more messages on Version 5010, NCPDP D.0, and NCPDP 3.0; please visit http://www.cms.gov/FFSProvPartProg/EmailArchive/list.asp
Page Last Modified: 01/26/2012 4:06:43 PM
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