Don’t slow your efforts at compliance with the HIPAA Version 5010 format, but the Centers for Medicare & Medicaid Services (CMS) announced March 15 that it will delay enforcement actions for another 90 days. In November, CMS announced a 90-day delay in enforcement from the compliance date of Jan. 1, 2012.
CMS indicated health plans, clearinghouses, providers and software vendors are making steady progress toward implementation. The Medicare Fee-for-Service program currently reports successful receipt and processing of more than 70 percent of all Part A claims and more than 90 percent of all Part B claims in the Version 5010 format. Commercial plans report similar numbers, and state Medicaid agencies are showing progress as well. Some have made a full transition to Version 5010, a step required before moving to ICD-10.
Nevertheless, CMS noted there are still a number of outstanding issues and challenges impeding full implementation. Enforcement is, therefore, delayed through June 30. Collaboration to resolve remaining problems is urged, and federal agencies are expanding technical assistance to eliminate remaining barriers.
Indiana’s current Medicare carrier, National Government Services (NGS), advised the ISMA it is having no problems with 5010 at this time. If you are not receiving Medicare payments, contact your vendor or clearinghouse to resolve any issues.