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CMS' Medicare FFS program is underway with implementation activities to convert from Health Insurance Portability and Accountability Act (HIPAA) Accredited Standards Committee (ASC) X12 version 4010A1 to ASC X12 version 5010 and National Council for Prescription Drug Programs (NCPDP) version 5.1 to NCPDP version D.0. The Medicare FFS program is engaged with both its internal and external partners to ensure compliance with the timelines provided in the 5010/D.0 final regulation. The Office of Information Services (OIS), Business Applications and Management Group (BAMG), Division of Medicare Billing Procedures (DMBP) is coordinating 5010/D.0 implementation across CMS and its partners. HHS permits dual use of existing standards (4010A1 and 5.1) and the new standards (5010 and D.0) from the March 17, 2009, effective date until the January 1, 2012 compliance date to facilitate testing subject to trading partner agreement. An Overview of The CMS Medicare FFS schedule is: Level I April 1, 2010 through December 31, 2010 Level II January 1, 2011 through December 31, 2011 Fully compliant on January 1, 2012 For further information on CMS' Medicare FFS 5010/D.0 Implementation activities click on the link in the "Related Links Inside CMS" section below. CMS HETSHelp site The CMS HETSHelp site provides information specific to the HIPAA Eligibility Transaction System (HETS) for 270/271 Medicare eligibility transactions. Please visit the HETSHelp site at: http://www.cms.hhs.gov/HETSHelp/ for details about the changes being made to HETS to support the X12 5010 standard.
Page Last Modified: 07/30/2010 7:33:12 AM
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