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Educational Resources

The educational resources listed on this web page are designed to increase national awareness and assist in the implementation of Versions 5010, D.0 and 3.0.  Products that target a specific population, such as Medicare FFS, will be clearly identified.  Otherwise, products and information may be appropriate for the healthcare industry at large.

Version 5010 Resource Card

The Version 5010 Resource Card is now available. This educational tool is designed to provide a timeline and list of resources related to the implementation of HIPAA Versions 5010 and D.0. Click the link in the Downloads section below to view this new product.

Versions 5010 and D.0 Fact Sheets and Checklists

New from the Medicare Learning Network (MLN):  The Centers for Medicare & Medicaid Services (CMS) has released two new HIPAA Version 5010 fact sheets, as well as two companion checklists, to assist providers  in transitioning to 5010.

Version 5010 is the new version of the X12 standards for HIPAA transactions; version D.0 is the new version of the National Council for Prescription Drug Program (NCPDP) standards for pharmacy and supplier transactions; and version 3.0 is a new NCPDP standard for Medicaid pharmacy subrogation.

The implementation of HIPAA Version 5010 presents substantial changes in the content of the data that providers submit with their claims, as well as the data available to them in response to their electronic inquiries for eligibility or claims status.  These new educational materials inform providers of these changes and how they need to plan for their implementation. This information is designed for Medicare providers;  however, it may be of interest to all health care providers. 

See the "Downloads" section below for fact sheets and checklists.

Versions 5010 and D.0 MLN Matters Articles

See the "Downloads" section below for available articles 

National Provider Calls

Throughout the implementation of Version 5010, CMS will be hosting a variety of national education calls that will inform the provider community of the steps that they need to take in order to be ready for implementation. These calls will also give participants an opportunity to ask questions of CMS subject matter experts. Visit the "new" 5010 National Calls page listed on the left hand side of the page.

Frequently Asked Questions (FAQs)

Versions 5010, D.0 and 3.0 FAQs are posted on the CMS website and continue to be updated as new information is available. To view these FAQs, see the "Related Links Inside CMS" section below. To find the latest FAQs, click on the arrows next to "Date Updated".

 

Downloads
90 Day Announcement Information [PDF, 14KB]

Version 5010 Resource Card [PDF, 243KB]

New Health Care Electronic Transactions Standards:  Versions 5010, D.0, and 3.0 Fact Sheet [PDF, 955KB]

Preparing for Electronic Data Interchange (EDI) Standards:  The Transition to Versions 5010 and D.0 Fact Sheet [PDF, 1208KB]

Checklist for Level I Testing Activities [PDF, 324 KB]

Provider Action Checklist for a Smooth Transition [PDF, 333KB]

Versions 5010 and D.0 MLN Matters Articles [PDF, 31KB]
Related Links Inside CMS

Versions 5010, D.0 and 3.0 FAQs
Related Links Outside CMSExternal Linking Policy

There are no Related Links Outside CMS

 

Page Last Modified: 12/29/2011 3:51:53 PM
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