CMS Enforcement Action Extended for 5010A1 and D.0 Compliance to June 30, 2012
The Centers for Medicare & Medicaid Services' (CMS) Office of E-Health Standards and Services (OESS) has announced that it will not initiate enforcement action for an additional three (3) months, through June 30, 2012, against any covered entity that is required to comply with the updated transactions standards adopted under the Health Insurance Portability and Accountability Act of 1996 (HIPAA): ASC X12 Version 5010 and NCPDP Versions D.0 and 3.0.
Vendors who have tested and been approved by CEDI for the 5010A1/D.0 transaction format(s) but are still submitting the 4010A1/5.1 transaction format(s) are encouraged to continue migrating all Trading Partners using their software to the 5010A1/D.0 transaction format(s) as soon as possible. Transition to the 5010A1/D.0 production format(s) can be completed through the CEDI Trading Partner 5010/D.0 Production Migration Form located on the CEDI Web site http://www.ngscedi.com under the 5010 and D.0 Implementation Information page.
Vendors who have not begun testing or are currently testing with CEDI for the 5010A1/D.0 transaction format(s) must submit a testing/transition plan, if one has not already been completed, to CEDI providing how they will complete their transition to 5010A1/D.0 no later than June 30, 2012. To submit your testing/transition plan to CEDI, please visit the CEDI Web site http://www.ngscedi.com and click on the 5010/D.0 Implementation Information Page. Complete the "Vendor Testing/Transition Plan" form.
As a reminder, CEDI will not setup any new Trading Partners or add any new providers to existing Trading Partners in the 4010A1/5.1 transaction formats. The CEDI Enrollment Department will only process enrollment forms for the new 5010A1/D.0 transaction formats.
Trading Partners who have already migrated to the new 5010A1/D.0 transaction formats will not be permitted to change back to the 4010A1/5.1 transaction formats.
If you have any questions regarding this information, please contact the CEDI Help Desk at firstname.lastname@example.org.
Post Date 03/20/12