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Version 5010 Less Than Four Months Away - What You Can Do to Get Ready!
Summer is coming to an end, and the Version 5010 transition deadline is now less than four months away! As the January 1, 2012 deadline approaches, your transition should be well underway. There are certain steps to be taking now during the fall to make sure you are on track for a smooth transition.
If you are a provider, you should:
- Continue external testing and making any revisions to systems based on previous internal testing
- Test those transactions that are used on a daily basis, such as claims and eligibility determinations
If you are a payer, you should:
- Continue to coordinate the transition to the new formats and testing with providers, clearinghouses, billing services, and other business partners
- Complete external testing and your Version 5010 transition by Saturday, December 31, 2011 to achieve Level II compliance
If you are a vendor, you should:
- Continue to conduct external trading partner testing of Version 5010 with customers to achieve Level II compliance
- Conduct solution rollout and provide customer support for the Version 5010 transition through the January 1, 2012 compliance date
All covered entities under the Health Insurance Portability and Accountability Act (HIPAA) must be ready to implement the Version 5010 transaction standards on January 1, 2012. A critical step to reaching this milestone is testing Version 5010 transactions prior to going live. With less than four months until the transition, it is time to take action, especially on external (Level II) testing. The Centers for Medicare & Medicaid Services (CMS) has posted a new fact sheet  to help you better understand testing and the steps involved.
External testing with business partners in the new Version 5010 format will ensure that you are able to send and receive compliant transactions prior to the deadline. You should begin testing as soon as possible if you have not already done so. Waiting until the last minute may result in long testing queues, so plan ahead to avoid the rush.
Here are some suggested steps to take now:
- Identify the partners you currently conduct transactions with
- Create a schedule and timeline for external testing with each partner
- Identify priority partners to conduct testing with if you trade with a large number of business partners
Keep Up to Date on Version 5010.
Please visit the 5010 Web site located at https://www.CMS.gov/Versions5010andD0/ for the latest news and resources to help you prepare today!
Post Date 09/22/11
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