Medical Billing Software Users Sending Electronic Claims Have Small
Timeline Reprieve for ANSI 5010 Deadline
US Governement recently extended the compliance deadline for sending ANSI
5010 compliant electronic claims through clearing houses and directly to
Port Charlotte, FL, May 02, 2012 -- Medical Billing Software demo and
live billing users still sending claims using the old ANSI 4010 standards
will be happy to know that the Centers for Medicare and Medicaid (CMS)
has extended the enforcement deadline for sending compliant ANSI 5010
claims to June 30, 2012 for 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).
Clearinghouses, health plans, providers and software companies have been
making steady progress : the Medicare Fee-for-Service (FFS) program is
currently reporting successful receipt and processing of over 90 percent
of all Part B claims in the Version 5010 format. Commercial insurance
plans are reporting similar numbers. State Medicaid agencies are showing
progress as well, and some have made a full transition to Version 5010.
While there are still a variety of unsolved issues and challenges that
are hampering full implementation, the CMS believes that these remaining
issues warrant an extension of enforcement discretion to ensure that all
entities can complete the transition. CMS expects that transition
statistics will reach 98 percent industry wide by the end of the
enforcement discretion period.
Medical billing software program users are urged to make sure they are in
compliance with the new ANSI 5010 standards by checking with their
computer dealer and or software vendor company. Some insurance billing
software users may be required to upgrade their software in order to
comply with the new standards to be enforced June 30, 2010 for medical
billing software demo users.
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